Utilization Management RN in Topeka, Kansas at VitalCore Health Strategies

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.

UTILIZATION MANAGEMENT REGISTERED NURSE (RN) 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
• 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

UTILIZATION MANAGEMENT REGISTERED NURSE 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

UTILIZATION MANAGEMENT REGISTERED NURSE RN MINIMUM REQUIREMENTS / PREFERENCES

• 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
• Utilization Management experience preferred
• 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

VitalCore Health Strategies is an equal opportunity employer and committed to creating and maintaining an inclusive workplace in which all employees have an opportunity to participate and contribute to the success of the business and are valued for their skills, experience, and unique perspectives.