Utilization Management RN
About The Position
Join the VitalCore Team in Kansas! We're people fueled by passion, not by profit! VitalCore Health Strategies, (VCHS), an industry leader in Correctional Healthcare, has an opening for a Utilization Management Registered Nurse (RN) at the Corporate Office in Topeka, Kansas for Full-Time! At VitalCore we pride ourselves on retaining and acquiring compassionate, 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.
Requirements
- Graduate of an accredited School of Nursing.
- Licensure as a Registered Nurse in the state of employment (or compact license).
- Minimum of 5 years experience.
- 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.
Nice To Haves
- Utilization Management experience preferred.
Responsibilities
- 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.
- Act as a Liaison with all offsite providers, both specialty as well as hospitals.
- Review medical transports to Emergency Departments to ensure continuity of care.
- Oversee hospitalized cases, including reviewing daily clinicals and providing information to facility MD and team.
- Assist with hospital discharge planning to ensure goals of care are met.
- Seek infirmary level bed placement when care is needed on a higher level.
- Perform additional duties as assigned by regional office.
Benefits
- 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
- Health Savings Account
- Dependent Care Flexible Spending Account
- Life Insurance
- Short-Term/Long-Term Disability
- Identity Theft Protection
- Pet Insurance
- Employee Assistance Program and Discount Center
- 401K & Plan Matching
- PTO
- Annual Incentive Bonus
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
