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PSN Celebrates 20 Years of Staffing and Consulting in Managed Care

In an era when half of all small businesses fail in the first five years, Professional Services Network, Inc. (PSN), an award-winning, nurse-owned company headquartered in suburban Washington, DC, is celebrating its 20th year in business.  The company, a staffing and consulting firm with 13 local employees and revenues of...
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Happy Case Management Week to All!

A 90-year old woman will soon be discharged from the hospital,.  She'll need a walker, physical therapy and a home health nurse  to monitor her blood pressure. On a good day, it will all happen seamlessly -- it's the Case Manager who coordinates the care, equipment and services that make the...
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Do You Have What it Takes to be a UR Nurse?

Utilization reviewers working in hospitals, managed care organizations and other healthcare settings are usually registered nurses (RN) who have strong clinical backgrounds and excellent communication skills, along with substantial experience with medical criteria and guidelines (such as InterQual and Milliman).  UR nurses are tasked with "the evaluation of the medical...
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Understanding the Utilization Review Process

Utilization Review (UR) is a process implemented by hospitals, insurance companies, and other types of managed care plans. Included in the utilization review process, is the use of "explicit" criteria to determine the medical necessity of the treatment or the health care service appropriate for such a service. This is...
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Two Additional Health Literacy Presentations Made Available!

PSN is offering two additional dates and times in December for its popular Health Literacy webinar. The Health Literacy topic covers a required element for URAC accreditation. Health Literacy is the ability to "obtain, process, and understand basic health information and services needed to make appropriate health decisions." The webinar will be...
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