Registered Nurse - RN - Utilization Manager

St. Luke's Hospital - MO•Chesterfield, MO

About The Position

We are dedicated to providing exceptional care to every patient, every time. St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke’s Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades. Position Summary: The RN-Utilization Manager is responsible for all activities associated with utilization review. The RN – Utilization Manager is responsible for the receipt of high-quality, cost-efficient medical outcomes for those patients identified as having the need for inpatient and/or outpatient insurance notification and authorization of hospital stays. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke’s mission and values.

Requirements

Nursing Degree
Current licensure as a Registered Nurse in the state of Missouri
Three years of hospital-based clinical experience or managed care experience preferred

Nice To Haves

Three years of hospital-based clinical experience or managed care experience preferred

Responsibilities

responsible for all activities associated with utilization review
responsible for the receipt of high-quality, cost-efficient medical outcomes for those patients identified as having the need for inpatient and/or outpatient insurance notification and authorization of hospital stays
Responsible for promoting teamwork with all members of the healthcare team
Performs all duties in a manner consistent with St. Luke’s mission and values