Benefits eligible * Part-time (32 hours per week) * Monday - Friday; 4 shifts per week; days ... Case Management, Utilization Management, and Social Work. Through the Triad Model of Care Delivery ...
Benefits eligible * Part-time (32 hours per week) * Monday - Friday; 4 shifts per week; days ... Case Management, Utilization Management, and Social Work. Through the Triad Model of Care Delivery ...
RN Case Manager - Barnes-Jewish Hospital
Saint Louis, MO · On-site
$33.60 - $51.40/hr
Benefits eligible * Part-time (32 hours per week) * Monday - Friday; 4 shifts per week; days ... Case Management, Utilization Management, and Social Work. Through the Triad Model of Care Delivery ...
RN Case Manager - Barnes-Jewish Hospital
Saint Louis, MO · On-site
$33.60 - $51.40/hr
Benefits eligible * Part-time (32 hours per week) * Monday - Friday; 4 shifts per week; days ... Case Management, Utilization Management, and Social Work. Through the Triad Model of Care Delivery ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
... Care Management or Utilization Management experience, preferred Certification/Registration BLS (CPR) at hire date, Minimum Required, or within 90 days of hire Certification in Case Management ...
Graduate of an accredited School of Nursing, required Bachelor's Degree of Science in Nursing ... Care Management or Utilization Management experience, preferred Licensure: Current License in the ...
Graduate of an accredited School of Nursing, required Bachelor's Degree of Science in Nursing ... Care Management or Utilization Management experience, preferred Licensure: Current License in the ...
... Utilization Management experience, preferred Licensure: • Current License in the state of ... Social Work, RN, Registered Nurse, Case Manager, Case Management
... Utilization Management experience, preferred Licensure: • Current License in the state of ... Social Work, RN, Registered Nurse, Case Manager, Case Management
... Utilization Management experience, preferred Licensure: • Current License in the state of ... Social Work, RN, Registered Nurse, Case Manager, Case Management
... Utilization Management experience, preferred Licensure: • Current License in the state of ... Social Work, RN, Registered Nurse, Case Manager, Case Management
... Utilization Management experience, preferred Licensure: • Current License in the state of ... Social Work, RN, Registered Nurse, Case Manager, Case Management
... Utilization Management experience, preferred Licensure: • Current License in the state of ... Social Work, RN, Registered Nurse, Case Manager, Case Management
... Utilization Management experience, preferred Licensure: • Current License in the state of ... Social Work, RN, Registered Nurse, Case Manager, Case Management
... Utilization Management experience, preferred Licensure: • Current License in the state of ... Social Work, RN, Registered Nurse, Case Manager, Case Management
Case Manager - Hospital Social Work
Saint Louis, MO · On-site
$20.25 - $26.75/hr
... patient-related utilization management criteria, and implementation of safe and appropriate ... Acute Rehab experience preferred * RN/PT/OT/SLP/RT/SW preferred Additional Data Equal Opportunity ...
Case Manager - Hospital Social Work
Saint Louis, MO · On-site
$20.25 - $26.75/hr
... patient-related utilization management criteria, and implementation of safe and appropriate ... Acute Rehab experience preferred * RN/PT/OT/SLP/RT/SW preferred Additional Data Equal Opportunity ...
May also be responsible for: utilization management process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities ...
May also be responsible for: utilization management process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities ...
Demonstrates ability to manage job related stressors and constructive feedback during intra ... Completes at least one clinical research utilization (CRU) form for submission to Nursing Research ...
Demonstrates ability to manage job related stressors and constructive feedback during intra ... Completes at least one clinical research utilization (CRU) form for submission to Nursing Research ...
Registered Nurse ( RN ), Home Health - Part Time
Arnold, MO · On-site
$75K - $90K/yr
Now Hiring - Part Time Opportunities Available in Missouri: * Jefferson County The part time ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...
Quick apply
Registered Nurse ( RN ), Home Health - Part Time
Arnold, MO · On-site
$75K - $90K/yr
Now Hiring - Part Time Opportunities Available in Missouri: * Jefferson County The part time ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...
Now Hiring - Part Time Opportunities Available in Missouri: * Jefferson County The part time ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...
Now Hiring - Part Time Opportunities Available in Missouri: * Jefferson County The part time ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...
Registered Nurse ( RN ), Home Health - Part Time
Arnold, MO · On-site
$75K - $90K/yr
Job Type Part-time Description Looking for More Time With Your Patients-and Your Family? Do you ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...
Registered Nurse ( RN ), Home Health - Part Time
Arnold, MO · On-site
$75K - $90K/yr
Job Type Part-time Description Looking for More Time With Your Patients-and Your Family? Do you ... Participates in utilization review of medical records as assigned. * Gives total patient care as ...
Part Time Utilization Management Nurse information
See Missouri salary details
$36.6K - $47.2K
15% of jobs
$47.2K - $57.7K
8% of jobs
$59.2K is the 25th percentile. Wages below this are outliers.
$57.7K - $68.3K
15% of jobs
The median wage is $75K / yr.
$68.3K - $78.9K
20% of jobs
$78.9K - $89.5K
11% of jobs
$94.7K is the 75th percentile. Wages above this are outliers.
$89.5K - $100K
13% of jobs
$100K - $110.6K
5% of jobs
$110.6K - $121.2K
3% of jobs
$121.2K - $131.7K
4% of jobs
$131.7K - $142.3K
3% of jobs
$142.3K - $152.9K
3% of jobs
$36.6K
$83.9K
$152.9K
How much do part time utilization management nurse jobs pay per year?
What is a part time utilization management nurse?
