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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 CenterThe 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