ZipRecruiter

Log In

1

Behavioral Utilization Review Jobs in Missouri (NOW HIRING)

Arch Vista

UR Coordinator

Saint Louis, MO

$15 - $22/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Arch Vista is seeking a detail-oriented and organized Utilization Review (UR) Coordinator to ... Experience in a hospital, health plan, behavioral health, post-acute care, or other healthcare ...

New

NHC

LPN Admissions Coordinator (weekends only)

Osage Beach, MO · On-site

$24.75 - $32.75/hr

  • Retirement

  • PTO

Licensed Practical Nurse (LPN) or a bachelor's degree in a behavioral health related field. * Utilization Review and insurance authorization preferred. * Prefer one-year experience working in a ...

Liberty Dental Plan

Senior Staff Dentist

California, MO · On-site

$175 - $185/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Identify utilization trends, inappropriate services, and opportunities to improve care delivery * Conduct retrospective reviews and influence provider behavior through engagement * Perform secondary ...

Perimeter Healthcare

A&R Clinician- Overnights

Springfield, MO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization review; coordinates insurance verification with business office/utilization review ... Perimeter Behavioral Health is an equal opportunity employer regarding all recruitment, training ...

Perimeter Healthcare

A&R Clinician- Overnights

Springfield, MO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization review; coordinates insurance verification with business office/utilization review ... Perimeter Behavioral Health is an equal opportunity employer regarding all recruitment, training ...

Perimeter Healthcare

A&R Clinician- Overnights

Springfield, MO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... utilization review; coordinates insurance verification with business office/utilization review ... Perimeter Behavioral Health is an equal opportunity employer regarding all recruitment, training ...

next page

Showing results 1-20

All JobsBehavioral Utilization Review JobsBehavioral Utilization Review Jobs in Missouri

Behavioral Utilization Review information

What is the difference between Behavioral Utilization Review vs Behavioral Case Manager?

AspectBehavioral Utilization ReviewBehavioral Case Manager
CredentialsLicensed mental health professionals, certifications varyLicensed clinical social workers, counselors, or therapists
Work EnvironmentReview settings, insurance companies, healthcare facilitiesDirect patient interaction, hospitals, outpatient clinics
Employer & IndustryInsurance companies, healthcare organizationsHospitals, mental health agencies, managed care
Primary FocusAssessing medical necessity, reviewing treatment plansCoordinating care, supporting treatment adherence

Behavioral Utilization Review primarily involves evaluating the necessity of mental health services through review processes, while Behavioral Case Managers focus on coordinating patient care and supporting treatment plans. Both roles require mental health credentials but differ in daily tasks and work settings.

What are popular job titles related to Behavioral Utilization Review jobs in Missouri?

For Behavioral Utilization Review jobs in Missouri, the most frequently searched job titles are:

What job categories do people searching Behavioral Utilization Review jobs in Missouri look for?

The top searched job categories for Behavioral Utilization Review jobs in Missouri are:

What cities in Missouri are hiring for Behavioral Utilization Review jobs?

Cities in Missouri with the most Behavioral Utilization Review job openings:

Behavioral Utilization Review jobs near you

Supervisor Behavioral Health Utilization Review

Saint Luke's Hospital of Kansas City

Kansas City, MO

Full-time

Re-posted 25 days ago

Saint Luke's Health System (Kansas City) rating

7.1

Company rating: 7.1 out of 10

Based on 110 frontline employees who took The Breakroom Quiz

381st of 887 rated healthcare providers

Job description

Job Description

Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team.

This role facilitates and directs the Utilization Review Department, Case Management and Reception teams of a 24/7 inpatient residential and hospital program. Additionally, ensures compliance with all pertinent regulations, analyzes trends related to denials & authorizations, builds strong relationships with third party payers. Positive relationships with physicians, nursing supervisors and senior administration are required to ensure empathic and timely response to individual patient and community needs.

Job Details:

  • Monday - Friday, dayshift, 9am -5pm. Remote work not preferred, but occasional opportunity, must be primarily onsite. No weekend or holiday rotations.
  • Supervises and completes daily operations as assigned by Manager of Intake and Utilizations Review.
  • Oversees resources and functions related to utilization review and regulatory compliance adherence.
  • Responsible for training of staff, discipline and evaluations.
  • Monitors and maintains data to achieve quality outcomes and progression with the departmental strategic plan.
  • Collaborates and communicates with the multidisciplinary team to ensure communication of patient's treatment to the managed care provider.
  • Review clinical charts in order to file appeals on denied accounts.
  • Oversees scheduling and supervision needs for the Reception team.
  • Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW)
  • 1-3 years in a leadership or team lead role preferred
Job Requirements

Applicable Experience:

2 yearsLicensed Professional Counselor - VariousMaster's DegreeJob DetailsFull TimeDay (United States of America)

The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

What Saint Luke's Health System (Kansas City) employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply