1

Utilization Review Coordinator Jobs in Springfield, MO

Citizens Memorial Hospital Foundation (CMH) is recruiting a Registered Nurse (RN) or Licensed Practical Nurse to be our MDS coordinator and care for our residents in Parkview Healthcare Facility. The ...

New

Citizens Memorial Hospital Foundation (CMH) is recruiting a Registered Nurse (RN) or Licensed Practical Nurse to be our MDS coordinator and care for our residents in Parkview Healthcare Facility. The ...

New

Citizens Memorial Hospital Foundation (CMH) is recruiting a Registered Nurse (RN) or Licensed Practical Nurse to be our MDS coordinator and care for our residents in Parkview Healthcare Facility. The ...

New

Case Manager

Springfield, MO

$17.75 - $23/hr

... coordinating continuum of care activities for assigned clients and ensuring optimum utilization of ... review preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: ยท Current license required within the ...

New

Case Manager

Springfield, MO ยท On-site

$17.75 - $23/hr

... coordinating continuum of care activities for assigned clients and ensuring optimum utilization of ... review preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: โ€ข Current license required within the ...

New

MDS Coordinator (LPN or RN)

Ozark, MO ยท On-site

$30.50 - $39/hr

Daily Clinical, Weekly Resident at Risk, Weekly Utilization Review and Daily Stand up. * Remains current with industry changes. Other Duties of MDS Coordinator (LPN or RN): * As this is not intended ...

Clinician

Nixa, MO

$48K - $63K/yr

The Program Coordinator designs and implements service programming in a designated specialty ... Cooperates with utilization review procedures and follows established procedures, policies and ...

Clinician

Nixa, MO ยท On-site

$48K - $63K/yr

Nixa, MO The Program Coordinator designs and implements service programming in a designated ... Cooperates with utilization review procedures and follows established procedures, policies and ...

Clinician

Nixa, MO ยท On-site

$48K - $63K/yr

The Program Coordinator designs and implements service programming in a designated specialty ... Cooperates with utilization review procedures and follows established procedures, policies and ...

Scheduling Coordinator

Springfield, MO

$16.25 - $20.50/hr

Review assigned providers' schedules for errors and coordinate with Client Contact Services to ... Collaborate with clinical teams on caseload management, schedule utilization, client attendance ...

Scheduling Coordinator

Springfield, MO ยท On-site

$16.25 - $20.50/hr

Review assigned providers' schedules for errors and coordinate with Client Contact Services to ... Collaborate with clinical teams on caseload management, schedule utilization, client attendance ...

Scheduling Coordinator

Springfield, MO ยท On-site

$16.25 - $20.50/hr

Review assigned providers' schedules for errors and coordinate with Client Contact Services to ... Collaborate with clinical teams on caseload management, schedule utilization, client attendance ...

Scheduling Coordinator

Springfield, MO

$16.25 - $20.50/hr

Review assigned providers' schedules for errors and coordinate with Client Contact Services to ... Collaborate with clinical teams on caseload management, schedule utilization, client attendance ...

next page

Showing results 1-20

Utilization Review Coordinator information

See Springfield, MO salary details

$14

$26

$42

How much do utilization review coordinator jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for utilization review 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 review coordinator do?

A Utilization Review Coordinator is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance information to ensure that care meets established guidelines and regulatory requirements. By coordinating between healthcare providers, insurance companies, and patients, Utilization Review Coordinators help optimize resource use and manage healthcare costs while ensuring quality patient care.

What skills and qualifications are needed to be a utilization review coordinator?

To thrive as a Utilization Review Coordinator, you need expertise in healthcare regulations, clinical guidelines, and case management, often supported by an RN license or a background in health administration. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance approval processes are typically required. Strong analytical thinking, attention to detail, and effective communication skills help you collaborate with providers and advocate for appropriate patient care. These skills ensure compliance, optimize resource use, and support quality care delivery within healthcare organizations.

How does a utilization review coordinator collaborate with healthcare providers and insurance companies?

A Utilization Review Coordinator regularly communicates with both healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. They review medical records and treatment plans, discuss cases with physicians to clarify medical necessity, and submit documentation to insurance payers for approval. This role requires strong interpersonal skills, as coordinators often need to negotiate coverage decisions and resolve discrepancies between clinical teams and insurers. Effective collaboration ensures timely authorizations and helps avoid unnecessary delays in patient care.

What is the difference between Utilization Review Coordinator vs Utilization Review Nurse?

AspectUtilization Review CoordinatorUtilization Review Nurse
CredentialsTypically requires a healthcare-related certification or associate degreeRegistered Nurse (RN) license required
Work EnvironmentOffice setting, administrative tasks, coordinationClinical setting, patient chart review, direct communication with healthcare providers
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Common Search & ComparisonFocuses on administrative review processesInvolves clinical assessment and patient care considerations

While both roles involve reviewing healthcare utilization, the Utilization Review Coordinator primarily handles administrative and coordination tasks, often without direct patient contact, whereas the Utilization Review Nurse performs clinical assessments as a licensed RN, often in hospital or clinical settings. Understanding these differences helps job seekers identify the right role based on their credentials and career goals.

