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Utilization Manager Jobs in Missouri (NOW HIRING)

Altais

UM Medical Director - Casual

California, MO · On-site

$223 - $267/hr

The Medical Director of Utilization and Medical Management will report directly to the Senior Medical Director with a dotted line to the Chief Officer for Health and Innovation, and work closely with ...

Liberty Dental Plan

Senior Staff Dentist

California, MO · On-site

$175 - $185/hr

ResponsibilitiesClinical Review & Utilization Management * Review dental claims, referrals, and prior authorization requests to ensure medical necessity and regulatory compliance * Interpret dental ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Missouri

Utilization Manager information

See Missouri salary details

$36.6K

$85.4K

$157.1K

How much do utilization manager jobs pay per year?

As of Aug 19, 2026, the average yearly pay for utilization manager in Missouri is $85,369.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,800.00 and $102,700.00 per year, depending on experience, location, and employer.

What is a utilization manager?

A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.

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

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What are some common challenges faced by utilization managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound in similar settings, often working under Utilization Managers

In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.

More about Utilization Manager jobs

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

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

What cities in Missouri are hiring for Utilization Manager jobs?

Cities in Missouri with the most Utilization Manager job openings:

What are popular job titles related to Utilization Manager jobs in MO?

For Utilization Manager jobs in MO, the most frequently searched job titles are:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Missouri as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $85,369 per year, or $41 per hour.

Care Manager

Hannibal Regional Healthcare System

Hannibal, MO • On-site

Per diem

Re-posted 8 days ago

Hannibal Regional Hospital rating

6.9

Company rating: 6.9 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

552nd of 1,060 rated hospitals

Job description

-          Graduate of an accredited School of Nursing required

-          Bachelors Degree of Science in Nursing preferred

-          Current Registered Nurse license in the state of Missouri required

-          3 - 5 years healthcare experience preferred

-          Care Management or Utilization Management experience preferred

-          BLS (CPR) required or obtained within 90 days of hire

-          Certification in Case Management preferred

-          Strong verbal and written communication and facilitation skills required

-          Strong assessment skills, time management skills, critical thinking skills required

-          Advanced computer skills required

-          Must have ability to interact effectively with a variety of people and situations at all levels of the organization required

-          Knowledge of InterQual criteria preferred

What Hannibal Regional Hospital employees say

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