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Utilization Management Jobs in Missouri (NOW HIRING)

Arch Vista

UR Coordinator

Saint Louis, MO · On-site

$15 - $22/hr

Arch Vista is seeking a detail-oriented and organized Utilization Review (UR) Coordinator to support the utilization management process and ensure timely, accurate coordination of clinical reviews.

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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 Review Assistant

Mosaic Life Care

Saint Joseph, MO

Full-time

Medical, Vision

Posted 6 days ago

Mosaic Life Care rating

6.6

Company rating: 6.6 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

569th of 887 rated healthcare providers

Job description

The Utilization Review Assistant is responsible for the administrative components of Utilization Management that primarily focuses on supporting the medical review process.


Skills and Abilities

Essential Technical/Motor Skills

  • Hand/eye coordination: speaks clearly; good hearing, ability to use computers, printers and telephone equipment
  • Interpersonal skills
  • Ability to work as a member of a team and develop trusting relationships quickly
  • Excellent verbal and written communication skills including sensitivity to other cultures and ethnicities.

Interpersonal Skills


    Essential Physical Requirements


      Essential Mental Abilities

      • Implements and provides ongoing support of members care plan, recognizes alternatives, identifying problems.
      • Provides patient and family teaching about health related needs, financial needs and other coping issues.
      • Concentrates on plans and roles of other team members, understanding all responsibilities and plans.

      Essential Sensory Requirements

      • Visual and hearing skills to obtain a driver's license are required.
      • Ability to communicate with members and families, communicating in person and on phone.

      Exposure to Hazards


        Other Skills and Abilities

        • Must have access to transportation
        • Responsible for communication of required healthcare documents to patients and/or representatives.
        • Adhere to regulatory and compliance standards
        • Understanding benefits including Medicaid and Medicare
        • Work closely with utilization review staff, care managers and social workers to assist with any administrative responsibilities or needs.
        • Documentation entry
        • Phone and Voicemail retrieval
        • Mail distribution within the department
        • Worklist management
        • Other duties assigned

        Education
        • H.S. Diploma - or GED - Required

        Work Experience
        • Experience in healthcare, managed care, hospital, or clinical setting, or other comparable work experience. - Preferred

        Licenses and Certifications
        • Upon Hire

        Travel Requirements
        • Travel to off-site locations may be required. - Required

        What Mosaic Life Care employees say

        Pay

        Benefits

        Hours and flexibility

        Workplace

        Get the full story on Breakroom

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