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Utilization Management Assistant Jobs in Missouri

RN - Nurse Navigator-Specialty

Washington, MO · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Conduct inpatient rounding and assist with discharge planning. * Collaborate with physicians ... Maintain accurate documentation in EPIC and utilization management systems. * Serve as a clinical ...

RN - Nurse Navigator-Specialty

Washington, MO

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Conduct inpatient rounding and assist with discharge planning. * Collaborate with physicians ... Maintain accurate documentation in EPIC and utilization management systems. * Serve as a clinical ...

RN - Nurse Navigator-Specialty

Washington, MO · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Conduct inpatient rounding and assist with discharge planning. * Collaborate with physicians ... Maintain accurate documentation in EPIC and utilization management systems. * Serve as a clinical ...

RN - Nurse Navigator-Specialty

Washington, MO

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Conduct inpatient rounding and assist with discharge planning. * Collaborate with physicians ... Maintain accurate documentation in EPIC and utilization management systems. * Serve as a clinical ...

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... May assist in training/orientation of new staff as requested. Monitors functions assigned to non ...

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... assist in training/orientation of new staff as requested. • Monitors functions assigned to non ...

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... May assist in training/orientation of new staff as requested. Monitors functions assigned to non ...

Showing results 21-40

Utilization Management Assistant information

See Missouri salary details

$27.2K

$45.4K

$65.2K

How much do utilization management assistant jobs pay per year?

As of Aug 17, 2026, the average yearly pay for utilization management assistant in Missouri is $45,396.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,400.00 and $45,500.00 per year, depending on experience, location, and employer.

What is a utilization management assistant?

A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.

What are the key skills and qualifications needed to thrive as a utilization management assistant?

To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.

What are some common challenges utilization management assistants face when working with insurance pre-authorizations?

Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.

Is utilization management assistant a good job?

Utilization Management Assistants support healthcare organizations by reviewing medical records and authorizations to ensure appropriate care and cost management. The role typically requires attention to detail, knowledge of healthcare policies, and proficiency with electronic health records systems. It can offer stable employment with opportunities for advancement in healthcare administration.

What are the most commonly searched types of Utilization Management jobs in Missouri?

The most popular types of Utilization Management jobs in Missouri are:

What cities in Missouri are hiring for Utilization Management Assistant jobs?

Cities in Missouri with the most Utilization Management Assistant job openings:

Infographic showing various Utilization Management Assistant job openings in Missouri as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $45,396 per year, or $21.8 per hour.

RN - Nurse Navigator-Specialty

Mercy

Washington, MO • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago


Mercy rating

6.5

Company rating: 6.5 out of 10

Based on 209 frontline employees who took The Breakroom Quiz

605th of 887 rated healthcare providers


Job description

Find your calling at Mercy! The Nurse Navigator is a leader providing support, mentorship, and guidance to those who provide direct patient care. The Nurse Navigator coordinates the delivery of patient care by assessing care requirements of the individual patient and makes recommendations based on severity of illness, intensity of service and skill level. The Nurse Navigator ensures patients receive timely, safe, effective and high quality care. They coordinate the patient's plan of care with the bedside nurse. The Nurse Navigator sets the expectations regarding professional conduct and serves as a resource for the patient care unit. The Nurse Navigator will hold direct and indirect care providers accountable for their professional responsibilities, and adherence to regulatory guidelines. The Nurse Navigator is responsible for management for the assigned inpatient, and outpatient population. This position is designed to facilitate an effective process of the new care model; supporting quality patient care, safety, and financial components; promoting integration of a seamless care model; coordinating patient discharge planning for post-acute services, length of stay (LOS) management and utilization management; collaborating to include coordination as evidenced by metrics, optimizing performance and adoption of best practice. Responsibilities include; pre-op education, daily rounding while the patient is in the hospital, patient discharge disposition, and follow-up care. They perform duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. Position Details:
Nurse Navigator – Specialty RN Specialty Clinics-Orthopedic Surgery
Location: 901 Patients First Drive, Washington, MOShift: Days-No Nights, Weekends or Holidays!  

The Nurse Navigator serves as the primary guide for orthopedic surgery patients throughout their care journey. This role coordinates patient care, provides education and support, helps with discharge planning, and works closely with physicians, nurses, and other healthcare team members to ensure excellent patient outcomes.

Responsibilities

  • Coordinate and manage patient care from pre-op through recovery and follow-up.
  • Provide patient and family education.
  • Conduct inpatient rounding and assist with discharge planning.
  • Collaborate with physicians, nurses, and support services.
  • Monitor quality, patient outcomes, and length-of-stay metrics.
  • Maintain accurate documentation in EPIC and utilization management systems.
  • Serve as a clinical resource and mentor to staff.
  • Support program growth, physician relationships, and community outreach.

Qualifications

Required:

  • Graduate of an accredited nursing program
  • Current RN license
  • BLS certification
  • 2–3 years of nursing experience

Preferred:

  • BSN
  • ACLS certification
  • Orthopedic, care coordination, navigator, or case management experience

Physical Requirements

  • Lift, push, or pull up to 50 lbs.
  • Prolonged standing and walking
  • Frequent bending, kneeling, reaching, twisting, and squatting
Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.


What Mercy employees say

Pay

Benefits

Hours and flexibility

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Get the full story on Breakroom


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About Mercy

Sourced by ZipRecruiter

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Chesterfield, MO, US

Year founded

1827