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Utilization Review Intake Coordinator Jobs in Missouri

Lincare

Intake Coordinator

Grain Valley, MO · On-site

$16 - $21.75/hr

The Intake Coordinator acts as a liaison between the referral source and the Pharmacy to ensure a ... Once verification is complete and admission criteria is reviewed/approved by clinical staff ...

The Salvation Army

Intake Coordinator

Kansas City, MO · On-site

$16 - $17.50/hr

Review statistical data for accuracy and completeness. * Participate in data quality review ... Intake Coordinator, Admissions Coordinator, Human Services, Community Outreach, Social Services ...

Lincare Holdings, Inc.

Intake Coordinator

Grain Valley, MO · On-site

$16 - $21.75/hr

The Intake Coordinator acts as a liaison between the referral source and the Pharmacy to ensure a ... Once verification is complete and admission criteria is reviewed/approved by clinical staff ...

Arch Vista

UR Coordinator

Saint Louis, MO

$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.

UHS

UR COORDINATOR

Nevada, MO · On-site

This position provides support in utilization management and care coordination activities. Performs ... utilization review. · Strong working knowledge of insurance verification, medical necessity ...

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Utilization Review Intake Coordinator information

What does a utilization review intake coordinator do?

A Utilization Review Intake Coordinator is responsible for reviewing and processing incoming referrals and requests for healthcare services to ensure they meet clinical guidelines and payer requirements. They collect and verify patient information, coordinate with healthcare providers, and initiate case reviews for medical necessity and insurance authorization. Their work is vital in ensuring patients receive appropriate care while adhering to insurance and regulatory policies.

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

To thrive as a Utilization Review Intake Coordinator, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by a background in healthcare administration or nursing. Familiarity with electronic medical records (EMR) systems, insurance verification tools, and authorization management software is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this position. These competencies ensure accurate and timely processing of patient cases, compliance with regulations, and coordination among patients, providers, and payers.

What are some common challenges faced by utilization review intake coordinators, and how can they be managed?

Utilization Review Intake Coordinators often face the challenge of managing high volumes of case referrals while ensuring accuracy and timeliness in processing. Balancing multiple priorities, such as coordinating with clinical staff, verifying insurance information, and meeting regulatory deadlines, can be demanding. Effective time management, strong communication skills, and familiarity with electronic health record (EHR) systems are essential for handling these challenges. Staying organized and building strong working relationships with both internal teams and external stakeholders also helps streamline workflows and reduce stress.

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

AspectUtilization Review Intake CoordinatorUtilization Review Nurse
CredentialsHigh school diploma or equivalent; certification may be preferredRN license; certification in case management or utilization review often required
Work EnvironmentOffice setting, administrative tasks, patient data intakeClinical setting, reviewing medical records, patient care coordination
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsHospitals, clinics, insurance companies
Search & Comparison IntentFocus on administrative and intake responsibilitiesFocus on clinical review and patient care decisions

The Utilization Review Intake Coordinator primarily handles administrative tasks related to patient data intake and initial review, often requiring administrative credentials. In contrast, the Utilization Review Nurse performs clinical assessments, reviews medical records, and makes patient care decisions, requiring an RN license. Both roles are essential in healthcare utilization management but differ in their focus and qualifications.

What are popular job titles related to Utilization Review Intake Coordinator jobs in Missouri?

For Utilization Review Intake Coordinator jobs in Missouri, the most frequently searched job titles are:

What job categories do people searching Utilization Review Intake Coordinator jobs in Missouri look for?

The top searched job categories for Utilization Review Intake Coordinator jobs in Missouri are:

Utilization Review Intake Coordinator jobs near you
Infographic showing various Utilization Review Intake Coordinator job openings in Missouri as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Utilization Review Assistant

Mosaic Life Care

Saint Joseph, MO • On-site

Full-time

Medical, Vision

Posted 17 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

572nd of 894 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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