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Insurance Utilization Review Jobs in Iowa (NOW HIRING)

... insurance offering, a physician network and various related services located all over the U.S ... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred.

... insurance offering, a physician network and various related services located all over the U.S ... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred.

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Bilingual RN Case Manager

Dubuque, IA · On-site

$20.25 - $25.75/hr

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Bilingual RN Case Manager

Dubuque, IA

$20.25 - $25.75/hr

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Bilingual RN Case Manager

Dubuque, IA · On-site

$20.25 - $25.75/hr

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Bilingual RN Case Manager

Des Moines, IA · On-site

$21 - $26.50/hr

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Bilingual RN Case Manager

Des Moines, IA · On-site

$21 - $26.50/hr

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Bilingual RN Case Manager

Dubuque, IA · On-site

$20.25 - $25.75/hr

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

... insurance offering, a physician network and various related services located all over the U.S ... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred.

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Notify and inform Utilization Review staff of authorization information to insure timely concurrent review * Validates or update insurance codes and priority for billing accuracy. * Works with ...

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Bilingual RN Case Manager

Asbury, IA · On-site

$20.25 - $25.75/hr

Provide telephonic case management and utilization review for assigned consumers. * Develop ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Showing results 41-60

Insurance Utilization Review information

See Iowa salary details

$20

$39

$64

How much do insurance utilization review jobs pay per hour?

As of Sep 10, 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 is an insurance utilization review?

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 the key skills and qualifications needed to thrive in insurance utilization review?

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 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.

How do I get into an insurance utilization review?

To become an insurance utilization review specialist, candidates typically need a background in healthcare, nursing, or a related field, along with knowledge of insurance policies and medical terminology. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or similar credentials can enhance job prospects. Relevant skills include attention to detail, analytical thinking, and familiarity with medical records and insurance software systems.

Is insurance utilization review a stressful job?

Insurance utilization review can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Reviewers often handle complex cases and must balance policy guidelines with patient needs, which can contribute to job pressure. However, the level of stress varies depending on workload, work environment, and individual coping skills.

What are the most commonly searched types of Insurance Utilization Review jobs in Iowa?

The most popular types of Insurance Utilization Review jobs in Iowa are:

Infographic showing various Insurance Utilization Review job openings in Iowa as of September 2026, with employment types broken down into 85% Full Time, and 15% Part Time. Highlights an 100% In-person job distribution, with an average salary of $82,605 per year, or $39.7 per hour.

UR Coordinator

Clive, IA • On-site

UHS
Health Care and Social Assistance • 10K+ employees

Full-time

Re-posted 27 days ago


Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 255 frontline employees who took The Breakroom Quiz


Job description

Responsibilities
Clive Behavioral Health is a 100-inpatient bed stand-alone mental health hospital. We provide compassionate inpatient and outpatient care for individuals of all ages who struggle with a behavioral health disorder or co-occurring disorders. Our care providers work closely with patients and their loved ones to help achieve their personal treatment goals. We provide a secure, healing environment for all our patients, staff and visitors. We also offer intensive outpatient programming (IOP) for adolescents aged 13 to 17 and a substance use disorder intensive outpatient program for adults called First Step Recovery. Our goal with all of our programs is to help people reach their highest quality of life.
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
Qualifications
UR Coordinator
The UR Coordinator is responsible for collaborating with healthcare providers, clinical staff, and patient's to promote quality care outcomes, and the effective use of resources. Additional duties include accurately interpreting treatment plans and medical records in accordance with current standards of care along with accurately interpreting participating Managed Care Organizations (MCOs) certification requirements.
The UR Coordinator is responsible for managing the treatment activities offered to the patient, including the appropriate clinical screening of admissions, establishment of treatment plans, interface with the treatment team/external case managers/managed care organizations and implementation and supervision of the discharge planning.
This position is on-site with full-time working hours Monday - Friday.
Qualifications
Education: Bachelor's degree from an accredited college or university is required - in Nursing is preferred.
Experience: A minimum of three to five years direct clinical experience in a psychiatric or mental health setting. Experience in patient assessment, treatment planning, CMS quality improvement guidelines, in particular experience working with Medicare/Medicaid and communication with external review organizations or comparable entities.
Licensure: R.N is required - with BSN highly preferred. Any additional certification related to case management, mental health, and/or quality improvement highly regarded.
Additional Requirements: Complete knowledge of crisis intervention techniques.
What do our current nurses value at UHS?
An environment that puts patient care first. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for leadership development as a Registered Nurse (RN) with UHS. Supportive and responsive leadership. Competitive salary and comprehensive benefits package.
This opportunity provides the following benefits:
  • UHS is Challenging and rewarding work environment
  • Growth and development opportunities within UHS and its subsidiaries
  • Competitive Compensation
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449 .
UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.
UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US