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RN-Utilization Management and Denials Liaison

SSM Health
📍 Columbia, Missouri, United States 💼 Full time 🕒 Posted June 19, 2026
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Job Description

It's more than a career, it's a calling.

MO-REMOTE

Worker Type:

Regular

Job Summary:

Serves as the Utilization Management system-wide point of coordination between regional clinical and operational team leaders, physician liaisons, and revenue cycle leaders.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES 

  • Serves as the direct resource for the regional physician liaisons regarding Utilization Management (UM) initiatives and regional specific UM issues.
  • Performs audits on UM denial write off accounts to ensure accurate categorizing of the root cause of denial and to identify potential opportunities for claims re-bill. 
  • Collaborates with Managed Care Organization (MCO) team members to stay abreast of contractual updates to develop and maintain UM payer grids with contractual requirements. 
  • Serves as a UM subject matter expert on state and federal regulatory requirements related to UM proce...

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    Job Details

    • Location Columbia, Missouri
    • Job Type Full time
    • Category Operations Specialties Managers
    • Posted Date June 19, 2026
    • Application Deadline July 29, 2026