SHERI LUND
Fond Du Lac,WI
Summary
Effective and compassionate RN Case Manager with 25 years of experience and exemplary team coordination. Offering reputation for working with patients to design care plan goals with available resources. Committed to increasing patient satisfaction and streamlining procedures.
Overview
21
21
years of professional experience
Work History
Medical Underwriter Senior (Work at Home)
Elevance Health (formerly Anthem Inc.)
04.2023 - Current
- Skilled at working independently and collaboratively in a team environment.
- Analyzed data to identify trends and predict future insurance needs.
- Worked effectively in fast-paced environments.
RN Case Manager II (Work at Home)
Anthem Inc./ Elevance Health (IHM)
10.2021 - 04.2023
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Created individualized care plans based on nursing diagnosis and incorporated appropriate nursing methods to achieve positive outcomes.
- Managed and streamlined referral queues of up to 200 by efficiently prioritizing patients and clearing insurance obstacles.
RN Case Manager II (Work at Home)
Anthem Inc. (Diverse Business Group)
12.2019 - 10.2021
- Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
- Responded promptly and professionally to patient questions and concerns.
- Created individualized care plans based on nursing diagnosis and incorporated appropriate nursing methods to achieve positive outcomes.
RN Case Manager II (Work at Home)
Anthem Inc. (Commercial)
12.2014 - 11.2019
- Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Responded promptly and professionally to patient questions and concerns.
RN Case Manager
Lakeland Care District
02.2003 - 09.2014
- Liaised with physicians regarding patient needs, performance and changes.
- Created individualized care plans based on nursing diagnosis to achieve positive outcomes.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction
Education
Associate Degree - Nursing: Nursing
Moraine Park Technical College
West Bend, WI12.1998
Skills
- Accurate Documentation
- Care Coordination
- Critical Thinking
- Compassionate and Caring
- Clear Patient Communication
- Preventive Healthcare
- Patient Care Assessment
- Decision Making
Accomplishments
- Case Management Certification obtained 4/23/2021
- Oncology Certification obtained in 2016
- Volunteered on variety of committees including the following-UM Committee, Shared Governance, and Appeals and Grievance.
- Patient Advocacy - Treated patients and their families with respect and dignity which led to positive rapport and trusting relationships.
- Documentation - Ensured charting accuracy through precise documentation. Participated in numerous successful audits.
Timeline
Medical Underwriter Senior (Work at Home)
Elevance Health (formerly Anthem Inc.)
04.2023 - Current
RN Case Manager II (Work at Home)
Anthem Inc./ Elevance Health (IHM)
10.2021 - 04.2023
RN Case Manager II (Work at Home)
Anthem Inc. (Diverse Business Group)
12.2019 - 10.2021
RN Case Manager II (Work at Home)
Anthem Inc. (Commercial)
12.2014 - 11.2019
RN Case Manager
Lakeland Care District
02.2003 - 09.2014
Associate Degree - Nursing: Nursing
Moraine Park Technical College
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