Partner with interdisciplinary teams to ensure effective and efficient use of healthcare resources.
Monitor patient care delivery to align with best practices, regulatory standards, and financial goals.
Serve as an internal consultant to clinical staff, providing guidance on utilization practices, clinical documentation, and discharge planning.
Leverage data and clinical judgment to support timely transitions of care and optimize care coordination.
Participate in quality and performance improvement initiatives focused on resource utilization and patient-centered care.
Minimum Requirements:
BSN preferred (or graduate degree in Nursing if BSN not held)
Active RN license in the state of Missouri
2 years of clinical experience in an acute hospital setting
Proficiency with Windows-based programs and electronic health records
Strong verbal, written, and interpersonal communication skills
Excellent critical thinking , problem-solving , and organizational skills
Ability to thrive in a fast-paced, team-oriented environment
Requirements
Previous Utilization Management experience
Familiarity with managed care , TJC , CMS standards, and performance improvement
Knowledge of ICD/CPT/DRG coding systems
Behavioral Health experience
Experience analyzing data or working with utilization metrics
National certification in Utilization Management or Case Management (e.g., ACM, CCM, or CMAC)
Why Join Us?
Be a key contributor to clinical excellence and financial sustainability .
Gain exposure to cross-functional teams and system-wide strategy .
Work in an environment that values innovation, education, and compassionate care .
Advance your career in a role where your voice, knowledge, and initiative matter.
Help us deliver smarter care and better outcomes-apply today to join our Utilization Management team.
Benefits
Health insurance
Additional Information
If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.
Please log into myWORKDAY to search for positions and apply.
Utilization Management RN Hourly (PRN) - Care Continuity - UH Truman Medical Centers (varied days per week; 7:00a-3:30p)
101 Truman Medical Center
Job Location
Work From Home-City Tax Req
Kansas City, Missouri
Department
Care Continuity UHTMC
Position Type
Part time
Work Schedule
7:00AM - 3:30PM
Hours Per Week
4
Job Description
Utilization Management Nurse (PRN UM RN)
Optimize Care. Improve Outcomes. Elevate the Patient Experience.
Are you a skilled RN with a passion for driving quality care while maximizing resource efficiency? Join our dedicated Utilization Management team and help shape smarter, more effective care delivery across the healthcare continuum.
As a UM Nurse , you'll play a critical role in supporting interdisciplinary collaboration, resource stewardship, and positive patient outcomes. You'll serve as a clinical advisor, problem solver, and resource utilization expert for our care teams.
Trumed · Work From Home-city Tax Req