ZipRecruiter

Log In

1

Utilization Review Np Jobs in Springfield, MO (NOW HIRING)

CMR Recruiting

Nurse Practitioner

Springfield, MO · On-site

$95K - $130K/yr

Excellent communication skills with patients, families, and interdisciplinary teams Responsibilities of the Nurse Practitioner ( NP ): * Upon admission, examine residents and review their medical ...

CMR Recruiting

Nurse Practitioner

Ozark, MO · On-site

$95K - $130K/yr

Excellent communication skills with patients, families, and interdisciplinary teams Responsibilities of the Nurse Practitioner ( NP ): * Upon admission, examine residents and review their medical ...

CMR Recruiting

Nurse Practitioner

Ozark, MO · On-site

$95K - $130K/yr

Excellent communication skills with patients, families, and interdisciplinary teams Responsibilities of the Nurse Practitioner ( NP ): * Upon admission, examine residents and review their medical ...

CMR Recruiting

Nurse Practitioner

Springfield, MO · On-site

$95K - $130K/yr

Excellent communication skills with patients, families, and interdisciplinary teams Responsibilities of the Nurse Practitioner ( NP ): * Upon admission, examine residents and review their medical ...

Centers Health Care

Nurse Practitioner (NP)

Ozark, MO · On-site

Nurse Practitioner (NP) Medical Director Services PC is looking to hire an experienced Nurse ... Maintains professional and technical knowledge by attending educational workshops; reviewing ...

Citizens Memorial

MDS RN-FND PHF Nurs LTC

Bolivar, MO · On-site

The skilled nursing facility is a 78-bed facility located in Bolivar, MO that includes a memory care unit for individuals with Alzheimer's disease and dementia. The primary purpose is to work closely ...

Citizens Memorial

MDS RN-FND PHF Nurs LTC

Bolivar, MO · On-site

The skilled nursing facility is a 78-bed facility located in Bolivar, MO that includes a memory care unit for individuals with Alzheimer's disease and dementia. The primary purpose is to work closely ...

Citizens Memorial

MDS RN-FND PHF Nurs LTC

Bolivar, MO · On-site

The skilled nursing facility is a 78-bed facility located in Bolivar, MO that includes a memory care unit for individuals with Alzheimer's disease and dementia. The primary purpose is to work closely ...

Alps Pharmacy

PRN NURSE PRACTITIONER

Nixa, MO · On-site

Licensed Nurse Practitioner Opportunity We are looking for a licensed nurse practitioner to join ... Work alongside a collaborating or supervising physician; submit charts for review and co-signature.

next page

Showing results 1-20

All JobsUtilization Review Np JobsUtilization Review Np Jobs in Springfield, MO

Utilization Review Np information

See Springfield, MO salary details

$19

$38

$62

How much do utilization review np jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for utilization review np in Springfield, MO is $38.46, according to ZipRecruiter salary data. Most workers in this role earn between $30.38 and $44.18 per hour, depending on experience, location, and employer.

What does a utilization review nurse practitioner do?

A Utilization Review Nurse Practitioner (NP) evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance coverage to ensure that care meets established guidelines and regulatory requirements. Utilization Review NPs help coordinate care, prevent unnecessary procedures, and support cost-effective healthcare delivery while ensuring patient safety and quality outcomes.

What are some common challenges utilization review nurse practitioners face when collaborating with healthcare providers and insurance companies?

Utilization Review Nurse Practitioners often navigate the challenge of balancing patient advocacy with payer requirements. They must effectively communicate clinical justifications to both healthcare providers and insurance representatives, sometimes mediating disagreements over the necessity of certain treatments or hospital stays. Staying up-to-date with ever-changing insurance guidelines and ensuring timely documentation can also be demanding, but strong organizational and interpersonal skills help facilitate smooth collaboration and successful patient outcomes.

What are the key skills and qualifications needed to thrive as a utilization review nurse practitioner, and why are they important?

To thrive as a Utilization Review Nurse Practitioner (NP), you need expert clinical judgment, a strong understanding of healthcare regulations, and advanced assessment skills, typically supported by an active NP license and clinical experience. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare and Medicaid are commonly required. Excellent communication, attention to detail, and critical thinking are vital soft skills for effective case evaluations and collaboration with providers. These competencies ensure accurate, efficient reviews that support quality care, compliance, and cost-effective treatment decisions.

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

AspectUtilization Review NpUtilization Review Nurse
CredentialsMaster's degree in Nursing, Nurse Practitioner certification, state licensureRegistered Nurse (RN) license, possibly with certification in utilization review
Work EnvironmentHealthcare facilities, insurance companies, utilization review organizationsHospitals, insurance companies, outpatient clinics
Job ResponsibilitiesAssess medical necessity, authorize treatments, make clinical decisions, often with greater autonomyReview medical records, support authorization processes, follow established guidelines

Utilization Review NPs typically have advanced clinical training and greater decision-making authority compared to Utilization Review Nurses. Both roles focus on evaluating medical necessity, but NPs often perform more complex assessments and can make independent recommendations, whereas nurses support the review process under supervision or guidelines.

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

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

What job categories do people searching Utilization Review Np jobs in Springfield, MO look for?

The top searched job categories for Utilization Review Np jobs in Springfield, MO are:

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

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

Utilization Review Np jobs near you

Nurse Practitioner

CMR Recruiting

Springfield, MO • On-site

$95K - $130K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

Nurse Practitioner ( NP ) for our Skilled Nursing Facility ( SNF )
Compensation: $95,000 - $130,000 Annual Salary Benefits: Medical, dental, vision, life insurance, long-term and short-term disability insurance, Malpractice Insurance, and 401K with a match program. PTO. CME Reimbursement.

Are you passionate about making a difference in others' lives? We are looking for a Nurse Practitioner ( NP ) for our Skilled Nursing Facility ( SNF ) who prides themselves on a positive attitude and dedication to providing top-notch care. We are offering COMPETITIVE PAY with AMAZING BENEFITS and great WORK LIFE BALANCE. If this is something you are looking for, we'd love to have you on board!

Position Description: We are looking for a dedicated and compassionate Nurse Practitioner ( NP ) for our Skilled Nursing Facility ( SNF ) in Springfield, MO for bedside patient care. The NP will serve as the primary medical provider for assigned residents, working closely with the Medical Director, facility staff, and interdisciplinary teams. This is a full-time, in-person position Monday through Friday 9am to 5pm. No weekends, no nights, no on-call.

Qualifications of the Nurse Practitioner ( NP ):


  • Valid Nurse Practitioner ( NP ) license in the state of Missouri, in good standing

  • Active DEA registration

  • 1+ years of experience as a Nurse Practitioner; SNF, geriatric, or post-acute experience preferred

  • Strong clinical documentation skills and familiarity with EMR systems

  • Excellent communication skills with patients, families, and interdisciplinary teams

Responsibilities of the Nurse Practitioner ( NP ):


  • Upon admission, examine residents and review their medical records to establish baseline assessments

  • Conduct routine follow-up visits and manage chronic conditions including diabetes, hypertension, CHF, COPD, and dementia

  • Prescribe and adjust medications including controlled substances per state regulations

  • Lead transitional care management and discharge planning with social work, nursing, and rehabilitation teams

  • Engage with residents' families on care plans, goals of care, and advance directives

If you're a skilled and compassionate Nurse Practitioner looking for a challenging and rewarding opportunity with our Skilled Nursing Facility ( SNF ), we want YOU to apply!