Join the VitalCore Team in Kansas! We're people fueled by passion, not by profit!
VitalCore Health Strategies, (VCHS), an industry leader in Correctional Healthcare, has an opening for a Utilization Management APRN / NP at our Corporate Office in Topeka, Kansas for Full-Time!
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 APRN / NURSE PRACTITIONER 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 APRN / NURSE PRACTITIONER 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 APRN / NURSE PRACTITIONER MINIMUM REQUIREMENTS / PREFERENCES
Current and unrestricted APRN or NP license in the applicable state
National board certification as a Nurse Practitioner
Minimum of 3 years of clinical nursing or advanced practice experience preferred
Previous utilization management, case management, prior authorization, or insurance review experience preferred
Knowledge of InterQual, MCG, or other utilization review criteria preferred
Strong analytical, organizational, and critical-thinking skills
Excellent written and verbal communication skills
Proficiency with electronic medical records and Microsoft Office applications
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.