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Part Time Utilization Management Nurse Jobs in Missouri

... 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 ...

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Part Time Utilization Management Nurse information

See Missouri salary details

$36.6K

$83.9K

$152.9K

How much do part time utilization management nurse jobs pay per year?

As of Aug 25, 2026, the average yearly pay for part time utilization management nurse in Missouri is $83,935.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,500.00 and $98,000.00 per year, depending on experience, location, and employer.

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


BJC HealthCare
Health Care and Social Assistance • 10K+ employees

7.5

Company rating: 7.5 out of 10

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


Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago


Job description

Additional Information About the Role

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

  • Assesses, coordinates, and evaluates each patient's plan of care.
  • Establishes, continuously evaluates, and documents an individualized discharge plan.
  • Ensures clinical documentation and cost-effective use of hospital resources.
  • Minimum Requirements

    Education

  • Nursing Diploma/Associate's
  • - Nursing

    Experience

  • <2 years
  • Supervisor Experience

  • No Experience
  • Licenses & Certifications

  • RN
  • Preferred Requirements

    Education

  • Bachelor's Degree
  • - Nursing

    Experience

  • 2-5 years

  • 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

  • Assesses, coordinates, and evaluates each patient's plan of care.
  • Establishes, continuously evaluates, and documents an individualized discharge plan.
  • Ensures clinical documentation and cost-effective use of hospital resources.
  • Minimum Requirements

    Education

  • Nursing Diploma/Associate's
  • - Nursing

    Experience

  • <2 years
  • Supervisor Experience

  • No Experience
  • Licenses & Certifications

  • RN
  • Preferred Requirements

    Education

  • Bachelor's Degree
  • - Nursing

    Experience

  • 2-5 years
  • Education:UNAVAILABLEEmployment Type: PART_TIME

    BJC Healthcare logo

    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


    What BJC Healthcare employees say

    Pay

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