RN-Case Manager
Marshalltown, IA · On-site
Assess post-discharge needs and coordinate appropriate referrals, services, and insurance authorizations * Perform utilization management and level-of-care reviews to support medical necessity and ...
RN-Case Manager
Marshalltown, IA · On-site
Assess post-discharge needs and coordinate appropriate referrals, services, and insurance authorizations * Perform utilization management and level-of-care reviews to support medical necessity and ...
RN Care Manager
Waterloo, IA · On-site
We even offer pet insurance for your four-legged family members. * Early access to earned wages ... Maintains knowledge of utilization management criteria and communicates with Utilization Review ...
RN Care Manager
Waterloo, IA · On-site
We even offer pet insurance for your four-legged family members. * Early access to earned wages ... Maintains knowledge of utilization management criteria and communicates with Utilization Review ...
We even offer pet insurance for your four-legged family members. * Early access to earned wages ... Maintains knowledge of utilization management criteria and communicates with Utilization Review ...
We even offer pet insurance for your four-legged family members. * Early access to earned wages ... Maintains knowledge of utilization management criteria and communicates with Utilization Review ...
Patient Care Coordinator RN - Care Coordination - Part-Time (.6 FTE/WEO)
$17.25 - $22.50/hr
... Utilization Review process. * Applies InterQual criteria for continued stay review to effectively manage length of stay and communicate effectively with commercial insurance reviewers. * Provides ...
Patient Care Coordinator RN - Care Coordination - Part-Time (.6 FTE/WEO)
$17.25 - $22.50/hr
... Utilization Review process. * Applies InterQual criteria for continued stay review to effectively manage length of stay and communicate effectively with commercial insurance reviewers. * Provides ...
Medical Review Nurse
Clive, IA · Remote
$80K - $90K/yr
... utilization/practice guidelines, clinical review judgment and when appropriate, monitor for ... Insurance for Medical, Dental, Vision and Life Available * 401(k) including Employer Match * HSA ...
Quick apply
Medical Review Nurse
Clive, IA · Remote
$80K - $90K/yr
... utilization/practice guidelines, clinical review judgment and when appropriate, monitor for ... Insurance for Medical, Dental, Vision and Life Available * 401(k) including Employer Match * HSA ...
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... insurance benefits) to qualifying employees. All compensation determinations are based on the ...
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... insurance benefits) to qualifying employees. All compensation determinations are based on the ...
Case Manager-RN
Mason City, IA · On-site
... . 2)Utilization Review& Denial Prevention Support * Extracts meaningful data from the medical ... Prior experience interacting with insurance companies, payers, or care partners-or a strong ...
Case Manager-RN
Mason City, IA · On-site
... . 2)Utilization Review& Denial Prevention Support * Extracts meaningful data from the medical ... Prior experience interacting with insurance companies, payers, or care partners-or a strong ...
Case Manager-RN
Mason City, IA · On-site
... . 2)Utilization Review& Denial Prevention Support * Extracts meaningful data from the medical ... Prior experience interacting with insurance companies, payers, or care partners-or a strong ...
Case Manager-RN
Mason City, IA · On-site
... . 2)Utilization Review& Denial Prevention Support * Extracts meaningful data from the medical ... Prior experience interacting with insurance companies, payers, or care partners-or a strong ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning ... Reviews insurance verification forms to minimize risk. * Facilitates multi-disciplinary team ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning ... Reviews insurance verification forms to minimize risk. * Facilitates multi-disciplinary team ...
Competitive compensation packages Medical, dental, vision, and company-paid life insurance 401(k) ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Competitive compensation packages Medical, dental, vision, and company-paid life insurance 401(k) ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Armstrong, IA · On-site
Competitive compensation packages Medical, dental, vision, and company-paid life insurance 401(k) ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Armstrong, IA · On-site
Competitive compensation packages Medical, dental, vision, and company-paid life insurance 401(k) ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Cedar Falls, IA · On-site
Competitive compensation packages Medical, dental, vision, and company-paid life insurance 401(k) ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Cedar Falls, IA · On-site
Competitive compensation packages Medical, dental, vision, and company-paid life insurance 401(k) ... utilization review, quality assurance, resident care conferences, admissions, department head ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning ... Reviews insurance verification forms to minimize risk. * Facilitates multi-disciplinary team ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning ... Reviews insurance verification forms to minimize risk. * Facilitates multi-disciplinary team ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning ... Reviews insurance verification forms to minimize risk. * Facilitates multi-disciplinary team ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning ... Reviews insurance verification forms to minimize risk. * Facilitates multi-disciplinary team ...
Therapy Coordinator
$36 - $47/hr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
$36 - $47/hr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
$30 - $40/hr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
$30 - $40/hr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Sac City, IA · On-site
$34 - $40/hr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Sac City, IA · On-site
$34 - $40/hr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Denison, IA · On-site
$34 - $40/hr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Denison, IA · On-site
$34 - $40/hr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
$34 - $40/hr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
$34 - $40/hr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
$35 - $40/hr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
$35 - $40/hr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Insurance Utilization Review information
See Iowa salary details
$20.09 - $24.16
2% of jobs
$24.16 - $28.22
9% of jobs
$31 is the 25th percentile. Wages below this are outliers.
