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Open nowPosted 6 days ago

Utilization Management Nurse RN - Utilization Management - UH Truman Medical Center (7:00a-4:00p, varied days per week)

Truman Medical Center301 open roles

Where
Work From Home-City Tax Exempt
Work mode
Remote
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Your applicationOpen nowUtilization Management Nurse RN - Utilization Management - UH Truman Medical Center (7:00a-4:00p, varied days per week)Truman Medical Center · Work From Home-City Tax Exempt

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The clock on this job

Early applications get read.

13.3% of postings close within 7 days. Measured by our own scanner across the market. Truman Medical Center postings stay open a median of 35 days.

Share of postings closed within
  1. 2.1%1 day
  2. 4.6%3 days
  3. 13.3%7 days
  4. 21.3%14 days
  5. 35.7%30 days
  6. 59.1%60 days
This job: posted 6 days ago

Truman Medical Center median: 35 days open

The posting

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.

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Utilization Management Nurse RN - Utilization Management - UH Truman Medical Center (7:00a-4:00p, varied days per week)

101 Truman Medical Center

Job Location

Work From Home-City Tax Exempt

Lees Summit, Missouri

Department

Care Continuity UHTMC

Position Type

Full time

Work Schedule

7:00AM - 4:00PM

Hours Per Week

40

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.

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