Mercy

Utilization Management RN-PRN - Remote

Posted on

May 13, 2026

Job Type

Full-Time

Role Type

Utilization Review

License

RN

State License

Missouri

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Company Description

Mercy, one of the 15 largest U.S. health systems and named the top large system in the U.S. for excellent patient experience by NRC Health, serves millions annually with nationally recognized care and one of the nation’s largest and highest performing Accountable Care Organizations in quality and cost. Mercy is a highly integrated, multi-state health care system including 55 acute care and specialty (heart, children’s, orthopedic and rehab) hospitals, convenient and urgent care locations, imaging centers and pharmacies. Mercy has over 1,000 physician practice locations and outpatient facilities, more than 5,000 physicians and advanced practitioners and more than 50,000 caregivers serving patients and families across Arkansas, Illinois, Kansas, Missouri and Oklahoma. Mercy also has clinics, outpatient services and outreach ministries in Arkansas, Louisiana, Mississippi and Texas. In fiscal year 2025 alone, Mercy provided more than half a billion dollars of free care and other community benefits, including traditional charity care and unreimbursed Medicaid.

Job Description

Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care, safety and financial components; promoting integration of a seamless care model; assisting with patient throughput; collaborating to include coordination as evidenced by metrics, optimizing performance and adoption of best practice

Requirements

Education: Graduate of an accredited school of nursing. Licensure: Current license in the state of residence and/or employment, Minimum Required Experience: 2-3 years acute care hospital setting, Minimum Required Other: Must have the ability to work independently and meet deadlines, giving attention to detail and follow up, Minimum Required Excellent time management skills, organizational skills, able to coordinate multiple tasks and prioritize work, Minimum Required Must have a good understanding of medical terminology with the ability to read, discuss and understand patient medical information, Minimum Required Excellent verbal and written communication skills, particularly telephone, Minimum Required Advanced computer skills, Minimum Required Must have ability to interact effectively with a variety of people and situations at all levels of the organization, Minimum Required Preferred Experience: Care Management or Utilization Review experience, Preferred Certifications: Case Management or Utilization Review, Preferred

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