Utilization Management RN Job at VitalCore Health Strategies, Hopkinton, MA

dCtpeXVzVnF0RTVXMUhUMGdqQ3BDK1h2NlE9PQ==
  • VitalCore Health Strategies
  • Hopkinton, MA

Job Description

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, #INDMA

Compensation details: 100000-110000 Yearly Salary

PI5ba45204e2f3-30492-39308524

Job Tags

Full time, Temporary work, Work at office,

Similar Jobs

NX Direct

Junior Account Manager Job at NX Direct

 ...solid business relationships on behalf of some of the most well-respected brands in technology throughout the world. They link a customer's needs with the solutions and products available to them, providing a consultative sales approach that focuses on value and problem... 

FORTIS Resource Partners

Human Resources Admin Job at FORTIS Resource Partners

 ...Our client is seeking a dynamic Human Resources Admin for a 3-month contract, part-time, 8-16 hours per week, at their Santa Fe Springs location. The working environment is fast-paced, high-volume, and dynamic. Position Responsibilities may include, but are not limited... 

Pride Health

Fraud Investigator Job at Pride Health

Pride Health is hiring a Special Investigative Unit Investigator for one of its clients in Michigan. This is a 12-week contract with a possible extension, with competitive pay and benefits. This position is remote, but candidates MUST be in Eastern or Central ...

Grace Federal Solutions LLC

Van Services Driver Job at Grace Federal Solutions LLC

 ...Van Services Driver Evening Shifts Location: North Carolina Employer: Grace Federal Solutions Type: Full-Time | Schedule: Evening shifts with flexibility for weekends and holidays At Grace Federal Solutions , our people are our greatest success. Rooted... 

Stoneridge at Centerra

Housekeeper/Laundry Aide Job at Stoneridge at Centerra

 ...Employee Assistance Program Our community is looking for a Housekeeper to join our team. Housekeeper Responsibilities:...  ...Responsible for collecting, cleaning and redistributing the community laundry. Responsible for maintaining the commercial laundry in a...