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Director Of Utilization Management Jobs in Iowa (NOW HIRING)

Actalent

Utilization Management Nurse

Des Moines, IA · On-site

$40/hr

Engage with Medical Directors and Physician Reviewers for services not meeting medical criteria ... Completion of an accredited nursing program. * Acute Care, Home Health, and Medical Surgery ...

Access Dubuque

Utilization Management Nurse

Dubuque, IA · On-site

Utilization Management Nurse Cottingham & Butler/ SISCO 1 Positions ID: 4627707008 Posted On 07/01 ... Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better ...

HealthCheck360

Utilization Management Assistant

Dubuque, IA · On-site

$39K - $45K/yr

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... Background in patient health support or care * 1+ years of experience within this field Full-Time ...

HealthCheck360

Utilization Management Assistant

Dubuque, IA · On-site

$39K - $45K/yr

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... Background in patient health support or care * 1+ years of experience within this field Full-Time ...

Trinity Health

Utilization Review RN

Des Moines, IA · On-site

... clarification of the change. * Documents in the Medical Record Utilization Management forms ... Reviews denial letters/faxes received in Care Coordination Department and direct to Conifer Appeal ...

HealthCheck360

Utilization Management CNA

Asbury, IA · On-site

Utilization Management Cna Dubuque, Iowa, United States Utilization Management Assistant Location ... Background in patient health support or care * 1+ years of experience within this field Full-Time ...

Access Dubuque

Utilization Management CNA

Dubuque, IA · On-site

Utilization Management CNA Cottingham & Butler/ SISCO 1 Positions ID: 4965537008 Posted On 10/24 ... Background in patient health support or care * 1+ years of experience within this field Full-Time ...

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All JobsOf Utilization Management JobsDirector Of Utilization Management JobsDirector Of Utilization Management Jobs in Iowa

Director Of Utilization Management information

See Iowa salary details

$16.9K

$49.1K

$78.9K

How much do director of utilization management jobs pay per year?

As of Aug 26, 2026, the average yearly pay for director of utilization management in Iowa is $49,144.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,600.00 and $56,400.00 per year, depending on experience, location, and employer.

What does a director of utilization management do?

A Director of Utilization Management oversees the processes that ensure patients receive appropriate, efficient, and medically necessary care within a healthcare organization. They lead teams that review patient cases, manage resource use, and implement policies to optimize healthcare quality and cost-effectiveness. This role often involves coordinating with physicians, insurance providers, and other healthcare professionals to ensure compliance with regulatory standards and best practices. Their goal is to balance patient care needs with organizational efficiency, ultimately improving patient outcomes and reducing unnecessary expenses.

What are the key skills and qualifications needed to thrive as a director of utilization management?

To thrive as a Director of Utilization Management, you typically need a strong background in healthcare administration, case management, and managed care principles, often supported by a clinical degree (RN, LCSW, or equivalent) and relevant experience. Familiarity with utilization review software, health information systems, and certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) are highly valued. Leadership, strategic decision-making, and excellent interpersonal skills help drive team performance and facilitate collaboration across departments. These competencies are vital to ensuring effective resource use, regulatory compliance, and high-quality patient outcomes.

What are some common challenges faced by a director of utilization management and how can they be addressed?

A Director of Utilization Management often navigates challenges such as balancing cost containment with quality patient care, managing interdisciplinary teams, and keeping up with changing healthcare regulations. Successfully addressing these challenges requires strong communication skills, the ability to analyze and implement evidence-based utilization protocols, and fostering a collaborative environment among clinical staff, case managers, and administrative teams. Staying engaged with ongoing education and industry best practices also helps in proactively adapting to regulatory updates and evolving patient needs.

What is the difference between Director Of Utilization Management vs Utilization Review Nurse?

AspectDirector Of Utilization ManagementUtilization Review Nurse
CredentialsTypically requires a nursing license, healthcare management experience, and sometimes a master's degreeRegistered Nurse (RN) license, often with certifications in case management or utilization review
Work EnvironmentAdministrative setting, overseeing utilization management teams and policiesClinical setting, performing patient chart reviews and assessments
Employer & IndustryHospitals, insurance companies, healthcare systemsHospitals, insurance companies, healthcare providers
Primary FocusStrategic oversight of utilization management processes and complianceClinical review of patient cases to determine medical necessity

The main difference is that the Director Of Utilization Management focuses on overseeing and managing utilization strategies at an organizational level, while the Utilization Review Nurse conducts clinical reviews to assess individual patient cases. Both roles require healthcare credentials, but their responsibilities and work environments differ significantly.

Director Of Utilization Management jobs near you
Infographic showing various Director Of Utilization Management job openings in Iowa as of August 2026, with employment types broken down into 2% As Needed, 82% Full Time, 14% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $49,144 per year, or $23.6 per hour.

Director of Case Management (Registered Nurse) - Ottumwa, IA

Ottumwa, IA

Protouch Staffing
Recruiting and Staffing Services • 51 - 200 employees
Learn more about Protouch Staffingexternal

$110K - $125K/yr

Full-time

Re-posted 24 days ago

Job description

Director of Case Management (Registered Nurse) - Ottumwa, IA

Offering relocation assistance!

Salary range: $110k - $125k

Job Duties:

• Provide leadership, education and supervision for the day to day workflow of Case Managers and Social Workers.

• Monitor Case Management Department's documentation to ensure meets regulatory compliance.

• Collaborate with Chief Financial Officer and Quality Department to develop and maintain quality improvement programs and trending of data (e.g. Avoidable Days , Readmissions) .

• Maintain skills in case management and utilization review to allow for coverage of patient caseload to cover staffing needs of all areas of hospital.

• Communicate with physicians concerning patient needs and aid with development of appropriate plan of treatment and assist with level of care and bed placement assignments .

• Directly responsible for personnel actions including hiring, performance appraisals ,employee schedules, and maintain payroll records and time reports in KRONOS.

• Facilitate daily Multidisciplinary Rounds to provide collaboration with other disciplines to provide holistic patient care.

• Participate in discharge planning. Provides necessary education and resources to meet the discharge needs of individual patients and families.

• Active participant of Utilization Review Committee and Revenue Recycle Committee.

• Promote efficient utilization of clinical resources.

• Promotes the appropriate amount of resources are used based on patient acuity.

• Assures appropriate level of understanding, awareness and compliance with all applicable Joint Commission, CMS, state and local agency laws, internal/external regulations, guidelines, policies, procedures and professional standards.

• Other duties as assigned.

Requirements:

Graduate of a program of Registered Nursing

Minimum of two years of Case Management experience in utilization management, case management, discharge planning or other cost/quality management program.

Current RN license in the state of Iowa or a multistate license allowing to work in the state of Iowa

Benefits:

All standard benefits are covered!

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About Protouch Staffing

Sourced by ZipRecruiter

Protouch Staffing, based in Plano, Texas, is a leading provider in the healthcare staffing industry. Established over 30 years ago, the company prides itself on delivering quality services in the fields of nursing, allied health, pharmaceuticals, healthcare IT, and more. Committed to building lasting relationships, Protouch Staffing continually exceeds client expectations by providing unparalleled service, superior patient care, and talented healthcare professionals.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Frisco, TX, US

Year founded

1989

View All Protouch Staffing Jobs