Lisa McGuire
@lisamcguire
Experienced registered nurse and case manager with 28 years in acute, home, and remote care.
What I'm looking for
I am a Registered Nurse (BSN) with 28 years of clinical and case management experience across critical care, labor & delivery, home health, and inpatient settings. I bring extensive utilization review, discharge planning, and interdisciplinary coordination skills, plus proficiency in Epic, CareConnect, OCM and other EMR systems.
For fifteen years I led and managed multiple nursing departments on night shift, made high-stakes clinical decisions, and taught patient education classes including diabetes and maternal/newborn care. I have hands-on experience with wound care, IVs, EKGs, ostomy management, and perioperative circulation, and I have worked in research coordination and transitional care roles.
I am bilingual (Spanish), a team leader and collaborator, and my goal is to apply my years of experience to case management or similar remote positions where I can improve patient transitions, utilization outcomes, and care coordination.
Experience
Work history, roles, and key accomplishments
Inpatient Case Manager
UnitedHealthcare / Optum
Mar 2022 - Present (3 years 11 months)
Coordinate inpatient care remotely by assessing needs, developing care plans, facilitating discharge planning, and performing utilization review across Medicare, Medicaid, DSNP and commercial lines to ensure timely, cost-effective care.
Managed multidisciplinary communication and discharge planning in an acute hospital setting, reviewed utilization and recommended appropriate levels of care to optimize patient flow and resource use.
Inpatient Care Coordinator
Palm Garden
Oct 2019 - Apr 2020 (6 months)
Assisted patients with transitions to post-acute care by developing patient-centered transition plans, coordinating referrals to home health or hospice, and meeting referral/admission goals for the territory.
Research Coordinator
USF Health / Tampa General Hospital
Aug 2016 - Jun 2017 (10 months)
Managed multiple clinical research studies including recruitment, specimen processing, data integrity, and regulatory compliance while coordinating provider schedules and teaching patient education classes.
Home Healthcare RN
BayCare Home Health
Oct 2015 - Feb 2016 (4 months)
Provided home visits for wound care, IV medication administration, blood draws and complex device management while documenting assessments and coordinating with physicians to manage patient care plans.
RN Case Manager
Army Medical Reserve
May 2013 - Aug 2015 (2 years 3 months)
Managed care plans for veteran patients by coordinating community resources, maintaining ongoing patient contact, and facilitating multidisciplinary meetings to adjust plans as needed.
Family Health Clinic RN
MacDill Family Health Clinic
May 2013 - Apr 2015 (1 year 11 months)
Managed primary care for active-duty members and families, performed triage, assisted providers with procedures, coordinated referrals, and taught prenatal and diabetes education classes.
Labor & Delivery RN
University Community Hospital
Mar 2003 - May 2013 (10 years 2 months)
Served as charge RN for night shifts in labor & delivery and high-risk antepartum, oriented new nurses, conducted in-services, and provided patient education and perioperative care.
Education
Degrees, certifications, and relevant coursework
Grand Canyon University
Bachelor of Science in Nursing, Nursing
2018 - 2020
Grade: GPA 3.9
Completed a Bachelor of Science in Nursing (BSN) with a 3.9 GPA to advance clinical knowledge and leadership in nursing practice.
Pima Community College
Associate Degree in Nursing, Nursing
2001 - 2004
Grade: GPA 3.8
Completed an Associate Degree in Nursing with a 3.8 GPA, preparing for clinical nursing practice and licensure as an RN.
Availability
Location
Authorized to work in
Job categories
Skills
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