Utilization Management RN Hourly (PRN) - Care Continuity - UH Truman Medical Centers (varied da[...]

University Health; United States; Remote; USD 60,000 - 90,000; Part time

Job summary

An established healthcare provider is seeking a dedicated Utilization Management RN to enhance patient care while ensuring efficient resource use. In this pivotal role, you will collaborate with interdisciplinary teams, monitor patient outcomes, and guide clinical staff on best practices. Join a supportive environment that values innovation and compassionate care, where your expertise will directly contribute to improved patient experiences and clinical excellence. If you're passionate about making a difference in healthcare, this opportunity is for you.

Qualifications

• Active RN license in Missouri required.
• 2 years of clinical experience in an acute hospital setting.

Responsibilities

• Partner with teams to ensure efficient use of healthcare resources.
• Monitor patient care delivery for best practices and standards.

Skills

Verbal Communication

Critical Thinking

Problem-Solving

Organizational Skills

Education

Bachelor of Science in Nursing (BSN)

Graduate Degree in Nursing

Tools

Electronic Health Records

Windows-based Programs

Job description

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 CenterJob LocationWork From Home-City Tax ReqKansas 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 (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.