Laurie Wirsu
@lauriewirsu
Experienced RN with over 20 years in patient care coordination.
What I'm looking for
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
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.
HIT Continued Stay Nurse
Florida Blue Cross Blue Shield
Feb 2019 - Feb 2024 (5 years)
Assessed patients within assigned population, including admitting diagnosis, medical history, and current treatments. Served as a facilitator to physician, nursing staff, and ancillary services.
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.
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.
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.
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.
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.
Nurse Manager
Autumn Care Adult Day Center
Nov 2006 - May 2007 (6 months)
Admitted patients to the service, completing appropriate clinical documentation. Assessed individual status and care/instruction needed by the patient and created care plan accordingly.
RN, Telemetry
VA Medical Center
Jan 2004 - Mar 2005 (1 year 2 months)
Served as Charge Nurse, Team Leader, and staff nurse on a rotating basis. Responsible for coordination of patient care on the telemetry unit, including making assignments and directing patient flow.
RN, Telemetry
MCG Health, Inc.
May 2002 - Jan 2004 (1 year 8 months)
Provided patient care on a telemetry unit. Responsible for monitoring patient vital signs and administering medications.
RN, L&D
University Hospital
Aug 2001 - May 2002 (9 months)
Provided nursing care in the Labor and Delivery unit. Assisted with patient admissions and discharges.
Education
Degrees, certifications, and relevant coursework
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
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
Availability
Location
Authorized to work in
Job categories
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