Lori Schoenfelder
Unionville,VA
Summary
Experienced in primary care and public health. Accepts responsibilities and assignments eagerly and works supportively and effectively with other members of the healthcare team while exhibiting a positive attitude.
Healthcare professional with proven track record in managing patient care and facilitating health plan implementation. Expertise in developing care strategies that enhance patient well-being and support collaborative team efforts. Known for adaptability, reliability, and focus on achieving optimal patient outcomes.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Family Support Specialist
Skyline Cap-Healthy Families
06.2025 - Current
- Facilitated family support services through case management and resource coordination.
- Developed individualized service plans addressing unique family needs and challenges.
- Collaborated with community organizations to enhance access to resources for families.
- Conducted assessments to identify strengths, needs, and barriers within family units.
- Conducted regular home visits to assess family progress and adjust support plans as needed.
- Maintained detailed case notes documenting client interactions, interventions provided, progress made, and any barriers encountered during service delivery.
- Empowered parents by providing education on child development milestones, effective discipline strategies, and age-appropriate activities.
- Developed personalized service plans for each family to address their specific needs and goals.
RN Care Manager
Centene Corporation
09.2024 - Current
- Telephonic care management of members with chronic health conditions and pregnant women. Completed initial and trimester based assessments, care plan development and closure of care gaps.
- Remote
- Coordinated patient care plans to optimize health outcomes and enhance service delivery.
- Monitored patient progress, adjusting care plans based on ongoing assessments and feedback.
- Conducted comprehensive assessments of patients'' physical, emotional, social, and environmental needs to inform personalized care plans.
- Facilitated patient education on disease management, medication adherence, and lifestyle modifications to promote optimal health.
- Identified gaps in care for at-risk populations, leading to the development of targeted interventions to improve health outcomes.
RN STAFF NURSE
Jefferson Area Board For Aging
05.2023 - 09.2024
- RN in Respite Day Center-managed care for those with dementia, chronic health conditions and cognitive decline providing respite to their caregivers.
- Completed intake assessments including UAIs, Medicaid forms, developed ISP’s (individualized service plans) administered medications, assisted with activities and ADLs.
- Educated family members, caregivers and assisted with applying for benefits, continuity of care and transportation options.
- Administered medications and treatments according to established protocols and patient care plans.
SCHOOL NURSE
Orange County VA Schools
02.2023 - 05.2023
- Implemented in-service healthcare programs for students and school personnel
- Administered controlled medications to students with doctors' prescriptions
- Responded with prompt care to injuries, accidents, or serious student illnesses.
- Started position near the end of the school year as previous nurse left. I worked until the end of the contract in May.
- Conducted health screenings and immunization assessments for compliance with state requirements.
RN CARE MANAGER
Veteran's Health Administration
05.2009 - 07.2021
- Care management of veterans with hypertension, diabetes, COPD, CHF
- Requiring frequent follow up /education
- Charge nurse-assigning duties to staff and coverage of staff during absences and vacations
- Point of contact for JACHO and IG inspections
- Reviewed data targeting those with HTN, Diabetes, recurring ER visits and hospitalizations frequent calls to assess for any current issues (medication compliance, blood sugar and blood pressure readings, etc.) in an effort to decrease ER visits and hospitalizations
- Telephone triage
- Secure messaging
- Telehealth visits including video and phone Women's Health-education, follow up of pap smears, mammograms, assisted in Women's Health Exams
- Discharge follow up phone calls-completed within 2 days of hospital discharge to assess for understanding of discharge instructions and to assure that care such as PT, Home Health is scheduled
- RN on PACT (patient aligned care team) Team including MD, RN, LPN, MSA -expanded team including psychologists, psychiatrists and pharmacists
- Rooming patients as needed, Vaccination administration, flu and COVID vaccine clinics
- Promoted to Nurse III
PUBLIC HEALTH NURSE
Virginia Department of Health
01.2003 - 04.2009
- Assessed and responded to individual and community health education needs.
- Safely administered flu and pneumonia vaccinations, providing education to customers on vaccines, dosage, indications, precautions, contraindications and potential side effects.
- Prevented illness by education public on healthy practices to stop disease.
- Visited homes to determine patient and family needs.
STAFF NURSE
Madison Family Medicine
09.2001 - 12.2002
- Setting performed point of contact testing-rapid strep, flu, mono, urinalysis
- Venipuncture/EKGS
- School physicals-hearing, vision, color vision screening
- Phone triage
- Rooming patients-taking history, chief complaint
PUBLIC HEALTH NURSE
Virginia Department of Health
09.1995 - 09.2001
- Nurse in Pediatric, immunization, family planning, Maternity and STI clinics
- Home visits for high-risk pregnant women and infants
- Maternity clinic coordinator-ensuring proper labs/care were completed and recorded in patient's record
- Communicable disease investigation
- International travel consults and vaccines
- Family Planning Senior Nurse (promoted)
- Community outreach, education of family planning methods Maintained abnormal pap smear data base ensuring proper follow-up.
Education
AAS - Nursing
Germanna Community College
Certificate - undefined
Virginia School of Massage
Bachelor of Science - Health Sciences
Old Dominion University
Norfolk, VA05.2008
Skills
- Critical thinking
- Service plans
- Microsoft Outlook
- Problem solving
- Care oversight
- Computer skills
- Care delivery
- EMR systems
- Motivational interviewing
- Multicultural sensitivity
- Child development
- Parenting education
- Community resources
Certification
- Compact State Nurse License
- RN License
- CPR Certification October 2022 to October 2024
Timeline
Family Support Specialist
Skyline Cap-Healthy Families
06.2025 - Current
RN Care Manager
Centene Corporation
09.2024 - Current
RN STAFF NURSE
Jefferson Area Board For Aging
05.2023 - 09.2024
SCHOOL NURSE
Orange County VA Schools
02.2023 - 05.2023
RN CARE MANAGER
Veteran's Health Administration
05.2009 - 07.2021
PUBLIC HEALTH NURSE
Virginia Department of Health
01.2003 - 04.2009
STAFF NURSE
Madison Family Medicine
09.2001 - 12.2002
PUBLIC HEALTH NURSE
Virginia Department of Health
09.1995 - 09.2001
Certificate - undefined
Virginia School of Massage
Bachelor of Science - Health Sciences
Old Dominion University
AAS - Nursing
Germanna Community College