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Utilization Management RN Hourly (PRN) - Care Continuity - UH Truman Medical Centers (varied days per week; 7:00a-3:30p)101 Truman Medical Center
Work From Home-City Tax ReqKansas City, Missouri
Care Continuity UHTMC
Part time
7:00AM - 3:30PM
4
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.
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.
University Health (UH) has all the things you expect from a great health system. With two acute care academic hospital locations, the largest, most comprehensive behavioral health program in the area, a long-term care facility and multiple primary care practices, UH provides the highest quality care – from routine screenings to the most complicated cases. We are the primary teaching hospital for the University of Missouri-Kansas City School of Medicine, so our doctors are academic specialists who teach tomorrow’s doctors the very latest updates.
University Health Truman Medical Center, our downtown campus, is one of the busiest Level One Trauma Center in the city. Providers offer the full range of services with specialties in chronic disease management, high risk pregnancy and sleep disorders along with the state-of-the art Richard and Annette Bloch Cancer Center.
University Health 1, located at 2101 Charlotte Street is an outpatient care and day-surgery center, with sixteen clinics including Sabates Eye Center, Plastic Surgery, Hernia repair and Medical Imaging with Siemens 3D Mammography.
At University Health 2, 2211 Charlotte St, providers offer Primary and Women's Care.
In eastern Jackson County, University Health Lakewood Medical Center sits on 300 acres of beautiful wooded grounds. We are a community hospital providing the continuum of care— from emergency medicine to a nationally-certified orthopaedic joint replacement program — as well as The Family Birthplace, We have several family medical care centers and a radiology center, Medical Imaging Eastland, that provides the latest in technology and specialized breast cancer care.
Mission
University Health is an academic health center providing accessible, state-of-the-art quality healthcare to our community regardless of the ability to pay.
