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Lee Ann Pons

@leeannpons

Case Manager at Cigna Healthcare / EviCore / Evernorth who reviewed home health cases and improved complaint resolution time by 30%.

United States
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What I'm looking for

I’m seeking a Case Manager position where I can use my care coordination and clinical judgment to support quality, cost-effective care and optimal health outcomes for members.

At Cigna Healthcare / EviCore / Evernorth, I review moderately complex home health cases to determine service needs and support appropriate care plan development. I also investigate member complaints and help drive resolutions through advocacy.

My case management work at Allegheny Health Network Neuroscience Institute included triaging telehealth nursing calls, assessing patient concerns, and coordinating follow-up care with physicians and interdisciplinary teams.

Across my nursing and utilization management experience, I’ve supported complex patient care and clinical quality efforts. My achievements include reducing complaint resolution time by 30% and completing 95% of clinical reviews and care coordination on time.

Experience

Work history, roles, and key accomplishments

CE
Current

UM Clinical Reviewer, Senior Analyst

Cigna Healthcare / EviCore / Evernorth

Nov 2022 - Present (3 years 11 months)

Reviewed moderately complex home health cases for Cigna members to determine service needs and support appropriate care plan development. Managed daily clinical review and care coordination independently in a remote setting while maintaining consistent workflow ownership.

AI

Case Management Registered Nurse

Allegheny Health Network Neuroscience Institute

Feb 2021 - Aug 2022 (1 year 6 months)

Managed high-volume telehealth nursing calls, triaged patient concerns, and addressed medication refill needs to support timely follow-up care. Assessed patients by phone, identified condition changes, and alerted physicians to enable appropriate intervention.

HS

Registered Nurse / Charge Nurse

Heritage Valley Health System

Jan 2001 - Dec 2005 (4 years 11 months)

Served as a Registered Nurse and Charge Nurse, providing nursing care and supervising nursing support staff.

AH

Registered Nurse / Charge Nurse

Allegheny General Hospital

Jan 1996 - Dec 2000 (4 years 11 months)

Served as a Registered Nurse and Charge Nurse, providing nursing care and supervising nursing support staff.

CN

Registered Nurse / Charge Nurse

Community Medical Center Weiss Institute of Neuroscience

Jan 1992 - Dec 1996 (4 years 11 months)

Served as a Registered Nurse and Charge Nurse, providing nursing care and supervising nursing support staff.

Education

Degrees, certifications, and relevant coursework

University of Phoenix logoUP

University of Phoenix

Bachelor of Science in Nursing, Nursing

Bachelor of Science in Nursing (BSN) from the University of Phoenix, completed in 2021.

CN

Community Medical Center School of Nursing

Registered Nurse Diploma, Nursing

Registered Nurse Diploma from Community Medical Center School of Nursing, completed in 1992.

Tech stack

Software and tools used professionally

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