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Part Time Utilization Review Nurse Jobs in Iowa (NOW HIRING)

UnityPoint Health

RN-Psych Home Care

Cedar Rapids, IA · On-site

$1.7K - $2.4K/wk

Responsible for case coordination of patients and insurance precertification/utilization review ... Graduate of accredited nursing program * Current licensure in good standing to practice as a ...

Accura HealthCare of Newton

MDS Coordinator - RN

Newton, IA

$34.25 - $41.50/hr

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ...

Accura HealthCare of Newton

MDS Coordinator - RN

Newton, IA · On-site

$34.25 - $41.50/hr

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ...

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All JobsUtilization Review Nurse JobsPart Time Utilization Review Nurse JobsPart Time Utilization Review Nurse Jobs in Iowa

Part Time Utilization Review Nurse information

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$20

$39

$64

How much do part time utilization review nurse jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for part time utilization review nurse 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 a part time utilization review nurse?

A Part Time Utilization Review Nurse is a registered nurse who works part-time hours and is responsible for reviewing medical records to determine if healthcare services are medically necessary and appropriate. They assess the quality and efficiency of patient care, ensuring compliance with insurance policies and regulatory standards. These nurses often work for hospitals, insurance companies, or healthcare organizations, and play a key role in cost management and quality assurance. Their work helps to ensure that patients receive appropriate care while also controlling healthcare expenses.

What does a part time utilization review nurse do?

As a part-time utilization review nurse, your job is to review the medical necessity of a procedure and ensure that all services offered to a patient meet regulatory compliance requirements. Utilization review nurses often focus on reducing costs while maintaining or improving the quality of patient care. You then relay this information to other reviewers and third-party payers. Many utilization review nurses help answer questions from insurance companies, apply critical thinking and good judgment to unusual cases, ensure accurate and appropriate documentation of everything that occurs, and conduct additional research as needed for a given case. Part-time utilization review nurses usually work in areas that have lower patient volume.

What are the key skills and qualifications needed to thrive as a part time utilization review nurse, and why are they important?

To thrive as a Part Time Utilization Review Nurse, you need a valid RN license, in-depth clinical knowledge, and experience in care management or case review. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance/Medicare guidelines are typically required. Strong analytical thinking, attention to detail, and effective communication skills help set exceptional candidates apart. These skills ensure accurate case evaluations, compliance with regulations, and effective collaboration with healthcare teams and payers.

What are some common challenges faced by part time utilization review nurses, and how can they effectively manage their workload?

Part-time Utilization Review Nurses often face the challenge of balancing a high volume of case reviews within limited working hours, which can create time management pressures. Additionally, they may need to stay updated with frequently changing insurance policies and clinical guidelines. Effective communication and collaboration with full-time colleagues and healthcare providers are crucial for seamless transitions and accurate reviews. Utilizing efficient documentation practices and prioritizing urgent cases can help part-time nurses stay organized and maintain quality outcomes.

What is the difference between Part Time Utilization Review Nurse vs Part Time Case Manager?

AspectPart Time Utilization Review NursePart Time Case Manager
CredentialsRN license, certifications in utilization review or case managementRN license, case management certification often preferred
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, insurance companies, community health agencies
Primary FocusReview medical necessity and appropriateness of careCoordinate patient care and discharge planning
Common UsageUsed in insurance and healthcare settings for review rolesUsed for patient advocacy and care coordination roles

While both roles require nursing credentials and work within healthcare settings, the Part Time Utilization Review Nurse primarily focuses on assessing the necessity of medical treatments, whereas the Part Time Case Manager emphasizes coordinating patient care and discharge planning. Understanding these differences helps in choosing the right career path or job opportunity.

More about Part Time Utilization Review Nurse jobs

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

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

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For Part Time Utilization Review Nurse jobs in Iowa, the most frequently searched job titles are:

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The top searched job categories for Part Time Utilization Review Nurse jobs in Iowa are:

What cities in Iowa are hiring for Part Time Utilization Review Nurse jobs?

Cities in Iowa with the most Part Time Utilization Review Nurse job openings:

Part Time Utilization Review Nurse jobs near you
Infographic showing various Part Time Utilization Review Nurse job openings in Iowa as of August 2026, with employment types broken down into 2% As Needed, 81% Full Time, 14% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $82,605 per year, or $39.7 per hour.

Case Manager RN Weekend Days

Trinity Health

Des Moines, IA • On-site

Part-time

Posted 26 days ago

Trinity Health rating

6.6

Company rating: 6.6 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

569th of 893 rated healthcare providers

Job description

Employment Type:
Part timeShift:
Weekend Shift
Description:
RN Case Manager (Onsite)
Shift:
Weekends: Saturday and Sunday 7AM - 7:30 PM
General Summary:
Responsible for the review of inpatient and outpatient admission records for appropriate admission status at Mercy Medical Center and Mercy West Lakes. Works in collaboration with the attending physician and the Case Management staff utilizing admission criteria guidelines-and second level physician review process when appropriate. Interacts with insurance providers to obtain authorization and continued stay approval for admission. Collaborates with the Verification department, Revenue cycle and Medical Eligibility to facilitate the establishment of the correct payer source for patient stay and the documentation of the interactions in the STAR admitting system
Key Responsibilities
  • Perform admission, concurrent, and post-discharge utilization reviews in accordance with the Utilization Management Plan and regulatory requirements.
  • Apply Milliman Care Guidelines and payer-specific criteria to determine appropriate patient status.
  • Collaborate with attending physicians to clarify admission status and initiate second-level physician reviews as needed.
  • Communicate status changes promptly to Case Management, Admitting, and other relevant departments.
  • Provide patient/family education and issue Notices of Status Change when required.
  • Accurately document utilization review activities, status determinations, authorizations, denials, and communications in the medical record and STAR system.
  • Submit timely clinical information to payers to prevent technical denials and support authorization and continued stay.
  • Review and route denial notifications for appeal consideration; collaborate with post-denials, RAC, and appeal teams.
  • Monitor insurance coverage and communicate updates to verification and financial teams.
  • Participate in peer-to-peer reviews and advocate for appropriate admission status and continued stay.
Qualifications
  • Current Iowa RN license.
  • Minimum of five (5) years of clinical nursing experience.
  • BSN or healthcare-related degree preferred.
  • Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care.
  • Strong clinical judgment, communication, and independent decision-making skills.
  • Utilization Review certification within 12 months of hire preferred.
  • Completion of Mandatory Reporter abuse training within three (3) months of hire.
Work Environment & Physical Requirements
  • Primarily office-based with computer, phone, and documentation tasks.
  • Light physical activity with occasional lifting; use of assistive devices and additional personnel as required.
  • Visual acuity sufficient to review medical records and electronic systems.
  • Ability to work collaboratively in a fast-paced, high-stress healthcare environment while maintaining professionalism and courtesy.

Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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