$28.22 - $32.29
21% of jobs
The median wage is $35.58 / hr.
$32.29 - $36.35
23% of jobs
$36.35 - $40.42
13% of jobs
$43.58 is the 75th percentile. Wages above this are outliers.
$40.42 - $44.48
10% of jobs
$44.48 - $48.54
8% of jobs
$48.54 - $52.61
5% of jobs
$52.61 - $56.67
5% of jobs
$56.67 - $60.74
2% of jobs
$60.74 - $64.80
2% of jobs
$20
$39
$64
How much do insurance utilization review jobs pay per hour?
As of Jun 14, 2026, the average hourly pay for insurance utilization review in Iowa is $39.71, according to ZipRecruiter salary data. Most workers in this role earn between $31.39 and $45.62 per hour, depending on experience, location, and employer.
What are the most common challenges faced by Insurance Utilization Review professionals?
One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.
What are the key skills and qualifications needed to thrive in the Insurance Utilization Review position, and why are they important?
To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.
What is an Insurance Utilization Review job?
An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.
What are popular job titles related to Insurance Utilization Review jobs in Iowa? For Insurance Utilization Review jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Review jobs in Iowa look for? The top searched job categories for Insurance Utilization Review jobs in Iowa are:
- Remote Optum Utilization Review
- Aetna Utilization Review Nurse
- Commission Authorization Utilization Review Bcba
- Remote Utilization Review
- Work From Home Utilization Review
- Remote Anthem Utilization Review Nurse
- Utilization Review Salary
- Utilization Case Manager
- Utilization Review
- Remote Aetna Utilization Review
Part-time
Medical, Dental, Retirement, PTO
Posted 21 days ago
UnityPoint Health rating
7.3
Based on 354 frontline employees who took The Breakroom Quiz
294th of 872 rated healthcare providers
Job description
Overview
RN Case Manager
Marshalltown Hospital
Shift: Part-Time | 28 Hours per Week | 8:00 AM-4:30 PM
Includes occasional weekend coverage and approximately 1-2 holidays per year.
As an RN Case Manager, you will play an integral role in coordinating high-quality, cost-effective patient care across the continuum of care. You'll collaborate closely with providers, nursing staff, social services, patients, and families to support safe discharge planning, appropriate utilization of resources, and positive patient outcomes.
This role focuses on care coordination, utilization review, and interdisciplinary collaboration to ensure patients receive the appropriate level of care while helping reduce avoidable admissions and barriers to discharge. Through evidence-based practices and a patient-centered approach, you'll help guide patients and families throughout their healthcare journey.
#HotJobsMT
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:
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
Qualifications
Education:
Experience:
License(s)/Certification(s):
RN Case Manager
Marshalltown Hospital
Shift: Part-Time | 28 Hours per Week | 8:00 AM-4:30 PM
Includes occasional weekend coverage and approximately 1-2 holidays per year.
As an RN Case Manager, you will play an integral role in coordinating high-quality, cost-effective patient care across the continuum of care. You'll collaborate closely with providers, nursing staff, social services, patients, and families to support safe discharge planning, appropriate utilization of resources, and positive patient outcomes.
This role focuses on care coordination, utilization review, and interdisciplinary collaboration to ensure patients receive the appropriate level of care while helping reduce avoidable admissions and barriers to discharge. Through evidence-based practices and a patient-centered approach, you'll help guide patients and families throughout their healthcare journey.
#HotJobsMT
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 individualized plans of care and discharge planning for assigned patients
- Collaborate with providers, nursing staff, social services, patients, and families to support safe, efficient transitions of care
- Facilitate communication regarding care plans, discharge needs, expected length of stay, and patient progress
- Assess post-discharge needs and coordinate appropriate referrals, services, and insurance authorizations
- Perform utilization management and level-of-care reviews to support medical necessity and regulatory compliance
- Utilize evidence-based practices and care coordination strategies to promote positive patient outcomes
- Provide patient and family education, support, and guidance throughout the care journey
- Maintain accurate and timely documentation within the electronic medical record
- Partner with the interdisciplinary healthcare team to deliver high-quality, patient-centered care
- Support efficient care progression while helping reduce avoidable admissions and barriers to discharge
Qualifications
Education:
- Completion of an accredited nursing program
- Baccalaureate degree in nursing preferred
Experience:
- Two years of registered nurse experience.
- Three years' experience in a clinical setting preferred with recognized knowledge and expertise in caring for specific patient populations.
License(s)/Certification(s):
- Current Iowa nursing licensure.
- Valid driver's license when driving any vehicle for work-related reasons, preferred
What UnityPoint Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
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