Utilization Review Manager: Lead Clinical Coordination

KVC Health Systems; Webster Groves (MO); On-site; USD 75,000 - 110,000; Full time

Job summary

Camber in St. Louis, MO is seeking a dedicated Utilization Review Manager to lead our team in coordinating patient stays and health plan interfaces within a fast-paced hospital setting.

You will supervise UR Specialists, partner with clinicians, ensure policy compliance, and drive data-driven improvements while upholding confidentiality and regulatory procedures. This role offers a leadership path in a supportive, mission-driven environment.

Qualifications

• Bachelor’s degree in a human service field (social work, psychology, education, or related).
• Minimum two years of Utilization Review experience.
• At least one year in a leadership role.
• Valid driver’s license and auto insurance.
• Proficiency with Microsoft Word, Excel, and Outlook.
• Strong command of English, written and verbal.

Responsibilities

• Direct supervision of Utilization Review Specialists to ensure task completion and policy compliance.
• Manage telephonic interfaces with health plans to provide clinical information developed by treatment teams.
• Lead departmental operations including oversight of responsibilities, performance evaluations, and approval of workflow.
• Compile and manage utilization review data with high attention to detail and accuracy.
• Communicate effectively with diverse constituencies, including families, community partners, and service agencies.
• Maintain confidentiality and adhere to regulatory procedures (e.g., JIAC, KVC).
• Participate in treatment team meetings and staff conferences to ensure continuity of care.

Skills

Leadership

Communication

Attention to detail

Education

Bachelor's degree in a human service field

Tools

Microsoft Office

Job description

Camber in St. Louis, MO is seeking a dedicated Utilization Review Manager to lead our team in coordinating patient stays and health plan interfaces within a fast-paced hospital setting.

You will supervise UR Specialists, partner with clinicians, ensure policy compliance, and drive data-driven improvements while upholding confidentiality and regulatory procedures. This role offers a leadership path in a supportive, mission-driven environment.