Utilization Management APRN/NP

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 MANAGEMENTAPRN / NURSE PRACTITIONERESSENTIAL 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.