Utilization Management RN - Care Continuity - UH Truman Medical Centers (5 days per week; 7:30a-4:00p; Mon-Fri)

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Utilization Management Nurse (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.

What You'll Do:

• 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

Preferred Qualifications:

• 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.