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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

Job Location

Work From Home-City Tax Req

Kansas 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 aUM 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)

• ActiveRN license in the state of Missouri

• 2 years of clinical experience in an acute hospital setting

• Proficiency withWindows-based programs and electronic health records

• Strongverbal, written, and interpersonal communication skills

• Excellentcritical thinking,problem-solving, andorganizational skills

• Ability to thrive in afast-paced, team-oriented environment

Preferred Qualifications:

• PreviousUtilization Management experience

• Familiarity withmanaged care,TJC,CMS standards, and performance improvement

• Knowledge ofICD/CPT/DRG coding systems

• Behavioral Health experience

• Experience analyzing data or working with utilization metrics

• National certification inUtilization Management or Case Management (e.g., ACM, CCM, or CMAC)

Why Join Us?

• Be a key contributor toclinical excellence and financial sustainability.

• Gain exposure tocross-functional teams andsystem-wide strategy.

• Work in an environment that valuesinnovation, 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.