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

101 Truman Medical Center

Job LocationWork From Home-City Tax Exempt

Lees Summit, Missouri

DepartmentCare Continuity UHTMC

Position TypeFull time

Work Schedule7:30AM - 4:00PM

Hours Per Week40

Job Description

The Utilization Management Nurse (UM RN) collaborates with members of the healthcare team to ensure optimum delivery of services across the healthcare continuum. The UM RN partners with interdisciplinary teams to improve delivery of patient care through monitoring of healthcare resources for effective and efficient utilization. The UM RN serves as internal consultant to healthcare team members by providing education relevant to clinical, financial and resource outcomes.

Baccalaureate degree in Nursing; if candidate does not possess a Baccalaureate in Nursing, then a graduate degree in Nursing is required

Registered Nurse licensed in state of Missouri, BSN preferred

2 years clinical experience in acute hospital setting

Proficient in the use of window-based computer programs

Excellent verbal, written, and interpersonal communication skills

Ability to work within a fast-paced team-oriented environment

Critical thinking skills, creative problem solving, and proficient organization and planning skills

Preferred Qualifications:

Utilization Management experience

Experience with managed care, performance improvement, TJC, and CMS standards

Nationally recognized certification applicable to UM/CM Knowledge of ICD / CPT / DRG’s

Experience with analyzing data/statistical information