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Registered Nurse for Utilization Management
2 months ago
VitalCore Health Strategies is seeking a dedicated Utilization Management RN to join our esteemed organization. This role is pivotal in overseeing healthcare delivery for an incarcerated population, ensuring optimal patient care and resource utilization.
Key Responsibilities- Act as a Case Manager within the Regional Office, advocating for the best healthcare outcomes.
- Maintain comprehensive and confidential patient records, ensuring accuracy and detail.
- Collaborate with a multidisciplinary healthcare team to assess, plan, implement, and evaluate patient care strategies.
- Adjust treatment plans based on patient responses and evolving conditions.
- Evaluate all aspects of patient care within the facility.
- Assess referrals for offsite treatment to ensure appropriateness and effective resource use.
- Serve as a liaison with external healthcare providers, including specialists and hospitals.
- Monitor medical transports to Emergency Departments to maintain continuity of care.
- Oversee hospitalized patients, reviewing daily clinical updates and communicating with facility medical staff.
- Assist in hospital discharge planning to meet care objectives.
- Facilitate placement in infirmary-level beds when higher-level care is necessary.
- Perform additional duties as assigned by the regional office.
- Graduate from an accredited Nursing School.
- Current Registered Nurse licensure in the state of employment or a compact license.
- Active CPR certification is required.
- Knowledgeable about state-specific laws and regulations governing nursing practice.
- Completion of initial and annual clinical competencies as required by the role.
At VitalCore Health Strategies, we are committed to providing quality healthcare services and fostering a supportive work environment.
