The Broad Scope of the Utilization Management Nurse

Utilization Management (UM) nursing has generalized standardized job roles and tasks, and the role is complex and varied with many specialties and subspecialties.  As a UM Quality Manager, I...

Happy Nurses Week

Happy National Nurses Week 2019 As we celebrate National Nurses Week, it is important to remember that Florence Nightingale helped reform nursing in the mid-19th century by her compilation and...

Case Managers Promote:  Quality Care Coordination with Research That Matters

By Terri Kapetanovic PhD RN.   Today’s Case Manager role is multidimensional and pivotal for many  reasons – the healthcare landscape continues to evolve, discharge planning and...

Celebrating the Practice of Case Management

By Anne Llewellyn, MS, BHSA, RN-BC, CCM, CRRN Case management is an essential process being used throughout the healthcare system to improve quality and reduce costs. Professionals who work in...

Key Competencies for Professional Case Managers-How are your Metrics?

By Anne Llewellyn, RN-BS, MS, BHSA, CCM, CRRN As we moved to a value-based health care model, organizations and providers are being evaluated and paid relative to the health outcomes...

E-Health, Patient Engagement and Nursing

Since the early 1990’s, “eHealth” has continued to grow in prominence. E-health encompasses a wide variety of consumer or patient accessible information. Some examples include telemedicine that...

Resources to Guide your Professional Practice as a Case Manager

By Anne Llewellyn, RN-BC, MS, BHSA, CCM, CRRN Nurse Advocate As a professional Case manager, you have many resources that can assist you to practice in a safe, ethical and...

Nurses Working Across State Lines: Are you Compliant?

As professionals, Registered Nurses have an obligation to know and follow the licensure requirements set by the state Board of Nursing in the states in which they practice. In the...

National Case Management Week, October 8-15, 2017.

Case Managers are the guides that help patients navigate in this quickly changing and extremely complicated world of health care. They are the patient’s advocate.  The case...

National Nurses Week

Nurses are the backbone of the healthcare system, yet, many times we wonder if anyone notices. Well last week, Jimmy Kimmel, shared a personal story with millions of viewers about...

Key Competencies for Professional Case Managers

By Anne Llewellyn, RN-BS, MS, BHSA, CCM, CRRN As we moved to a value-based health care model, organizations and providers are being evaluated and paid relative to the health outcomes...

Welcome

At Professional Services Network, Inc., we are excited to introduce our new Blog: Managed Healthcare Matters.   March 20, 2017 - The goal of this Blog is to provide information professionals...

Mindfulness and Gratitude- a Holiday Wish

The holidays are soon among us and with it can bring a flurry of emotions (as well as a few “snow” flurries in the forecast as well!) The...

The Progression of Case Manager and Utilization Review Roles

It has been interesting to observe the role of the nurse case manager and utilization review nurse over the past two decades. Case manager and utilization review roles have distinct...

A PSN Success Story

Client’s Challenge: In May of 2015 a large Health Plan approached PSN with an immediate and critical need to fill 200 utilization review nurse temporary positions throughout the U...

“Case Management: The GPS for Quality Health Care”*

It is easy for patients to get lost along the road to recovery. With all of the confusing directions and potholes along the way, it is difficult to figure out...

Healthcare offers the most work-from-home jobs

According to a study by a popular career site, healthcare tops the five job categories with the most work-from-home jobs. That’s great news for healthcare employees who want...

Collaborative Case Management – with the Patient

Collaborative Case Management  is emphasized by accreditation organizations such as URAC and also by national case management standards of the Case Management Association of America. Collaborative case management involves...