Utilization Management RN: Regional Case Manager (Corrections)

VitalCore Health Strategies; Hopkinton (MA); On-site; USD 100,000 - 110,000; Full time

Benefits offered by this job

Holiday Pay

Life Insurance

Disability Insurance

Identity Theft Protection

Pet Insurance

Employee Assistance Program

401K

EEO

Job summary

VitalCore Health Strategies (VCHS), a leader in correctional healthcare, has a full-time Utilization Management RN opening at the Hopkinton, MA regional office. The position entails managing care for an incarcerated population, coordinating with the healthcare team to plan, implement, and evaluate patient care, and supporting discharge planning.

The role requires nursing licensure in the state, 1+ year of experience (or LPN with 5+ years), CPR certification, and knowledge of relevant state

Qualifications

• Graduate of an accredited School of Nursing.
• RN licensure in the state of employment with 1+ years of experience, or LPN with 5+ years.
• Preferred experience in Med Surg, Case Management, and/or Discharge Planning.
• Active CPR certification.
• Knowledge of state laws and regulations governing practice.
• Annual clinical competencies completed.

Responsibilities

• serve as 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

Skills

Case Management

Discharge Planning

CPR Certification

Medical Records

Liaison with Providers

Education

RN - Registered Nurse

Graduate of Nursing Program

Job description

VitalCore Health Strategies (VCHS), a leader in correctional healthcare, has a full-time Utilization Management RN opening at the Hopkinton, MA regional office. The position entails managing care for an incarcerated population, coordinating with the healthcare team to plan, implement, and evaluate patient care, and supporting discharge planning.

The role requires nursing licensure in the state, 1+ year of experience (or LPN with 5+ years), CPR certification, and knowledge of relevant state