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Location: US - Massachusetts - Hopkinton
Category:
Posted: May 8, 2025
VitalCore Health Strategies, (VCHS), an industry leader in Correctional Healthcare, has a full-time and PRN 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

Full-Time, 40/hrs week
Read the full job description and apply online on the recuiter's web-site

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