What degree do I need for utilization review coordinator?

A utilization review coordinator typically needs at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Relevant certifications, such as Certified Professional Coder (CPC) or Certified Utilization Review Professional (CURP), can enhance job prospects. Strong knowledge of medical terminology, insurance processes, and healthcare regulations is also important.

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

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

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

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

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

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

Infographic showing various Utilization Review Coordinator job openings in Springfield, MO as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $56,019 per year, or $26.9 per hour.

A&R Clinician- Overnights

Perimeter Healthcare

Springfield, MO โ€ข On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago


Job description

🌟 Assessment & Referral Clinician 🌟
💼 Full-time   |   🏥 Psychiatry   |   12 hour shift   |   📍 Springfield, MO 65803
🌟 The Assessment & Referral Clinician (A&R Clinician) is required to handle a high volume of public and professional inquiries, schedule and conduct intake appointments, conduct follow-up calls, track calls and assessments and admissions. Update bed boards, assessment boards and use a multi-line telephone system. Work is performed in a team setting, as well as on an individual basis and is performed under the supervision of the Director of Intake.
💬 The A&R Clinician is responsible for coordinating and communicating with patients, families and referral sources on a daily basis. Customer service skills and ability to effectively communicate is imperative.
ESSENTIAL DUTIES AND RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. An individual must be able to perform their duties in a positive work mode and serve as a positive role model and influence for clients and peers. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
🔹 Conducts intake interviews to establish and assess for appropriate level of care.
📞 Receives incoming inquiry calls and conducts an initial intake screening to establish viability for services.
🤝 Serves as client liaison, providing accurate, complete interviews of patient needs and making appropriate referrals (i.e., free initial consultation, direct admission or outpatient referrals).
💙 Accurately and appropriately assesses the psychosocial and emotional status utilizing knowledge and skills related to children, adolescents, adults and the special needs of the geriatric population.
🏢 Serves as liaison to business office/utilization review; coordinates insurance verification with business office/utilization review departments.
🔄 Coordinates communications and activities between clinical staff, nursing staff, business office and business development staff.
📌 Monitors direct/indirect referrals; follows up with professional or agency referral sources regarding patient disposition.
📊 Documents, collects and organizes data resulting from inquiry calls to assist with referral development.
🧩 Utilizes a logical approach to solve problems and manage situations in a positive manner.
🚨 Participates in hospital programs designed to ensure patient safety, i.e., fire drills, Code 1, etc.
💡 Expresses ideas and concerns in a constructive manner.
📣 Appropriately notifies supervisor of essential information.
🧭 Utilizes the proper defined channels of communication and lines of authority.
📝 Provides oral and written communication that reflects clarity and accuracy.
🏥 Maintains an open line of communication with physicians and staff
throughout the hospital, to support facility goals and to facilitate the delivery of patient care.
🙌 Works and interacts with others to accomplish overall hospital and departmental goals.
🌟 Treats peers with respect and dignity.
🎧 Handles patient/family complaints appropriately and according to policy.
🛠️ Assists in all areas of department as needed.
✅ Willingly accepts expected and unexpected duties.
⭐ Perform other duties as assigned or directed by supervisor.
🎓 EDUCATION and/or EXPERIENCE
🎓 Must have graduated from a Registered Nurse accredited school or have a Master’s Degree in             Psychology, Behavioral Health or related field.
💙 Experience in Behavioral Health assessment and/or treatment preferred.
🏥 Minimum of one (1) year experience on an inpatient Behavioral Health Unit preferred.
💼 Job Type: Full-time
🎁 Benefits:  

  • 💳 Flexible spending account
  • 🩺 Health insurance
  • 🏦 Health savings account
  • 🛡️ Life insurance
  • 🌴 Paid time off
  • 📣 Referral program
  • 👓 Vision insurance
  • 🦷 Dental insurance
  • 401k

🏥 Medical specialties:
  • 🧠 Psychiatry
⏰ Schedule:
  • ⏱️ 12 hour shift
📍 Ability to commute/relocate:
  • 📍 Springfield, MO 65803: Reliably commute or planning to relocate before starting work (Required)

🌐 To learn more about the company, please visit our website at: https://www.perimeterhealthcare.com
💙 Perimeter Healthcare is one of the leading behavioral health care providers in the country for children, adolescents, adults, and senior adults. We deliver hope to our patients through the delivery of comprehensive and dedicated treatment programs. Our focus and commitment on service excellence is available across several states and in different care settings. Our team ensures our patients receive the required care that they or their loved one needs. We offer several programs for our patients including inpatient acute treatment and residential treatment. We are seeking staff who exhibit daily the following values: C- Compassion A- Accountability R – Respect and E- Empowerment.
EEO
We are committed to providing an environment of diversity and inclusion where equal opportunities are available to all applicants and fellow employees. Perimeter Behavioral Health is an equal opportunity employer regarding all recruitment, training, and selection process within the company regarding race, color, religion, age, sex, sexual orientation, pregnancy, and gender identity, genetic information, national origin, disability status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
Apply today and help deliver hope through compassionate behavioral health care.
#INDSF

Powered by JazzHR

wNRlsMy78B