Lisa Guffey
Bellevue,NE
Summary
Results-driven nursing professional with a strong background in utilization review and behavioral health supervision. Skilled in conducting case assessments and ensuring compliance with regulatory standards. Committed to enhancing healthcare delivery and patient safety through effective team leadership and strategic care planning.
Overview
1
1
Certification
21
21
years of professional experience
Work History
Nursing Care Manager/Utilization Review Manager
CHI Health Immanuel
6845 N. 68th Plaza, Omaha, NE 68152
08.2021 - Current
- Conducts admission and continued stay reviews per Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted based on the established criteria and critical thinking. Reviews include admission, concurrent and post discharge for appropriate status determination.
- Ensures compliance with principles of utilization review, hospital policies and external regulatory agencies, Peer Review Organization, Joint Commission, and payer defined criteria for eligibility.
- Evaluated patient care plans for medical necessity and compliance with regulatory standards.
- Collaborated with healthcare teams to optimize resource utilization and improve patient outcomes.
Registered Nurse Supervisor Behavioral Health
CHI Health Immanuel
6845 N 68th Plaza, Omaha, NE 68152
09.2017 - 08.2021
- Coordinated patient care plans in collaboration with interdisciplinary teams to optimize health outcomes.
- Monitored patient progress, adjusting treatment plans based on clinical assessments and feedback.
- Supervised nursing staff to ensure compliance with patient care standards and protocols.
- Developed and implemented training programs for new nurses, enhancing team competency and efficiency.
Behavioral Health Charge Registered Nurse
CHI Health Immanuel
6845 N 68th Plaza Omaha, NE 68152
06.2017 - 09.2017
- Administered medications and monitored patient responses to ensure optimal care and safety.
- Developed individualized treatment plans in collaboration with interdisciplinary teams to address patient needs.
- Facilitated therapeutic group sessions, enhancing patient engagement and promoting recovery strategies.
- Conducted comprehensive assessments to evaluate mental health conditions and determine appropriate interventions.
- Mentored junior nursing staff on best practices in behavioral health nursing to improve team performance.
Geriatric Nurse
Huntington Park Care Center, Hillcrest Shadow Lake
1507 E Gold Coast Rd, Papillion, NE 68046
11.2013 - 06.2017
- Developed individualized care plans in collaboration with interdisciplinary teams.
- Administered medications and monitored vital signs to ensure patient well-being.
- Educated patients and families on health management and preventive care strategies.
- Implemented safety protocols to reduce fall risks and enhance patient safety.
Registered Nurse
Hillcrest Health Care and Rehabilitation Center
1702 Hillcrest Drive, Bellevue, NE 68005
12.2005 - 10.2013
- Administered medications and monitored patient responses to ensure optimal care and safety.
- Collaborated with interdisciplinary teams to develop and implement personalized care plans.
- Educated patients and families on treatment protocols, fostering understanding and compliance.
- Mentored junior nurses in clinical procedures, enhancing team competency and patient outcomes.
Education
Bachelor of Science - Nursing
University of Nebraska Medical Center
4111 Dewey Ave, Omaha, NE 6819807-1996
Bachelor of Science - Nursing
University of Nebraska Omaha (UNO)
6001 Dodge St, Omaha, NE 6818208-1994
Skills
- Care planning
- Clinical documentation
- Medication reviews
- Patient charting
- Workflow coordination
- Utilization review
- Case assessments
- Service coordination
Accomplishments
- The Goodrich Scholarship Program
- American GI Forum Scholarship
- Fraternal Order Eagles Achievement Award
- The "Yes I can" Award
Certification
- Basic Life Provider Certification
- Basic Life Instructor Certification
- Team Essentials Certified
- Dependent Adult and Child Abuse Mandatory Reporter Certification
Timeline
Nursing Care Manager/Utilization Review Manager
CHI Health Immanuel
08.2021 - Current
Registered Nurse Supervisor Behavioral Health
CHI Health Immanuel
09.2017 - 08.2021
Behavioral Health Charge Registered Nurse
CHI Health Immanuel
06.2017 - 09.2017
Geriatric Nurse
Huntington Park Care Center, Hillcrest Shadow Lake
11.2013 - 06.2017
Registered Nurse
Hillcrest Health Care and Rehabilitation Center
12.2005 - 10.2013
Bachelor of Science - Nursing
University of Nebraska Medical Center
Bachelor of Science - Nursing
University of Nebraska Omaha (UNO)