ZipRecruiter

Log In

1

Utilization Review Rn Jobs in Missouri (NOW HIRING)

Bothwell Regional Health Center

CRNA

Sedalia, MO

$50.81 - $82.95/hr

... utilization review and peer review programs. 3. Performs work and functions and provides service in ... Registered Nurse Anesthetist in the care of patients. REQUIRED STAFF COMPETENCIES: 1. Demonstrates ...

Athene Nursing and Rehabilitation

Clinical Liaison (RN/LPN)

MO · On-site

$64K - $86K/yr

Clinical Liaison (RN/LPN) We are seeking a compassionate and driven Clinical Liaison to join our ... Work with utilization review and internal admissions teams to ensure efficient transfers * Provide ...

next page

Showing results 1-20

All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Missouri

Utilization Review Rn information

See Missouri salary details

$20

$39

$64

How much do utilization review rn jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for utilization review rn in Missouri is $39.66, according to ZipRecruiter salary data. Most workers in this role earn between $31.35 and $45.53 per hour, depending on experience, location, and employer.

How does a Utilization Review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a Utilization Review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

What is a Utilization Review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.
What are the most commonly searched types of Utilization Review Rn jobs in Missouri? The most popular types of Utilization Review Rn jobs in Missouri are:
What are popular job titles related to Utilization Review Rn jobs in Missouri? For Utilization Review Rn jobs in Missouri, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Missouri look for? The top searched job categories for Utilization Review Rn jobs in Missouri are:
What cities in Missouri are hiring for Utilization Review Rn jobs? Cities in Missouri with the most Utilization Review Rn job openings:
What are popular job titles related to Utilization Review Rn jobs in MO? For Utilization Review Rn jobs in MO, the most frequently searched job titles are:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Missouri as of May 2026, with employment types broken down into 60% Full Time, 20% Part Time, and 20% Contract. Highlights an 100% In-person job distribution, with an average salary of $82,494 per year, or $39.7 per hour.
Concurrent Review

Concurrent Review

Nevada Regional Medical Center

Nevada, MO • On-site

$20.37/hr

Other

Posted 13 days ago

Job description

  • FIND A PHYSICIAN
  • ONLINE BILL PAY
  • CONTACT US
Call Us: 417-667-3355 800-432-0526
  • HOME
  • ABOUT
    • MISSION STATEMENT
    • BOARD OF DIRECTORS
    • LEADERSHIP TEAM
    • CIHQ ACCREDITATION
    • REPORTS
    • NEWS
  • SERVICES
    • BEHAVIORAL HEALTH
    • EMERGENCY DEPARTMENT
    • ENDOSCOPY
    • DIAGNOSTICS
    • MATERNITY CENTER
    • NUTRITION COUNSELING
    • PAIN MANAGEMENT
    • PERFORMANCE THERAPY
    • REHABILITATION SERVICES
    • SERIES MEDICATIONS
    • SLEEP CENTER
    • SOCIAL SERVICES
    • VIRTUAL VISITS
  • PATIENTS & VISITORS
    • ADMISSIONS
    • CHAPLAINCY PROGRAM
    • GIFT SHOP
    • MEDICAL RECORDS
    • PATIENT BILL OF RIGHTS
    • PATIENT GUIDE
    • PATIENT PRIVACY POLICY
    • PATIENT RESPONSIBILITIES
    • PATIENT SAFETY
  • FINANCIAL SERVICES
    • FINANCIAL ASSISTANCE
    • MEDICARE INFORMATION
    • PRICING ESTIMATOR
    • PRICING FAQs
  • CAREERS
    • APPLY NOW
    • EMPLOYMENT BENEFITS
    • PHYSICIAN RECRUITMENT
  • COMMUNITY
    • CHILDBIRTH CLASSES
    • CHOLESTEROL SCREENING
    • COVID19
    • COVID19 VACCINE
  • FOUNDATION
    • BRICK ENGRAVING
    • DONATE
  • E-CARDS
  • LONG-TERM CARE
  • SPECIALTY CARE
  • PRIMARY CARE
Job Openings >> Concurrent Review
Concurrent Review
Summary
Title: Concurrent Review ID: 1454 Location: Nevada, Missouri Department: Quality Status: PRN Shift: Evenings
More about this job >
Description

Pay: Base Wage starting at $20.37; increased based on experience

Incentive Eligible Position: Yes
 

Essential Functions:
  • Authorize patient stays
  • Submit insurance PA for hospital admission insurance.
  • Continued stay submissions
  • Discharge submission to insurance
  • Appeals and Peer to Peer submission
  • InterQual submission for medical necessity.
  • Discharge planning for BHU and Acute Care.
  • Conduct UR Committee.
  • CDI Management 
  • Swing Bed intake process
  • All other duties within the scope of practice. 
Working Conditions:
  • Possible exposure to inside environmental conditions.
  • Exposure to distressed patients, families or visitors.
Physical Demands:
  • Requires standing, sitting or walking for up to 8 hours or longer per day.
  • The ability to lift up to 50 lbs.
Qualifications:  
  • Graduate of an Accredited School of Practical Nursing or Registered Nursing or Graduate of an approved program in Respiratory Care or BSW/MSW from accredited school of social work required or similar education and experience; Missouri Licensure preferred
Apply Now
 
Refer to a Friend

ADDRESS
Nevada Regional Medical Center 800 South Ash Street Nevada, MO 64772

Contact
417-667-3355
2026 Nevada Regional Medical Center |  |  Privacy Policy
EMPLOYEE EMAIL
  • HOME
  • ABOUT
    • MISSION STATEMENT
    • BOARD OF DIRECTORS
    • LEADERSHIP TEAM
    • CIHQ ACCREDITATION
    • REPORTS
    • NEWS
  • SERVICES
    • BEHAVIORAL HEALTH
    • EMERGENCY DEPARTMENT
    • ENDOSCOPY
    • DIAGNOSTICS
    • MATERNITY CENTER
    • NUTRITION COUNSELING
    • PAIN MANAGEMENT
    • PERFORMANCE THERAPY
    • REHABILITATION SERVICES
    • SERIES MEDICATIONS
    • SLEEP CENTER
    • SOCIAL SERVICES
    • VIRTUAL VISITS
  • PATIENTS & VISITORS
    • ADMISSIONS
    • CHAPLAINCY PROGRAM
    • GIFT SHOP
    • MEDICAL RECORDS
    • PATIENT BILL OF RIGHTS
    • PATIENT GUIDE
    • PATIENT PRIVACY POLICY
    • PATIENT RESPONSIBILITIES
    • PATIENT SAFETY
  • FINANCIAL SERVICES
    • FINANCIAL ASSISTANCE
    • MEDICARE INFORMATION
    • PRICING ESTIMATOR
    • PRICING FAQs
  • CAREERS
    • APPLY NOW
    • EMPLOYMENT BENEFITS
    • PHYSICIAN RECRUITMENT
  • COMMUNITY
    • CHILDBIRTH CLASSES
    • CHOLESTEROL SCREENING
    • COVID19
    • COVID19 VACCINE
  • FOUNDATION
    • BRICK ENGRAVING
    • DONATE
  • E-CARDS
  • LONG-TERM CARE
  • SPECIALTY CARE
  • PRIMARY CARE

Apply