A Part Time Utilization Management Nurse evaluates the medical necessity, efficiency, and appropriateness of healthcare services for patients. They review patient records, collaborate with healthcare providers, and ensure treatments align with clinical guidelines and insurance policies. Working part-time, they may focus on prior authorizations, case reviews, or appeals. This role helps optimize resource use while ensuring quality patient care and compliance with regulations.
What are the typical responsibilities of a part time utilization management nurse?
As a Part Time Utilization Management Nurse, you are responsible for reviewing patient records, assessing medical necessity, and determining the appropriateness of hospital admissions or continued stays according to established guidelines. You’ll routinely interact with physicians, case managers, and insurance representatives to advocate for patients and ensure cost-effective care. Your weekly duties may involve detailed documentation, participation in interdisciplinary meetings, and responding to authorization requests in a timely manner. By balancing clinical judgment with regulatory requirements, you play a key role in optimizing patient outcomes while managing healthcare resources efficiently.
What are the key skills and qualifications needed to thrive in the part time utilization management nurse position?
A Part Time Utilization Management Nurse needs an active RN license, strong clinical assessment abilities, and a solid understanding of medical necessity criteria. Familiarity with utilization review software, medical coding, and knowledge of insurance guidelines or programs such as InterQual or Milliman is often required. Excellent critical thinking, attention to detail, and professional communication skills help nurses collaborate effectively with providers and payers. These competencies ensure appropriate care delivery, resource management, and compliance with healthcare regulations in a dynamic environment.
What are the most commonly searched types of Utilization Management Nurse jobs in Missouri?
The most popular types of Utilization Management Nurse jobs in Missouri are:
What are popular job titles related to Part Time Utilization Management Nurse jobs in Missouri?
For Part Time Utilization Management Nurse jobs in Missouri, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Management Nurse jobs in Missouri look for?
The top searched job categories for Part Time Utilization Management Nurse jobs in Missouri are:
What cities in Missouri are hiring for Part Time Utilization Management Nurse jobs?
Cities in Missouri with the most Part Time Utilization Management Nurse job openings:
RN Case Manager - Barnes-Jewish Hospital
Saint Louis, MO • On-site
7.5
Based on 229 frontline employees who took The Breakroom Quiz
191st of 893 rated healthcare providers
People enjoy working here
Good employer
Recommended by parents
Respectful managers
Good training
Part-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 18 days ago
Job description
Barnes-Jewish Hospital
One Barnes Jewish Hospital Plaza
St. Louis, MO 63110
This position is onsite
- Benefits eligible
- Part-time (32 hours per week)
- Monday - Friday; 4 shifts per week; days; generally 8am-4:30m
- 1 weekend day per month (Saturday or Sunday)
- Holiday rotation
Additional Preferred Requirements
- At least 2 years of RN experience (ideally within an inpatient environment)
- BSN
- Prior Case Management experience
Overview
Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.
The CM Services reports through the division of Patient Care Services lead by the Chief Nursing Executive, Vice President of Patient Care Services. The CM Service is comprised of three departments: Case Management, Utilization Management, and Social Work. Through the Triad Model of Care Delivery, the objectives of the CM Services are for all patients to have access to healthcare through the BJH continuum and appropriate, safe discharge plans. The SW department is open 24 hours/day while the CM department is open 20 hours/day. Both departments provide coverage throughout the hospital including the Emergency Department, Outpatient Clinics, Registration sites, and Health Information Management. The Service employs registered nurses, social workers, a license practical nurse, a customer service representative, and administrative assistants.
Preferred Qualifications
Role Purpose
Coordinates, negotiates, procures and manages the care of patients to facilitate achievement of quality cost-effective outcomes. Works collaboratively with physicians and interdisciplinary staff, internal and external to the organization, to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to obtain optimum value for the patient and the reimbursement source.
Responsibilities
Minimum Requirements
Education
Experience
Supervisor Experience
Licenses & Certifications
Preferred Requirements
Education
Experience
Benefits and Legal Statement
BJC Total Rewards
At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
- Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
- Disability insurance* paid for by BJC
- Annual 4% BJC Automatic Retirement Contribution
- 401(k) plan with BJC match
- Tuition Assistance available on first day
- BJC Institute for Learning and Development
- Health Care and Dependent Care Flexible Spending Accounts
- Paid Time Off benefit combines vacation, sick days, holidays and personal time
- Adoption assistance
To learn more, go to our Benefits Summary.
*Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
Qualifications:Role Purpose
Coordinates, negotiates, procures and manages the care of patients to facilitate achievement of quality cost-effective outcomes. Works collaboratively with physicians and interdisciplinary staff, internal and external to the organization, to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to obtain optimum value for the patient and the reimbursement source.
Responsibilities
Minimum Requirements
Education
Experience
Supervisor Experience
Licenses & Certifications
Preferred Requirements
Education
Experience
About BJC Healthcare
Sourced by ZipRecruiter
BJC Healthcare, situated in Saint Louis, MO, US, is one of the largest healthcare organizations in the United States. Launched in 1993, BJC encompasses 15 hospitals and multiple health service organizations covering the metropolitan St. Louis area, mid-Missouri and Southern Illinois. This healthcare titan's services cover a vast field, from community health and wellness, to pediatric care, to advanced specialty care. BJC is well-known for its two nationally recognized hospitals, Barnes-Jewish Hospital and St. Louis Children's Hospital, both affiliated with Washington University School of Medicine. Its mission revolves around improving the health and well-being of the communities it serves through leadership, education, innovation, and excellence in medicine.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Saint Louis, MO, US
Website
What BJC Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom