State of Missouri · 14 hours ago
Quality Improvement Specialist/Utilization Management Coordinator (UM) Coordinator
Farmington, MO
Full-time
Onsite
Mid Level
$55K/yr - $75K/yrThe State of Missouri is dedicated to the prevention and treatment of mental illness and developmental disabilities. They are seeking a Quality Improvement Specialist/Utilization Management Coordinator to conduct various reviews and audits related to utilization management, ensuring quality standards are met.
AgricultureGovernmentInformation Technology
Responsibilities
Conduct Admission UM Reviews
Conduct Transfer UM Reviews
Audit Continued Stay Reviews
Review Declining Patient Reports
Review Critical Lab Reports
Review CIMOR Admit ORYX-Admissions (for NRI)
Review CIMOR Discharge ORYX-Discharges (for NRI)
Conduct Transition of Care Audits (includes medical, jail, court, discharges)
Review Patient Transfer and Physician Order Form
Compile Admission Stats
Compile Admission Stats for APS
Conduct Medical Record Reviews
Conduct Open and Closed Billing Audits-(Monthly)
Prepare Utilization Review Reports
Lead UM and Corporate Compliance meetings
Assist with other assigned Quality Management audits
Qualification
Required
Master's degree, but individuals with a bachelor's degree will be considered who have years of clinical/medical experience
Knowledge of accreditation and certification standards and their application to state or privately operated facilities
Ability to formulate quality improvement plans to improve efficiency
Understanding of medical billing and practices is a plus
Benefits
Defined pension plan
Generous amounts of leave and holiday time
Eligibility for health insurance coverage
Company
State of Missouri
The State of Missouri is a group of outstanding people that accomplish extraordinary things for our folks every day.
Founded in 1820
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Kevin Mccarthy
Chief Technology Officer
Jennifer Tidball
Chief Operating Officer at Missouri Department of Social Services
Recent News
2025-08-22
Seattle TechFlash
2025-05-10
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