Throughout the COVID-19 pandemic, Saint Luke’s Health System is committed to providing exceptional care for all patients and a safe and healthy atmosphere for our team.

Person, Nurse, Doctor

Utilization Review Registered Nurse RN, Full time.

Kansas City, Missouri.

JobReq0018890

 

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Utilization Review Registered Nurse RN

  • 4401 Wornall_Rd, Midtown - Westport, Kansas City, Missouri, United States, 64111
  • Full time

Job Description​

As a utilization review RN on our team you will be responsible for reviewing patient charts to ensure that our patients are receiving the correct level of service and care. You will be able to follow the patient through the continuum of care by collaborating with providers, social workers, the care progression team, and physicians. You will have the opportunity to use your experience in utilization review/medical and surgical nursing care and your knowledge of medicare to receive proper authorization and reimbursements for our patients.  This is a full time position with the hours of Monday-Friday 8am-4:30pm.

The utilization review RN position is great for someone that is analytical and has the ability to creatively think outside the box.  You need to be confident in your skills and ask questions as each patient has their own unique experience that you decipher from analyzing their charts and communicating with the care team.  Our utilization review team is a small team that supports each other and can be a sounding board when you face challenges but also provides you the opportunity to work autonomously to reach your goals.

Responsibilities:

  • Assuring the receipt of high quality, cost efficient medical outcomes for those patients identified as having the need for inpatient and/or outpatient preauthorization through utilization review
  • Monitoring patient charts and utilization of health care services
  • Collaborating and communicating with the care coordinators, social workers and appropriate multidisciplinary team members to ensure appropriate services and statuses
  • Obtaining authorizations from both commercial payors and medicare
  • Participating in daily or weekly team huddles
  • Utilizing critical thinking skills and clinical judgments to ensure the utilization of services is accurate

In this role, you will have leaders and managers that support and encourage you to take your careers to the next level and participate in various projects and initiatives that directly impact patient care and your direct experience in your role.

Benefits: 
•    Health, Vision and Dental 
•    Leave of Absence, PTO, Extended Sick Leave, and various Welfare plans 
•    Flex Savings Accounts 
•    Health Savings Accounts 
•    Various other Voluntary Benefits Available 
•    Retirement Options 
•    Career Growth Potential 
•    Tuition and Continuing Education Assistance 

We are committed to diversity and inclusion and providing the highest level of care to patients and communities we serve.  Our system’s outstanding clinical outcomes, reputation, exceptional customer service, dedication to research and innovation, and state-the-art facilities and technology are just some of the reasons why Saint Luke’s is one of the best places to work.   

Job Requirements:

1 year

Registered Nurse - Various

Associate Degree (Required), Bachelor's Degree: Nursing preferred

Kansas and Missouri Nursing License.

Prefer Case Management or Utilization Review experience and a strong medical surgical background.

Job Requirements

Applicable Experience:

1 year

Registered Nurse - Various

Associate Degree (Required), Bachelor's Degree: Nursing

Job Details

Full time

Day (United States of America)

"The best place to get care. The best place to give care." That is the Saint Luke's vision and, whether in a hospital, clinic, practice, or office, our more than 12,000 employees strive toward that vision every day. Saint Luke's employees are proud of our rich history and heritage, and that we remain the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who always strive for excellence in patient care. Take this opportunity to do the best work of your career within a highly diverse and inclusive work space where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer. We hire only non-tobacco users.

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