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Pt Utilization Review Jobs in Iowa (NOW HIRING)

MDS Coordinator - RN - Full-Time

Onawa, IA · On-site

$34 - $41/hr

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.

Physical Therapist (PT) Location: Westgate Gardens Care Center - Visalia, CA Status: Full-Time / ... Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ...

Physical Therapist - PRN

Centerville, IA · On-site

$1.3K - $1.7K/wk

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ... Supervisory Requirements Supervises PT assistants, aides and students. Qualification Education and ...

Physical Therapist

Washington, IA · On-site

$1.4K - $1.9K/wk

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ... Supervisory Requirements Supervises PT assistants, aides and students. Qualification Education and ...

MDS Coordinator - RN

Knoxville, IA · On-site

$38 - $42/hr

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.

MDS Coordinator - LPN

Knoxville, IA · On-site

$32 - $36/hr

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... These benefits are available to full-time employees. 401k is available to FT and PT employees.

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 ... These benefits are available to full-time employees. 401k is available to FT and PT employees.

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Pt Utilization Review information

What is a PT Utilization Review?

Pt Utilization Review jobs involve reviewing patient medical records and treatment plans to ensure that the care provided is medically necessary, appropriate, and in line with insurance policies or regulatory guidelines. Professionals in these roles, often physical therapists or nurses, assess whether ongoing physical therapy services are justified and help facilitate communication between healthcare providers and insurance companies. Their goal is to promote quality patient care while managing healthcare costs and ensuring compliance with regulations.

What are the key skills and qualifications needed to thrive as a PT Utilization Review specialist?

To thrive as a PT Utilization Review Specialist, you need a background in physical therapy (often requiring a DPT degree and state licensure) and strong analytical skills to assess medical necessity and treatment appropriateness. Familiarity with electronic medical records (EMRs), utilization management software, and knowledge of insurance guidelines are typically required. Exceptional communication, critical thinking, and attention to detail help facilitate collaboration with providers and ensure accurate case reviews. These skills are crucial for ensuring patients receive appropriate, evidence-based care while maintaining compliance with regulatory and payer requirements.

What are the typical challenges faced by PT Utilization Review professionals, and how can they be managed?

Physical Therapy Utilization Review professionals often encounter challenges such as balancing clinical judgment with payer guidelines, managing high caseloads, and communicating effectively with both therapists and insurance representatives. Navigating differing opinions about medical necessity and ensuring timely reviews are also common hurdles. Building strong organizational skills, staying updated on insurance policies, and fostering collaborative relationships with clinical teams can help manage these challenges and ensure optimal patient care.

What is the difference between Pt Utilization Review vs Physical Therapist?

AspectPt Utilization ReviewPhysical Therapist
CredentialsTypically requires licensure, certification in utilization review or case managementRequires a Doctor of Physical Therapy (DPT) degree and state licensure
Work EnvironmentHealthcare facilities, insurance companies, case management settingsHospitals, outpatient clinics, rehab centers
Job FocusReviewing medical necessity, approving or denying treatments, ensuring complianceAssessing and treating patients' physical conditions, developing rehab plans

While both roles operate within healthcare, Pt Utilization Review focuses on evaluating treatment necessity and insurance compliance, whereas Physical Therapists provide direct patient care and rehabilitation services.

What cities in Iowa are hiring for Pt Utilization Review jobs?

Cities in Iowa with the most Pt Utilization Review job openings:

Infographic showing various Pt Utilization Review job openings in Iowa as of August 2026, with employment types broken down into 20% Full Time, and 80% Part Time. Highlights an 100% In-person job distribution.

MDS Coordinator - RN - Full-Time

Accura HealthCare

Onawa, IA • On-site

$34 - $41/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


Accura HealthCare rating

5.2

Company rating: 5.2 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

205th of 245 rated social care providers


Job description

Job Summary

The MDS (Minimum Data Set) Coordinator is required to be knowledgeable of applicable laws and/or licensing regulations for healthcare facilities. This includes compiling information, preparing statistical reports and data from health records, and personalized assessments for use in the evaluation of quality of care and utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with physicians, nurses, and other health personnel to ensure complete, current, and accurate medical records.

Qualifications
  • Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ability to obtain state-specific license.
  • MDS experience required.
  • Strong attention to details and deadlines.
  • Analytical skills required.
  • Must be capable of performing the Essential Functions of this job, with or without reasonable accommodation.
Benefits
  • Vacation time, Sick time & Paid Holidays*
  • Medical, Dental, & Vision Benefits*
  • Flexible Spending Account*
  • Employer Paid Life & AD&D*
  • Supplemental Benefits*
  • Employee Assistance Program
  • 401(k) with company match
  • Education Assistance available through education partners

*These benefits are available to full-time employees. 401k is available to FT and PT employees. Minnesota and Nebraska employees are eligible for Sick time regardless of status.

Accura HealthCare, an Equal Opportunity Employer and leading post-acute healthcare provider based in Iowa, has communities in Iowa, Minnesota, South Dakota, and Nebraska, and growing!


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