Utilization Management RN

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.

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