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Utilization Management Jobs in Missouri (NOW HIRING)

Centene

Supervisor, Utilization Management (RN)

Saint Louis, MO · On-site +1

$75K - $135K/yr

  • Medical

  • Retirement

  • PTO

Supervises day-to-day activities of utilization management team. * Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards * Collaborates ...

Centene

Supervisor, Utilization Management (RN)

Kansas City, MO · On-site +1

$75K - $135K/yr

  • Medical

  • Retirement

  • PTO

Supervises day-to-day activities of utilization management team. * Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards * Collaborates ...

Centene

Supervisor, Utilization Management (RN)

Columbia, MO · On-site +1

$75K - $135K/yr

  • Medical

  • Retirement

  • PTO

Supervises day-to-day activities of utilization management team. * Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards * Collaborates ...

Centene

Supervisor, Utilization Management (RN)

Florissant, MO · On-site +1

$75K - $135K/yr

  • Medical

  • Retirement

  • PTO

Collaborates with utilization management team to resolve complex care member issues * Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization ...

Centene

Supervisor, Utilization Management (RN)

Columbia, MO · On-site +1

$75K - $135K/yr

  • Medical

  • Retirement

  • PTO

Collaborates with utilization management team to resolve complex care member issues * Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization ...

Centene

Supervisor, Utilization Management (RN)

Columbia, MO · On-site +1

$75K - $135K/yr

  • Medical

  • Retirement

  • PTO

Collaborates with utilization management team to resolve complex care member issues * Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization ...

Centene

Supervisor, Utilization Management (RN)

Kansas City, MO · On-site +1

$75K - $135K/yr

  • Medical

  • Retirement

  • PTO

Collaborates with utilization management team to resolve complex care member issues * Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization ...

Centene

Supervisor, Utilization Management (RN)

Florissant, MO · On-site +1

$75K - $135K/yr

  • Medical

  • Retirement

  • PTO

Supervises day-to-day activities of utilization management team. * Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards * Collaborates ...

Centene

Supervisor, Utilization Management (RN)

Saint Louis, MO · On-site +1

$75K - $135K/yr

  • Medical

  • Retirement

  • PTO

Collaborates with utilization management team to resolve complex care member issues * Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization ...

Centene

Supervisor, Utilization Management (RN)

Florissant, MO · On-site +1

$75K - $135K/yr

  • Medical

  • Retirement

  • PTO

Collaborates with utilization management team to resolve complex care member issues * Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization ...

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Utilization Management information

See Missouri salary details

$36.6K

$83.9K

$152.9K

How much do utilization management jobs pay per year?

As of Aug 17, 2026, the average yearly pay for utilization management in Missouri is $83,935.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,500.00 and $98,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in utilization management, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What is utilization management?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a utilization management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

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 are popular job titles related to Utilization Management jobs in Missouri?

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

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

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

What cities in Missouri are hiring for Utilization Management jobs?

Cities in Missouri with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Missouri as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $83,935 per year, or $40.4 per hour.

Utilization Management Professional

Saviance

Saint Louis, MO • On-site

Other

Re-posted 25 days ago

Job description

Job Title

Reviews planned, in process, or completed health care services to ensure medical necessity and effectiveness according to evidence-based criteria. Proposes alternatives when the requested services do not meet medical necessity criteria or are outside the contracted network. As assigned and based on credentials, monitors and reviews specialized requests and treatment records such as Treatment Record Forms. Provides information to enrollees, providers, and internal staff regarding covered and non-covered benefits, community resources, agency programs and policies, procedures and criteria. Develops and manages new enrollee transitions and those involving a change in provider relationships. Develops and implements transition plans, as indicated, to ensure continuity of care. Negotiates and documents single case agreements according to procedures. In conjunction with providers and facilities, identifies, develops and monitors discharge plans. Collaborates with the Care Coordination team to implement support for transitions in care. Facilitates timely sharing of enrollees' clinical information (such as previous treatment, medications, and planned care) in order to promote continuity of care. Interacts with Medical Directors and Physician Advisors to provide case information and discuss clinical and authorization questions and concerns regarding specific cases. Assures that case documentation for each decision is complete, including related correspondence. Participates in Care Coordination team and utilization management activities, including collaboration with other staff on enrollee cases, and performing data collection, tracking, and analysis.

Maintains an active work load in accordance with performance standards. Works with community agencies as appropriate.

Participates in network development including identification and recruitment of quality providers as needed. Advocates for the enrollee to ensure health care needs are met. Interacts with providers in a professional, respectful manner.

Provides coverage of Nurse Line and/or Crisis Line as requested or required for position.

Associates - Nursing Bachelors - Nursing Bachelors - Social Work Social Work Masters - Social Work LPN LCSW - Licensed Clinical Social Worker LMHP - Licensed Mental Health Professional LPC - Licensed Professional Counselor LMFT - Licensed Marital and Family Therapist LISAC - Licensed Independent Substance Abuse Counselor certification. RN or clinical credentials in a behavioral health field.

If nurse, RN license at a minimum. If not an RN, must hold Masters or Doctoral Degree.

If other than RN, Masters level licensed behavioral health professional. Good organization, time management and verbal and written communication skills. Knowledge of utilization management procedures, Medicaid benefits, community resources and providers. Knowledge and experience in diverse patient care settings including inpatient care. Ability to function independently and as a team member. Knowledge of ICD and DSM IV coding or most current edition. Ability to analyze specific utilization problems and creatively plan and implement solutions.

5-7 years' experience post degree in a clinical, psychiatric and/or substance abuse health care setting.

Minimum of 5 years of experience conducting utilization management according to medical necessity criteria required.

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About Saviance

Sourced by ZipRecruiter

Saviance is a modern consulting firm providing a variety of professional services to its clients in the US. We bring twenty three years of experience to the table. Our consultants are qualified experts and extremely talented. We understand the business behind the technology, and work with many of the top Fortune 100 companies and provide innovative, scalable, robust and secure solutions. At the forefront of the Staffing and IT Solutions industry, Saviance is certified by NMSDC as a Tier 1, Minority Business Enterprise (MBE) . We are a self- certified Small Business and self- certified Woman Owned Business committed to maximizing global workforce solutions on behalf of our clients, empowering businesses and talent through applied human intelligence. We are a Diversity Supplier with global reach specializing in a business services blend of talent, technology, and a relentless commitment to customer success. It’s our diversity that’s acts as a core component of our culture, our approach to business, and the opportunities we provide to our clients and our employees.

Industry

It services

Company size

201 - 500 Employees

Headquarters location

East Rutherford, NJ, US

Year founded

1999

Social media

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