Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Acute Care Nursing Utilization Management Analytics ICD Coding (ICD-9/ICD-10) Patient Education And Counseling Resource Monitor Care Management Cross-Functional Collaboration Continuous Quality Improvement (CQI) Managed Care +3 more

Other Skills

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Computer Literacy
•
Non-Verbal Communication
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Interpersonal Communications
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Teamwork
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Critical Thinking
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Creative Problem Solving

Roles & Responsibilities

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 the state of Missouri (BSN preferred)
2 years clinical experience in acute hospital setting
Proficient in the use of Windows-based computer programs

Requirements:

Collaborate with the healthcare team to ensure optimum delivery of services across the healthcare continuum
Partner with interdisciplinary teams to monitor healthcare resources for effective and efficient utilization
Serve as internal consultant to healthcare team members by providing education relevant to clinical, financial and resource outcomes
Apply critical thinking, problem-solving, and organizational skills to support utilization management and performance improvement initiatives

University Health KC

About University Health KC

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.

Founded: 2018

Company size: 1001 - 5000

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

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

7:30AM - 4:00PM

Hours Per Week

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.

Minimum Requirements:

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