National Commission on Correctional Health Care
Utilization Management RN
National Commission on Correctional Health Care, Hopkinton, Massachusetts, us, 01748
Utilization Management RN
Full‑time position at the Regional Office in Hopkinton, MA (VitalCore Health Strategies, an industry leader in Correctional Healthcare).
Essential Functions
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 based on patient responses and clinical conditions.
Review all aspects of facility patient care and off‑site referrals for appropriateness and resource utilization.
Act as a liaison with off‑site providers (specialty and hospitals).
Oversee hospitalized cases, reviewing daily clinicals and providing information to facility MD and team.
Assist with hospital discharge planning to ensure goals of care are met.
Seek infirmary‑level bed placement when higher level care is needed.
Additional duties as assigned by the regional office.
Minimum Requirements / Preferences
Graduate of an accredited School of Nursing.
Licensure as a registered nurse in the state of employment with at least 1 year of experience, or as an LPN with at least 5 years of experience.
Preferred experience in medical‑surgical, case management, and/or discharge planning.
Active CPR certification.
Knowledge of specific state laws and regulations governing practice.
Successful completion of initial and annual clinical competencies as required by the role.
Compensation $100,000 – $110,000 per year.
Benefits
Holiday pay on major holidays (New Year’s, Martin Luther King Jr., Memorial, Juneteenth, Independence, Labor, Veteran’s, Thanksgiving, Christmas).
Medical/Dental/Vision insurance
Life insurance
Short‑term/Long‑term disability
Identity theft protection
Animal/pet insurance
Employee Assistance Program and discount center
401(k) plan
EEO statement
#J-18808-Ljbffr
Essential Functions
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 based on patient responses and clinical conditions.
Review all aspects of facility patient care and off‑site referrals for appropriateness and resource utilization.
Act as a liaison with off‑site providers (specialty and hospitals).
Oversee hospitalized cases, reviewing daily clinicals and providing information to facility MD and team.
Assist with hospital discharge planning to ensure goals of care are met.
Seek infirmary‑level bed placement when higher level care is needed.
Additional duties as assigned by the regional office.
Minimum Requirements / Preferences
Graduate of an accredited School of Nursing.
Licensure as a registered nurse in the state of employment with at least 1 year of experience, or as an LPN with at least 5 years of experience.
Preferred experience in medical‑surgical, case management, and/or discharge planning.
Active CPR certification.
Knowledge of specific state laws and regulations governing practice.
Successful completion of initial and annual clinical competencies as required by the role.
Compensation $100,000 – $110,000 per year.
Benefits
Holiday pay on major holidays (New Year’s, Martin Luther King Jr., Memorial, Juneteenth, Independence, Labor, Veteran’s, Thanksgiving, Christmas).
Medical/Dental/Vision insurance
Life insurance
Short‑term/Long‑term disability
Identity theft protection
Animal/pet insurance
Employee Assistance Program and discount center
401(k) plan
EEO statement
#J-18808-Ljbffr