RN-Case Manager
Marshalltown, IA · On-site
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 ...
RN-Case Manager
Marshalltown, IA · On-site
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 ...
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 ...
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 ...
UM / Data Entry Tech
Des Moines, IA · On-site
$16.50 - $22.25/hr
Supports Utilization Management nurses with data entry. * Performs other duties as assigned. * Adheres to Select Health and KMHP policies and procedures. * Supports and carries out the Select Health ...
UM / Data Entry Tech
Des Moines, IA · On-site
$16.50 - $22.25/hr
Supports Utilization Management nurses with data entry. * Performs other duties as assigned. * Adheres to Select Health and KMHP policies and procedures. * Supports and carries out the Select Health ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Two years of experience in managed care quality assurance or utilization review. RN must have two years of experience in an acute care hospital. Position Summary: Responsible for conducting timely ...
Two years of experience in managed care quality assurance or utilization review. RN must have two years of experience in an acute care hospital. Position Summary: Responsible for conducting timely ...
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Care Connector
Des Moines, IA · On-site
The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. * The Care Connector performs in a contact center ...
Care Connector
Des Moines, IA · On-site
The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. * The Care Connector performs in a contact center ...
Associate Medical Director
$191K - $305K/yr
Care management (utilization management, case management, PA, appeals) * Healthcare programs (disease management, Moonshots) * Network support (Credentialing) * Quality model design and analysis
Associate Medical Director
$191K - $305K/yr
Care management (utilization management, case management, PA, appeals) * Healthcare programs (disease management, Moonshots) * Network support (Credentialing) * Quality model design and analysis
As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...
As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...
As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...
As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...
Field Medical Director, Radiation Oncology As a FMD, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non ...
Field Medical Director, Radiation Oncology As a FMD, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non ...
Currently seeking Rheumatologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Currently seeking Rheumatologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...
As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...
As a Field Medical Director, MSK Surgery you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
As a Field Medical Director, MSK Surgery you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
Associate Claims Representative (Remote)
IA · On-site +1
Collaborate with network providers, Nurse Case Management, Utilization Management, and specialists to guide care decisions. * Review and process medical bills with accuracy and timeliness. * Secure ...
Associate Claims Representative (Remote)
IA · On-site +1
Collaborate with network providers, Nurse Case Management, Utilization Management, and specialists to guide care decisions. * Review and process medical bills with accuracy and timeliness. * Secure ...
Strong understanding of digital banking capabilities, CRM utilization, and customer adoption strategies. * Ability to solve complex operational or client related challenges using sound judgment, data ...
Strong understanding of digital banking capabilities, CRM utilization, and customer adoption strategies. * Ability to solve complex operational or client related challenges using sound judgment, data ...
Field Reimbursement Manager (Great Plains Region)
Des Moines, IA · Remote
$130K - $170K/yr
Expert on Axsome Therapeutics patient support programs, payer utilization management, access issue resolution, and financial assistance * Collaborate effectively with Managed Markets and Sales to ...
Field Reimbursement Manager (Great Plains Region)
Des Moines, IA · Remote
$130K - $170K/yr
Expert on Axsome Therapeutics patient support programs, payer utilization management, access issue resolution, and financial assistance * Collaborate effectively with Managed Markets and Sales to ...
Manager Utilization Management information
See Iowa salary details
$36.6K - $47.6K
9% of jobs
$55.7K is the 25th percentile. Wages below this are outliers.
$47.6K - $58.6K
22% of jobs
$58.6K - $69.5K
11% of jobs
The median wage is $76.3K / yr.
$69.5K - $80.5K
14% of jobs
$80.5K - $91.5K
12% of jobs
$98.4K is the 75th percentile. Wages above this are outliers.
$91.5K - $102.5K
13% of jobs
$102.5K - $113.4K
13% of jobs
$113.4K - $124.4K
5% of jobs
$124.4K - $135.4K
2% of jobs
$135.4K - $146.4K
0% of jobs
$146.4K - $157.3K
0% of jobs
$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?
| Aspect | Manager Utilization Management | Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or utilization review certifications | RN, with certifications in utilization review or case management |
| Work Environment | Supervises teams, manages policies, oversees utilization review processes | Performs patient chart reviews, assesses medical necessity, collaborates with providers |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare organizations |
| Search & Comparison Intent | Yes | Yes |
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:
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