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Remote Utilization Review Rn Jobs in Iowa (NOW HIRING)

A-Line Staffing Solutions

Appeals Nurse LPN

Des Moines, IA · Remote

$25.25 - $33.75/hr

... fully remote team focused on reviewing and processing Iowa Medicaid Member Appeals. Due to ... Active LPN (RN preferred) Experience: Minimum 2 years of nursing experience Utilization Management ...

Corvel

Telephonic Case Manager I

West Des Moines, IA · Remote

$62.31K - $93.12K/yr

Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Strong cost containment background, such as utilization review or managed care helpful

Corvel

Telephonic Case Manager I

West Des Moines, IA · Remote

$62.31K - $93.12K/yr

Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Strong cost containment background, such as utilization review or managed care helpful

CorVel

Telephonic Case Manager I

West Des Moines, IA · Remote

$62.31K - $93.12K/yr

... Current RN Licensure in state of operation 3 or more years of recent clinical experience ... utilization review or managed care helpful Certification as a CIRS or CCM preferred Pay Range ...

DataAnnotation

Clinical Reviewer

Nevada, IA · Remote

$50 - $60/hr

... Registered Nurses Therapists Physical Therapists Occupational Therapists Speech-Language ... part-time REMOTE position Choose which projects you want to work on Work on your own schedule ...

Varsity Tutors

NCLEX-RN Tutor

Ames, IA · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Iowa City, IA · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

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How much do remote utilization review rn jobs pay per hour?

As of May 31, 2026, the average hourly pay for remote utilization review rn 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 are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What are some common challenges Remote Utilization Review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.

What is a Remote Utilization Review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are popular job titles related to Remote Utilization Review Rn jobs in Iowa? For Remote Utilization Review Rn jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Iowa look for? The top searched job categories for Remote Utilization Review Rn jobs in Iowa are:
What cities in Iowa are hiring for Remote Utilization Review Rn jobs? Cities in Iowa with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Appeals Nurse LPN

Appeals Nurse LPN

A-Line Staffing Solutions

Des Moines, IA • Remote

$25.25 - $33.75/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Job Title: Appeals Nurse (Job Code: 210989) Request ID: 176519-1 Location: Remote (Preferred: Iowa | Open nationally) Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST (No OT) Start Date: May 18, 2026 (Flexible) Duration: 10 months (Potential to extend or convert) Openings: 2 Position Summary We are seeking experienced Appeals Nurses to support a high-performing, fully remote team focused on reviewing and processing Iowa Medicaid Member Appeals. Due to increased case volume, this role is critical to ensuring timely and compliant resolution of appeals within required regulatory timeframes. Key Responsibilities Manage member appeals from intake through final resolution Conduct clinical reviews of cases and supporting documentation Perform outreach to members and providers as needed Collaborate with physicians and specialty reviewers Prepare and issue determination letters Ensure all appeals are completed within required timelines: 30 calendar days for standard cases 3 business days for acknowledgment of receipt Maintain accurate documentation and case tracking in internal systems Required Qualifications Education: Associate's Degree License: Active LPN (RN preferred) Experience: Minimum 2 years of nursing experience Utilization Management (UM) experience is a plus Top Required Skills Strong customer service skills Excellent time management and prioritization Computer proficiency and ability to learn new systems quickly Ideal Candidate Profile Thrives in a fast-paced, high-volume environment Strong organizational and multitasking abilities Adaptable to changing priorities and workloads Detail-oriented with strong accountability Key Responsibilities Manage member appeals from intake through final resolution Conduct clinical reviews of cases and supporting documentation Perform outreach to members and providers as needed Collaborate with physicians and specialty reviewers Prepare and issue determination letters Ensure all appeals are completed within required timelines: 30 calendar days for standard cases 3 business days for acknowledgment of receipt Maintain accurate documentation and case tracking in internal systems

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About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

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