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Utilization Management Coordinator Jobs in Springfield, MO

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How much do utilization management coordinator jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for utilization management coordinator in Springfield, MO is $26.93, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $31.49 per hour, depending on experience, location, and employer.

What does a utilization management coordinator do?

A Utilization Management Coordinator is responsible for reviewing and assessing healthcare services to ensure that patients receive appropriate care while managing costs for healthcare providers or insurance companies. They evaluate medical records, coordinate with healthcare professionals, and help determine if certain treatments or procedures are medically necessary according to established guidelines. Their goal is to optimize the use of healthcare resources, prevent unnecessary treatments, and support quality patient outcomes.

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

To thrive as a Utilization Management Coordinator, you need a background in healthcare or nursing, knowledge of medical terminology, and experience in case management or utilization review, often supported by a relevant degree or certification (such as RN or LPN). Familiarity with utilization management software, electronic health records (EHRs), and insurance authorization platforms is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this role. These capabilities ensure accurate review of medical cases, compliance with regulations, and efficient coordination between providers, payers, and patients.

How does a utilization management coordinator typically collaborate with clinical staff and insurance providers?

A Utilization Management Coordinator serves as a vital link between healthcare providers, clinical staff, and insurance companies. They regularly communicate with physicians and nurses to gather clinical information, review treatment plans, and ensure that proposed services meet medical necessity criteria. Coordinators also interact with insurance providers to obtain pre-authorizations, clarify coverage policies, and appeal denied claims when appropriate. Effective collaboration and strong communication skills are essential, as the role requires balancing the needs of patients, providers, and payers while ensuring timely and cost-effective care.

What are the most commonly searched types of Utilization Management jobs in Springfield, MO?

The most popular types of Utilization Management jobs in Springfield, MO are:

What are popular job titles related to Utilization Management Coordinator jobs in Springfield, MO?

For Utilization Management Coordinator jobs in Springfield, MO, the most frequently searched job titles are:

What job categories do people searching Utilization Management Coordinator jobs in Springfield, MO look for?

The top searched job categories for Utilization Management Coordinator jobs in Springfield, MO are:

What cities near Springfield, MO are hiring for Utilization Management Coordinator jobs?

Cities near Springfield, MO with the most Utilization Management Coordinator job openings:

Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in Springfield, MO as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 20% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $56,019 per year, or $26.9 per hour.

Assessment and Referral Manager

Perimeter Healthcare

Springfield, MO • On-site

Full-time

Posted 25 days ago

Job description

Assessment & Referral Manager - Behavioral Health Hospital
📍Perimeter Behavioral Hospital of Springfield | Springfield, MO
Perimeter Behavioral Hospital of Springfield is seeking an experienced and compassionate Manager of Admissions to lead our Assessment and Referral Department. This is a high-impact leadership role for a behavioral health professional who is skilled in crisis assessment, team supervision, clinical coordination, and building strong referral relationships. The Manager of Admissions plays a key role in helping patients and families access the right level of care at the right time.
🤝Why Join Perimeter?
At Perimeter Healthcare, we are committed to delivering hope through compassionate, comprehensive behavioral health treatment. Our teams serve patients across inpatient hospitals, residential treatment centers, and outpatient settings, with a shared focus on service excellence, patient safety, and meaningful recovery. As Manager of Admissions, you will help shape the first point of care for patients, families, referral sources, and community partners.
• Lead the daily operations of the Assessment and Referral Department.
🌱 Supervise, train, and support admissions team members to ensure timely, accurate, and clinically appropriate assessments.
📝Conduct and oversee intake assessments for individuals with behavioral, emotional, and mental health needs.
🔄Coordinate admissions decisions and referrals in collaboration with psychiatry,
nursing, therapy, utilization management, business office, and marketing teams.
💬Serve as a professional liaison for patients, families, referral sources,
community partners, and internal departments.
⏱Ensure inquiries, walk-ins, faxes, and referral calls are handled with
professionalism, urgency, and compassion.
🛡Support insurance verification, initial authorizations, and appropriate
communication with utilization management and financial counseling.
📊Monitor referral trends, maintain accurate data, and use inquiry information to support referral development and process improvement.
⚖Promote compliance with patient safety standards, EMTALA requirements, legal and ethical guidelines, and facility policies.
🏥Participate as a member of the Senior Leadership Team and serve in the Administrator- on-Call rotation as required.
🌟What You'll Bring
  • Strong knowledge of behavioral health assessment, crisis intervention, and appropriate levels of care.
  • Experience working in an inpatient behavioral health setting, preferably with children and adolescents.
  • Demonstrated leadership ability, including staff supervision, coaching, competency oversight, and scheduling support.
  • Professional communication skills with patients, families, physicians, referral sources, and interdisciplinary team members.
  • Ability to remain calm, organized, and solution-focused in high-pressure or crisis situations.
  • Knowledge of community and regional mental health resources.
  • Understanding of insurance verification, managed care, and authorization processes preferred.
  • Computer proficiency, including experience working in a Windows-based environment.
  • Commitment to patient safety, service excellence, confidentiality, and ethical clinical practice.
🎓Qualifications
Required:
  • Must be at least 21 years of age.
  • Master's degree in counseling, social work, or a related helping profession.
  • Current licensure or active pursuit of licensure in counseling, social work, or a related clinical field.
  • Experience in behavioral health assessment and/or treatment.
  • At least one year of supervisory experience.
  • Knowledge of patient rights, legal and ethical standards, EMTALA, and crisis intervention practices.
Preferred:
  • Two or more years of experience on an inpatient behavioral health unit.
  • RN licensure.
  • Experience with admissions, intake, utilization management, managed care, or referral development.
  • Knowledge of behavioral health treatment for children, adolescents, adults, and geriatric populations.

🏢Work Environment and Physical Requirements
This position is based in an inpatient behavioral health hospital setting. The role requires professional interaction with patients who may be experiencing crisis, emotional distress, or behavioral challenges. The employee may be required to stand, walk, sit, reach, bend, kneel, climb, talk, hear, and occasionally lift or move up to 50 pounds. The position may require participation in approved safety interventions, local travel, flexibility with scheduling, and after-hours Administrator-on-Call responsibilities as needed.
💙Make an Impact
If you are a licensed or license-eligible behavioral health professional with strong leadership skills and a passion for helping patients access quality care, we invite you to apply. Join a team that values clinical excellence, collaboration, accountability, and compassionate service.
Equal Employment Opportunity
Perimeter Behavioral Health is committed to providing an environment of diversity and inclusion where equal employment opportunities are available to all applicants and employees. We are an equal opportunity employer and make employment decisions without regard to race, color, religion, age, sex, sexual orientation, pregnancy, gender identity, genetic information, national origin, disability status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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