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Insurance Nurse Reviewer Jobs in Iowa (NOW HIRING)

UnityPoint Health

Insurance Verifier

Fort Dodge, IA · On-site

* Area of Interest: LPN * FTE/Hours per pay period: 1.0 * Department: Administration - Fort Dodge ... Review clinical documentation to ensure completeness and compliance with payer requirements.

Virginia Gay Hospital

Utilization Tech

Vinton, IA

... Review Nurse and/or have experience in physician office preauthorization and utilization review. Compensation amp; Benefits * Competitive salary * Health, dental, vision, life insurance, supplemental ...

GovernmentJobs.com

Registered Nurse (RN)

Asbury, IA · On-site

Job Duties Reviews prior shift records, reviews treatment and medication instructions. Supervises ... Medical Insurance with 24/7 access to: * Health Advocacy * Nurse Support * Care Navigation * Doctor ...

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All JobsInsurance Nurse Reviewer JobsInsurance Nurse Reviewer Jobs in Iowa

Insurance Nurse Reviewer information

See Iowa salary details

$26

$34

$40

How much do insurance nurse reviewer jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for insurance nurse reviewer in Iowa is $34.79, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $38.85 per hour, depending on experience, location, and employer.

What is an insurance nurse reviewer?

An Insurance Nurse Reviewer is a licensed nurse who evaluates medical claims to ensure they meet policy guidelines and medical necessity. They review patient records, treatment plans, and healthcare provider documentation to determine coverage eligibility. Their role helps insurance companies manage costs while ensuring patients receive appropriate care. Strong clinical knowledge and attention to detail are essential for assessing claims accurately.

What does an insurance nurse reviewer do?

On a typical day, an Insurance Nurse Reviewer spends much of their time reviewing patient medical records, evaluating insurance claims for medical necessity, and documenting their findings in detail. The role often involves collaborating with physicians, case managers, and adjusters to clarify information or seek additional insights when necessary. You may also participate in team meetings to discuss complex cases, ensure adherence to regulatory standards, and stay current with evolving policies. The work is largely independent but requires strong communication skills and a systematic approach to managing multiple cases effectively.

What are the key skills and qualifications needed to thrive as an insurance nurse reviewer?

To thrive as an Insurance Nurse Reviewer, you need a current nursing license, clinical experience, and a strong understanding of medical terminology and claims review processes. Familiarity with utilization review software, health insurance claims systems, and URAC or CM certification is often required. Attention to detail, critical thinking, and effective written and verbal communication skills help you excel in this position. These qualifications and abilities are vital for accurately evaluating medical records, ensuring compliance, and making informed decisions regarding healthcare coverage.

What are popular job titles related to Insurance Nurse Reviewer jobs in Iowa?

For Insurance Nurse Reviewer jobs in Iowa, the most frequently searched job titles are:

What job categories do people searching Insurance Nurse Reviewer jobs in Iowa look for?

The top searched job categories for Insurance Nurse Reviewer jobs in Iowa are:

Insurance Nurse Reviewer jobs near you
Infographic showing various Insurance Nurse Reviewer job openings in Iowa as of August 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% In-person job distribution, with an average salary of $72,355 per year, or $34.8 per hour.

Insurance Verifier

UnityPoint Health

Fort Dodge, IA • On-site

Other

Medical, Dental, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

UnityPoint Health rating

7.3

Company rating: 7.3 out of 10

Based on 364 frontline employees who took The Breakroom Quiz

301st of 898 rated healthcare providers

Job description

  • Area of Interest: LPN

  • FTE/Hours per pay period: 1.0

  • Department: Administration - Fort Dodge

  • Shift: 8a-4:30 M-F

  • Job ID: 185469

Overview

LPN or CMA - Medication Prior Authorization Specialist

Full-time postion with benefits (40 hours per week)

Daytime hours

The Medication Prior Authorization Specialist (Clinical) is responsible for obtaining timely prior authorizations for medications to ensure uninterrupted patient care. This role supports physicians, providers, and clinical team members in Fort Dodge by navigating insurance requirements and improving patient access to necessary medications.

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.   Here are just a few:    

  • Expect paid time off, parental leave, 401K matching and an employee recognition program .

  • Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

  • Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family .

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.  

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

  • Coordinate and process prior authorization requests for prescription medications and injections.

  • Review clinical documentation to ensure completeness and compliance with payer requirements.

  • Track and follow up on pending authorizations, ensuring timely approvals or appeals.

  • Assist with appeals and denials, including gathering supporting documentation.

  • Document all authorization activities within the Electronic Medical Record.

  • Educate other team members in the clinic on payer-specific requirements and changes in authorization policies.

  • Maintain up to date knowledge of insurance plans, formularies, and coverage criteria.

  • Monitor and report on authorization trends and denials to support process improvement initiatives.

  • Collaborate with clinical teams to ensure timely submission of accurate and complete prior authorization requests, minimizing delays in care.

  • Conduct work as an extension of the clinical care team in support of excellent experience.

Qualifications

    • Valid and current licensure/certification in the state of Iowa as one of the following:

  • Licensed Practical Nurse (LPN) – Iowa Board of Nursing

  • Certified Medical Assistant (CMA) – accredited program with certification (AAMA, NCCT, AMT, NHA, NCMA, NAHP, AAH, ARMA or NHCA)

  • Prior experience in a clinical or outpatient setting preferred

  • Familiarity with EPIC a plus!

What UnityPoint Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About UnityPoint Health

Sourced by ZipRecruiter

At UnityPoint Health, we provide care in nine regions throughout Illinois, Iowa, and Wisconsin. As the nation's fourth largest nondenominational health system in America, UnityPoint Health keeps people at the center of all we do. We are looking for dynamic and talented individuals to join our team. You'll find opportunities for every sized dream.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

West Des Moines, IA, US

Year founded

1995

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