Utilization Management RN

VitalCore Health Strategies

  • Hopkinton, MA
  • $100,000-110,000 per year
  • Permanent
  • Full-time
  • 1 day ago
VitalCore Health Strategies, (VCHS), an industry leader in Correctional Healthcare, has a Full-Time opening for a Utilization Management RN at the Regional Office in Hopkinton, MA!!!Start A New Career with VitalCore Health Strategies!At VitalCore we pride ourselves on retaining and acquiring hardworking ethical individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff.UTILIZATION MANAGEMENT RN - ESSENTIAL FUNCTIONS
  • Essentially will serve as a Regional Office Case Manager for an incarcerated population, advocating for optimum healthcare
  • Maintain accurate, detailed reports and confidential records
  • Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans
  • Modify patient treatment plans as indicated by patients’ responses and conditions
  • Review all aspects of facility patient care
  • Review referrals for offsite treatment and care for appropriateness and best utilization of resources
  • Performing as a Liaison with all offsite providers, both specialty as well as hospitals
  • Review medical transports to Emergency Departments to ensure continuity of care
  • Overseeing hospitalized cases, to include reviewing daily clinicals and providing information to facility MD and team
  • Assisting with hospital discharge planning to ensure goals of care are met
  • Seeking infirmary level bed placement when care is needed on a higher level
  • Additional duties as assigned by regional office
MINIMUM REQUIREMENTS / PREFERENCES
  • Graduate of an accredited School of Nursing
  • Licensure as a Registered Nurse in the state of employment with 1+ years of experience or as an LPN with 5+ years of experience
  • Preferred experience in Med Surg, Case Management, and/or Discharge Planning
  • Possesses an active CPR certification
  • Remains knowledgeable about specific state laws and regulations governing practice
  • Satisfactory completion of initial and annual clinical competencies to demonstrate aptitude as assigned by role
We’re people who are fueled by passion, not by profit.GENEROUS BENEFITS PACKAGE:Holiday Pay: New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day, and Christmas Day
  • Medical/Dental/Vision Insurance
  • Life Insurance
  • Short Term/Long Term Disability
  • Identity Theft Protection
  • Animal/Pet Insurance
  • Employee Assistance Program and Discount Center
  • 401K
  • EEO
Keywords: Utilization Management, RN, Nurse, Administrative, #INDMACompensation details: 100000-110000 Yearly SalaryPI578eac362bef-8722-38440700

VitalCore Health Strategies