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  3. Utilization Management RN
VitalCore Health Strategies logo

Utilization Management RN

VitalCore Health Strategies·Hopkinton, Massachusetts

$100,000 - $110,000/yrFull TimeOn Site2-5 yrsPosted 5 days ago
Practice for this role

Utilization Management RN · $100,000 - $110,000/yr

How this role compares

Computed from live listings

  • +35% vs. median posted salary for nursing roles in Massachusetts ($74,000, n=4096)
$3,120 · lowesthighest · $20,800,000
this role: $100,000median $74,000

Shaded band: the middle 50% of 4,096 posted nursing roles in Massachusetts salarys. This role sits in the 75th percentile.

About the role

Pay for this role is about 35% above the Massachusetts median for nursing roles.

The Utilization Management RN serves as a regional case manager for an incarcerated population, coordinating healthcare services and evaluating patient treatment plans. They act as a liaison with offsite providers, oversee hospitalized cases, and ensure continuity of care through effective discharge planning.

VitalCore Health Strategies, (VCHS), an industry leader in Correctional Healthcare, has a Full-Time opening for a Utilization Management RN at the Regional Office in Hopkinton, MA!!!

Start A New Career with VitalCore Health Strategies!

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.

  • Utilization management rn - 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
  • Minimum requirements / Preferences
  • Graduate of an accredited School of Nursing
  • Licensure as a Registered Nurse in the state of employment with 1+ years of experience or as an LPN with 5+ years of experience
  • Preferred experience in Med Surg, Case Management, and/or Discharge Planning
  • Possesses an active CPR certification
  • Remains knowledgeable about specific state laws and regulations governing practice
  • Satisfactory completion of initial and annual clinical competencies to demonstrate aptitude as assigned by role

We’re people who are fueled by passion, not by profit.

Generous 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 Insurance
  • Life Insurance
  • Short Term/Long Term Disability
  • Identity Theft Protection
  • Animal/Pet Insurance
  • Employee Assistance Program and Discount Center
  • 401K
  • EEO

Keywords: Utilization Management, RN, Nurse, Administrative, #INDMA

Requirements

Candidates must be a graduate of an accredited School of Nursing with a valid RN license and at least one year of experience, or an LPN with five years of experience. Preferred qualifications include experience in Med Surg, Case Management, or Discharge Planning, along with an active CPR certification.

  • professional certificate
  • Case Management
  • CPR Certification
  • Healthcare Coordination
  • Regulatory Compliance
  • Clinical Documentation
  • Discharge Planning
  • Patient Care Planning
  • Nursing
  • Medical Records Management
  • Utilization Management
  • Med Surg
  • Liaison Services

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$100,000 - $110,000/yr
Location
Hopkinton, Massachusetts
Posted
Sep 4, 2026
Application
Employer website
VitalCore Health Strategies logo

Hiring organization

VitalCore Health Strategies

VitalCore Health Strategies provides community standards of healthcare in a correctional environment. Our patient-first approach and experienced medical staff ensure high-quality care aimed at creating positive outcomes for our patients.

IndustryHospitals and Health Care
TypePartnership
Size1,001-5,000 employees
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Market context

Massachusetts nursing roles remain highly competitive

In Massachusetts, nursing roles often draw steady demand, especially in specialty settings like oncology where prior RN experience can matter. These positions are competitive because employers commonly look for an active RN license, an ADN at minimum, and prefer candidates with oncology background and a BSN. Review the AI-summarized requirements and benefits on this platform to save time, then tailor your application to highlight oncology experience, licensure, and any relevant advancement or recognition achievements.

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