Himalayas logo
LW
Open to opportunities

Laurie Wirsu

@lauriewirsu

Experienced RN with over 20 years in patient care coordination.

United States
Message

What I'm looking for

I am seeking a role that allows me to leverage my extensive nursing experience in patient care coordination and case management, ideally in a supportive environment that values collaboration and continuous improvement.

I am a dedicated Registered Nurse with over 20 years of experience in patient care coordination, case management, and utilization review. My career has been marked by a commitment to advocating for patients' healthcare needs and ensuring they receive the appropriate level of care. I have honed my skills in utilizing InterQual guidelines for medical necessity assessments and discharge planning, which has allowed me to effectively manage complex patient cases.

Throughout my tenure at Florida Blue Cross Blue Shield and other healthcare institutions, I have successfully facilitated communication between patients, physicians, and nursing staff, ensuring a seamless care experience. My proficiency in DRG assignment and utilization review has been pivotal in optimizing patient outcomes and minimizing readmission rates. I am passionate about improving healthcare delivery and am always looking for ways to enhance patient care processes.

Experience

Work history, roles, and key accomplishments

FS

Transitions Team Nurse

Florida Blue Cross Blue Shield

Feb 2024 - Mar 2025 (1 year 1 month)

Assessed patients within assigned population, including admitting diagnosis, medical history, and current treatments. Acted as an advocate for patient's health care needs and ensured ICD and HCPS were entered correctly.

OC

Rehab Case Manager

Orlando Regional Medical Center

Apr 2016 - Feb 2019 (2 years 10 months)

Assessed patients within assigned population, including admitting diagnosis, medical history, and current treatments. Acted as an advocate for patient's health care needs and served as a facilitator to physician, nursing staff, and ancillary services.

AE

Utilization Management Nurse Associate

Aetna

Jan 2015 - Nov 2015 (10 months)

Supported coordination, documentation, and communication of medical services. Managed prior authorization requests for injectable medicine per Medicare guidelines.

HM

Patient Care Coordinator/Utilization Review

Humana Military

Jan 2009 - Apr 2011 (2 years 3 months)

Conducted admission, concurrent, and discharge reviews for acute inpatient, skilled nursing facilities, and acute rehabs. Managed discharge planning and conducted follow-up calls.

HH

Case Manager / Field Nurse

Healthfield Home Health

Dec 2007 - Nov 2008 (11 months)

Admitted patients to services, completing appropriate clinical documentation. Administered ongoing care and case management, providing necessary follow-up.

TH

Case Manager / Field Nurse

Trinity Home Health

May 2007 - Nov 2007 (6 months)

Admitted patients to services, completing appropriate clinical documentation. Administered ongoing care and case management, providing necessary follow-up.

Education

Degrees, certifications, and relevant coursework

University of South Carolina – Aiken logoUA

University of South Carolina – Aiken

Associate Degree in Nursing, Nursing

Graduated with an Associate Degree in Nursing, gaining foundational knowledge and practical skills essential for patient care.

Georgia Military College – Augusta logoGA

Georgia Military College – Augusta

Associate of Arts and Sciences, General Studies

Completed an Associate of Arts and Sciences degree, building a strong academic foundation.

Tech stack

Software and tools used professionally

Interested in hiring Laurie?

You can contact Laurie and 90k+ other talented remote workers on Himalayas.

Message Laurie

People also viewed

View all talent

Find your dream job

Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan
Laurie Wirsu - Transitions Team Nurse - Florida Blue Cross Blue Shield | Himalayas