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Evangelical announces UR/CDI/denials director

LEWISBURG Karen Schuler, BSN, RN-NI, has been named Director of Utilization Review, Clinical Documentation Integrity, Denials for Revenue Cycle at Evangelical Community Hospital. ....

Karen Schuler , Utilization Review , Clinical Documentation Integrity ,

Heather Hastings of Coloma receives LMC Spirit of Nursing Award

Heather Hastings of Coloma receives LMC Spirit of Nursing Award
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Denise Gardner , Heather Hastings , Lake Michigan College Spirit Of Nursing Award , Corewell Health , Utilization Review Department , Benton Harbor High School , Lake Michigan College , Nursing Award , Corewell Health South , Utilization Review , Cardiac Progressive Care , Director Denise Gardner ,

LVN Care Review Clinician, Prior Authorization at Molina Healthcare Inc.

For this position we are seeking a LVN PRIOR AUTH NURSE with at least 3 years experience in Outpa. ....

United States , Behavioral Health Care Review Clinicians , Molina Healthcare Services , Molina Healthcare , Outpatient Prior Authorization , Acute Care , Utilization Review , Utilization Management , Healthcare Services , Medical Directors , Molina Care , Registered Nurse , Licensed Vocational Nurse , Licensed Practical Nurse , State Registered Nursing , Utilization Management Certification , Equal Opportunity Employer ,

Medicaid pharmacy benefit use in Canada.

Medicaid pharmacy benefit use in Canada.
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United States , Service Category Standards , Advisory Council , Service Category Cost Sharing Standards , Implementation Of National Pharmacare , National Pharmacare , Medicaid Pharmacy , Sharing Limits , Service Category , Affordable Care Act , Category Cost Sharing Standards , Prescription Drug , Prescription Drug Utilization , Utilization Review , Prescription Drug Benefit , Employee Protection Toolkit , Employer Prescription ,

After pandemic downturn, worker's comp medical disputes up again in California

Review shows 4.1% increase in first half of 2023, mostly in physical therapy, injections, prosthetics ....

United States , California Worker Compensation Institute , Independent Medical Review , Utilization Review , Medical Treatment Utilization Schedule , Prescription Drug Formulary , Pain Management , Opioid Guidelines , Workers X2019 Comp , Orkers Comp Dispute ,