ZipRecruiter

Log In

1

Manager Utilization Management Jobs in Iowa (NOW HIRING)

Accenture

Clinical Management Manager

Des Moines, IA · On-site

$94K - $293K/yr

Design and implement care delivery models, workflows, and utilization management solutions * Drive measurable improvements in patient flow, capacity, LOS, and avoidable utilization * Partner with ...

Highmark Health

Senior Pharmacist - Strategy

Des Moines, IA

$56.75 - $68.25/hr

Formulary & Utilization Management Strategy & Development: May lead Highmark's evidence-based medicine drug evaluation program supporting Highmark's formulary and utilization management (UM) and/or ...

next page

Showing results 1-20

All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Iowa

Manager Utilization Management information

See Iowa salary details

$36.6K

$85.5K

$157.3K

How much do manager utilization management jobs pay per year?

As of Jun 14, 2026, the average yearly pay for manager utilization management in Iowa is $85,484.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,900.00 and $102,800.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Manager Utilization Management, and why are they important?

To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.

What is the difference between Manager Utilization Management vs Utilization Review Nurse?

AspectManager Utilization ManagementUtilization Review Nurse
CredentialsRN, often with management or utilization review certificationsRN, with certifications in utilization review or case management
Work EnvironmentSupervises teams, manages policies, oversees utilization review processesPerforms patient chart reviews, assesses medical necessity, collaborates with providers
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations
Search & Comparison IntentYesYes

While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.

What are some common challenges faced by a Manager in Utilization Management, and how can they effectively address them?

Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.

What does a Manager of Utilization Management do?

A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.
What are the most commonly searched types of Utilization Management jobs in Iowa? The most popular types of Utilization Management jobs in Iowa are:
What are popular job titles related to Manager Utilization Management jobs in Iowa? For Manager Utilization Management jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Iowa look for? The top searched job categories for Manager Utilization Management jobs in Iowa are:
What cities in Iowa are hiring for Manager Utilization Management jobs? Cities in Iowa with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you

Case Management Director (Executive) Full Time

A24Group

Ottumwa Junction, IA • On-site

$125K/yr

Full-time

Posted 11 days ago

Job description

Case Management Director (Executive)

Title: Case Management Director (RN)
Level: Executive
Location: Ottumwa, IA 52501
Employment Type: Full-time

Role Overview

The Case Management Director is responsible for the leadership and oversight of the hospital’s case management program, including utilization management, discharge planning, and care coordination. This role ensures appropriate resource utilization, supports quality and financial goals, and leads a multidisciplinary team focused on effective transitions of care.

Compensation

$ 93,272- $125,900 

Key Responsibilities

  • Lead and manage case management, utilization review, and discharge planning functions.

  • Provide day-to-day leadership, education, and supervision for case managers and social workers.

  • Ensure documentation and processes meet regulatory and accreditation standards.

  • Collaborate with finance, quality, nursing, and medical staff on length of stay, readmissions, and avoidable days.

  • Develop and monitor key performance indicators related to case management and care coordination.

  • Support development and implementation of quality improvement initiatives within the department.

  • Serve as liaison with payers, community agencies, and post-acute providers to support effective care transitions.

Must-Haves

  • Graduate of a Registered Nursing program.

  • 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 multistate RN license allowing practice in Iowa.