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

Signify Health

In-Home Nurse Practitioner Part Time

Nixa, MO · On-site +1

$37.66 - $81.11/hr

It includes a medication and medical history review, a physical evaluation, and, if ordered by the ... We really can make a change in communities." - Ali B., NP "I like how Signify Health manages my ...

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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 7, 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

Psychiatric Mental Health Nurse Practitioner

Deer Oaks

Springfield, MO • On-site

$125 - $150/hr

Other

Medical, Dental, Vision, Life, PTO

Re-posted 11 days ago

Job description

Psychiatric Mental Health Nurse Practitioner

Requisition Number: PSYCH005512

  • Full-Time
  • On-site
Locations

Showing 1 location

Springfield, Missouri
Springfield, MO 65803, USA

Psychiatric Mental Health Nurse Practitioner (PMHNP)

Deer Oaks Behavioral Health - Long-Term Care Clinical Services

In this role, you will be assigned to a facility or facilities in your local community, allowing you to build meaningful connections with the individuals you serve. You will have the opportunity to conduct in-person psychiatric assessments, medication management, and implementing Medicare compliant gradual dose reduction strategies for psychotropic medications. We understand the importance of geriatric-focused training and continuous professional development, which is why we provide accredited CEUs and ongoing case consultation with our experienced team of clinicians. We are committed to supporting you every step of the way in your career journey.

Clinical Care
  • Conduct comprehensive psychiatric evaluations and mental health assessments for LTC residents
  • Develop, implement, and adjust individualized treatment plans
  • Prescribe and manage psychotropic medications in accordance with Medicare and LTC best practices
  • Implement and document Medicare-compliant gradual dose reduction (GDR) strategies
  • Monitor and treat chronic mental health conditions including depression, anxiety, bipolar disorder, schizophrenia, and dementia-related behavioral disturbances
  • Collaborate with interdisciplinary teams - nursing, medical providers, social services, rehabilitation, and facility leadership
  • Complete accurate documentation of assessments, treatment plans, and progress notes using the electronic medical record (EMR) system
Interdisciplinary Collaboration
  • Work closely with nursing, social services, rehabilitation, and medical providers to ensure coordinated psychiatric care.
  • Participate in care plan discussions, facility meetings, and case collaborations as needed.
Documentation & Compliance
  • Maintain complete and timely documentation using electronic medical records (EMR).
  • Follow ethical, professional, and regulatory guidelines for psychiatric documentation and care delivery.
Facility Partnership
  • Build strong, professional relationships with facility staff and leadership.
  • Serve as a psychiatric resource and trusted partner for supporting residents' mental and emotional needs.
Why Choose Deer Oaks?

We are a provider-centric organization committed to supporting our psychiatric clinicians with the tools, training, and resources they need to succeed.

Work-Life Balance
  • Autonomy in organizing your daily workflow and caseload
Professional Growth
  • APA-accredited CEUs at no cost
  • Annual stipend for continuing education units
  • Ongoing clinical support, mentorship, and consultation
  • Access to geriatric-specific psychiatric training and specialty resources
Robust Administrative Support
  • Dedicated teams for billing, collections, credentialing, insurance, and scheduling
  • Employer coverage of 50% of Liability insurance premiums
  • Competitive compensation model
  • Comprehensive medical, dental, vision, and life insurance
  • Generous PTO and paid holidays
What You'll Need
  • Active, unrestricted PMHNP or PMHNP-BC license
  • Valid DEA registration
  • Strong clinical judgment and comfort working in LTC environments
  • Commitment to timely documentation and high-quality psychiatric care
About Deer Oaks - The Behavioral Health Solution

Focused exclusively on behavioral health in long-term care since 1992, Deer Oaks serves thousands of skilled nursing and assisted living facilities nationwide. Our mission is to enhance the emotional well-being and quality of life of residents through compassionate, clinically excellent behavioral health services.

To learn more about Deer Oaks Behavioral Health and explore current career opportunities, please visit www.deeroaks.com , or contact Jacques Vercautrin, Recruitment Manager, at 210-237-6463 or jvercautrin@deeroaks.com .

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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