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Medical Director Utilization Management Jobs in Iowa

Center Medical Director Company: Oak Street Health Location: 2217 Rockingham Rd, Davenport, IA ... Provider Management * Help coordinate and lead the onboarding of new providers at the center.

Center Medical Director

Davenport, IA · On-site

$265K - $275K/yr

Center Medical Director Company: Oak Street Health Location: 2217 Rockingham Rd, Davenport, IA ... Provider Management * Help coordinate and lead the onboarding of new providers at the center.

Showing results 21-40

Medical Director Utilization Management information

See Iowa salary details

$12.2K

$218.3K

$335.3K

How much do medical director utilization management jobs pay per year?

As of Sep 3, 2026, the average yearly pay for medical director utilization management in Iowa is $218,256.00, according to ZipRecruiter salary data. Most workers in this role earn between $186,000.00 and $267,200.00 per year, depending on experience, location, and employer.

What is a medical director utilization management?

A Medical Director of Utilization Management is a physician who oversees and ensures the appropriate use of medical resources within a healthcare organization or insurance company. Their responsibilities include reviewing clinical cases, developing utilization review policies, and working with healthcare providers to ensure that treatment plans are medically necessary and cost-effective. They play a key role in balancing patient care quality with regulatory and financial considerations, helping to improve healthcare outcomes and system efficiency.

What are the key skills and qualifications needed to thrive as a medical director utilization management?

To thrive as a Medical Director Utilization Management, you need a medical degree (MD or DO), board certification, and extensive clinical experience, often in internal medicine or a related specialty. Familiarity with utilization review processes, case management software, and regulatory frameworks such as CMS guidelines is essential. Strong leadership, analytical thinking, and effective communication skills are crucial for guiding teams and collaborating with diverse stakeholders. These competencies ensure appropriate resource utilization, regulatory compliance, and high-quality patient care within healthcare organizations.

How does a medical director utilization management typically collaborate with clinical teams and insurance providers?

A Medical Director in Utilization Management frequently works at the intersection of healthcare providers, clinical teams, and insurance companies. Their role involves reviewing clinical cases, making coverage determinations, and consulting with physicians to ensure that medical treatments are both necessary and cost-effective. Collaboration often includes participating in interdisciplinary meetings, providing guidance on complex cases, and communicating policy updates or clinical guidelines. This ensures that patient care decisions align with best practices, regulatory requirements, and payer policies.

What is the difference between Medical Director Utilization Management vs Medical Director Case Management?

AspectMedical Director Utilization ManagementMedical Director Case Management
CredentialsMedical degree, medical license, possibly board certificationMedical degree, medical license, possibly board certification
Work EnvironmentUtilization review departments, insurance companies, healthcare organizationsCase management teams, hospitals, healthcare providers
Employer & IndustryInsurance companies, managed care organizationsHospitals, healthcare systems, community health agencies
Primary FocusReviewing medical necessity and approving servicesCoordinating patient care and discharge planning

Both roles require medical credentials and involve improving patient care, but Medical Director Utilization Management primarily focuses on reviewing and approving healthcare services for insurance purposes, while Medical Director Case Management emphasizes coordinating ongoing patient care and discharge planning within healthcare settings.

What are popular job titles related to Medical Director Utilization Management jobs in Iowa?

For Medical Director Utilization Management jobs in Iowa, the most frequently searched job titles are:

What job categories do people searching Medical Director Utilization Management jobs in Iowa look for?

The top searched job categories for Medical Director Utilization Management jobs in Iowa are:

What cities in Iowa are hiring for Medical Director Utilization Management jobs?

Cities in Iowa with the most Medical Director Utilization Management job openings:

Infographic showing various Medical Director Utilization Management job openings in Iowa as of August 2026, with employment types broken down into 100% Full Time. Highlights an 73% In-person, and 27% Remote job distribution, with an average salary of $218,256 per year, or $104.9 per hour.

Director of Case Management (RN) - Hospital | $93K-$126K + Relocation

W3Global Inc.

Ottumwa, IA • On-site

$93K - $125K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago


Job description

Director of Case Management (RN) - Hospital

Ottumwa, IA | Onsite | Full-Time

$93,272 - $125,900 + Relocation

Hiring a Director of Case Management (RN) to lead its inpatient case management program. This is an onsite leadership role overseeing Case Managers and Social Workers.

This position is ideal for an RN leader with strong experience in case management, utilization review, discharge planning, and patient flow.

What You'll Do

• Lead and supervise daily workflow for Case Managers and Social Workers

• Ensure department documentation meets compliance and regulatory standards

• Collaborate with Finance and Quality teams to track outcomes (avoidable days, readmissions, etc.)

• Support multidisciplinary rounds and care coordination

• Work closely with physicians on:

o Level of care

o Bed placement

o Treatment planning

• Manage hiring, scheduling, performance reviews, and payroll/timekeeping (Kronos)

• Participate in Utilization Review and Revenue Cycle committees

• Support discharge planning and continuity of care

Required Qualifications

• Graduate of an accredited Registered Nursing program

• 2+ years of Case Management experience in:

o Utilization Management

o Case Management

o Discharge Planning

o Cost/Quality programs

• Active RN license in Iowa OR a multistate license eligible to work in Iowa

Preferred

• BSN preferred

• 2-3 years leadership/management experience preferred

• Hospital-based nursing background strongly preferred

Benefits

• Medical, Dental, Vision

• Life Insurance

• Retirement plan

• Paid Time Off (PTO)


W3Global logo

About W3Global

Sourced by ZipRecruiter

W3Global has been delivering staffing solutions for nearly two decades; we know which recruiting strategies work best. Our expert team is committed to developing a customized solution to fit your company’s unique needs. As a W3Global client, you’ll also receive personalized assistance from a seasoned team of staffing specialists. We are committed to providing both technical support and industry expertise to simplify the hiring process. We know that your time matters. W3Global will help you streamline the hiring process, getting it done and getting it right.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Frisco, TX, US

Year founded

2006