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Part Time Utilization Review Jobs in Iowa (NOW HIRING)

Pacs

Part Time SLP

Waterloo, IA

Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings as needed. * Provides in-services on training programs for other staff in the facility as needed.

Reliant Rehabilitation

Therapy Coordinator

Waukon, IA · On-site

$34 - $42/hr

Full Time - $5,000 Sign on Bonus Part Time and PRN available Why Join Reliant Rehabilitation ... utilization review, quality assurance, resident care conferences, admissions, department head ...

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

Part Time Utilization Review information

What is a part time utilization review?

A Part Time Utilization Review job involves evaluating healthcare services provided to patients in order to ensure they are medically necessary and cost-effective. Professionals in this role review patient records, treatment plans, and insurance information to make recommendations about the appropriateness of care. Working part-time, they may collaborate with healthcare providers, insurance companies, and patients to optimize healthcare outcomes while managing costs. This position is often found in hospitals, insurance companies, or healthcare management organizations, and typically requires a background in nursing or healthcare administration.

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

To thrive as a Part Time Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management systems, InterQual or MCG guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, attention to detail, and effective communication help in collaborating with healthcare providers and payers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes in a part-time capacity.

What are some common challenges faced in a part time utilization review role and how can I effectively manage them?

Part-time utilization review professionals often face challenges such as managing fluctuating caseloads within limited hours and staying up-to-date with rapidly changing healthcare regulations. Balancing efficiency and thoroughness is crucial, especially when reviewing complex cases or communicating with providers on tight timelines. Effective time management, strong organizational skills, and clear communication with your team are key to overcoming these challenges. Many employers provide flexible schedules and supportive technology platforms, which can help streamline your workflow and maintain high-quality reviews.

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

AspectPart Time Utilization ReviewPart Time Case Management
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials)Often requires social work, nursing, or healthcare certifications, with some overlap
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsHospitals, insurance companies, or community health agencies
Employer & Industry UsageUsed mainly in insurance and healthcare to evaluate medical necessityUsed in healthcare to coordinate patient care and services

Part Time Utilization Review focuses on assessing the medical necessity of services, while Part Time Case Management involves coordinating patient care and services. Both roles require healthcare credentials and are common in insurance and healthcare settings, but they serve different functions within patient care and resource management.

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

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

What are popular job titles related to Part Time Utilization Review jobs in Iowa?

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

What job categories do people searching Part Time Utilization Review jobs in Iowa look for?

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

Part Time Utilization Review jobs near you
Infographic showing various Part Time Utilization Review 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.

Case Manager RN Weekend Days

Trinity Health

Des Moines, IA • On-site

Part-time

Re-posted 7 days ago

Trinity Health rating

6.6

Company rating: 6.6 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

572nd of 898 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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Benefits

Hours and flexibility

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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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