Noelle Eschbach
Rochester Hills,MI
Summary
Registered Nurse dedicated to quality care of diverse patient population. Skillfully blend hands-on skills with advanced background in Pediatric, Med/Surg ortho/neuro, nursing supervision, oncology and UR. Works effectively with all levels of healthcare providers, physicians and administrators to address patient needs.
Diligent Utilization review nurse with solid background in utilization review and patient care coordination. Proven ability to streamline processes and enhance patient outcomes through efficient resource management. Demonstrated expertise in case management and regulatory compliance.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Utilization Review Nurse
McLaren Oakland
01.2021 - Current
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed prior authorization review of services requiring notification.
- Mitigated potential legal issues related to improper admission or discharge decisions by consulting with physicians regarding complex cases that required further clarification.
- Improved patient care quality by conducting thorough utilization reviews and making recommendations for optimal treatment plans.
- Served as a vital liaison between patients, healthcare providers, and insurance companies, fostering effective communication and coordination among all parties involved in the care process.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Demonstrated commitment to ethical practice by upholding patient confidentiality and advocating for individual rights in all interactions with stakeholders.
- Performed admission reviews based for medical necessity based upon Interqual specification.
- Conducted thorough evaluations of medical necessity for procedures, leading to optimal resource utilization.
- Collaborated with physicians to clarify treatment plans, ensuring alignment with evidence-based practices.
RN Case Manager
Mclaren Oakland Hospital
09.2017 - 01.2022
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Participated in professional growth programs to support special education improvement efforts.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
- Managed support services and fostered communication among social workers, therapists, hospital staff and patients.
- Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
- Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
- Implemented aspects of patient care under physician orders and sought clarification when needed to promote safety, quality and cost-efficient care.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Advocated for and strived to protect health, safety and rights of patient.
- Educated family members and caregivers on patient care instructions.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Charge Nurse
Mclaren Oakland Hospital
01.2011 - 08.2016
- Implemented quality patient care techniques to align with safety, health and organizational regulations.
- Monitored nursing care, patient assessment processes and treatment implementations.
- Collaborated with various healthcare professionals to determine specific and individualized care plan based on goals and long-term health.
- Managed JP drains and chest tubes, nasogastric, peg tubes.
- Documented information in patients' electronic medical record, relaying information to clinicians and care providers to facilitate continuity of care.
- Cared for patients' wounds and changed dressings.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders and communicating with ancillary departments.
- Documented medications administered, treatments and patient procedures performed in appropriate records according to privacy requirements.
- Interacted smoothly with patients and loved ones, updated on care plans and advocated for needs.
- Identified unit areas of inadequacy and adjusted procedures to close gaps and improve policies.
- Supervised and managed daily scheduling, tasking and administration.
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
- Managed various medications and treatments such as peritoneal dialysis, IV push, oral, subcutaneous, IV infusion and and intramuscular injections.
- Worked with patients diagnosed with chronic obstructive pulmonary disease (COPD), asthma, congestive heart failure (CHF), cerebrovascular accidents (CVA), diabetes or sepsis to asses needs and determine best options for care.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
Admissions Nurse in Endoscopy
Mclaren Oakland Hospital
03.2010 - 03.2011
- Provided physicians and other medical personnel with patient assessment details and answered patient care-related questions.
- Directed patient admission and discharge tasks while managing patients and coordinating care.
- Settled incoming patients into rooms and verified adequacy of medical supplies and treatment equipment.
- Interacted professionally with families and provided empathetic support and professional guidance.
- Recorded incoming patients' vital signs and current medication details in electronic charts.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Nursing Supervisor
Mclaren Oakland Hospital
02.2008 - 09.2010
- Provided direct nursing care to patients when personnel was short-staffed.
- Confidently directed overall operation of nursing services and patient care.
- Oversaw admissions and discharges and scheduling of nursing staff.
- Motivated nursing staff to pursue advanced training and collaborated with unit leaders to identify skill needs.
- Responded to behavioral and medical crises codes.
- Interacted effectively with department managers to promptly correct problems and improve services.
- Fostered improvement in staff development, personnel training and standards of patient care.
- Collaborated with physicians and interdisciplinary teams to devise and manage individualized plans of care.
Pedriatric/Medical Surgical Staff Registered Nurse
Mclaren Oakland Hospital
05.2006 - 06.2008
- Educated patients and families on medical-surgical procedures, therapeutic regimens and pain management techniques.
- Managed patients' pain by implementing pharmacological and non-pharmacological pain management interventions.
- Started intravenous fluids, administered medications and documented patient charts by recording food and fluid output and intake.
- Recorded and measured patients' weight, temperature, respiration and blood pressure.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Educated family members and caregivers on patient care instructions.
- Monitored patient reactions after administering medications and IV therapies.
- Assessed and evaluated mental health needs, working with multidisciplinary team to initiate, manage and modify individualized care plans.
- Cultivated rapport with patients and caregivers, utilizing proactive communication with parents and children.
- Identified common pediatric and adolescent illnesses to plan and implement interventions and management.
- Helped young patients feel comfortable with procedures and immunizations.
Education
Associate of Applied Science - Nursing
Oakland Community College
Waterford, MI05.2006
Skills
- HIPAA Compliance
- Insurance Knowledge
- Patient Information Collection
- Utilization review
- InterQual criteria
- Interpersonal and written communication
- Prior authorization
- Utilization management
- Problem-solving
- Teamwork and collaboration
- Time management
- Attention to detail
- Multitasking
- Reliability
- Critical thinking
Accomplishments
Nurse of the Year 2010 and 2013
Daisy Award Recipient 2019
Employee of the Month January 2021
Certification
- Registered Nurse License (RN) - State Board of Nursing.
- BLS
Timeline
Utilization Review Nurse
McLaren Oakland
01.2021 - Current
RN Case Manager
Mclaren Oakland Hospital
09.2017 - 01.2022
Charge Nurse
Mclaren Oakland Hospital
01.2011 - 08.2016
Admissions Nurse in Endoscopy
Mclaren Oakland Hospital
03.2010 - 03.2011
Nursing Supervisor
Mclaren Oakland Hospital
02.2008 - 09.2010
Pedriatric/Medical Surgical Staff Registered Nurse
Mclaren Oakland Hospital
05.2006 - 06.2008
Associate of Applied Science - Nursing
Oakland Community College
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