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Remote Utilization Review Rn Jobs in Des Moines, IA

Dwolla

Business Intelligence Developer

Des Moines, IA · On-site +1

$110K - $116K/yr

The position duties include the utilization of SQL programming and ETL to analyze data; promote ... Remote work from any location in the US is an option for this position. Minimum requirements are a ...

Dwolla

Business Intelligence Developer

Des Moines, IA · On-site +1

$110K - $116K/yr

The position duties include the utilization of SQL programming and ETL to analyze data; promote ... Remote work from any location in the US is an option for this position. Minimum requirements are a ...

Varsity Tutors

NCLEX-PN Tutor

Ames, IA · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

Olsson

Project Civil Engineer - Site Design

Des Moines, IA · On-site +1

$83K - $110K/yr

The project engineer is a registered professional engineer, whose supervision and guidance relate ... The project engineer supervises, coordinates, and reviews work of engineers or technicians and ...

micro1 AI

Pharmacovigilance Expert

Des Moines, IA · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Clinical Pharmacy Technicians

Des Moines, IA · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Des Moines, IA

Remote Utilization Review Rn information

See Des Moines, IA salary details

$20

$41

$67

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

As of Aug 8, 2026, the average hourly pay for remote utilization review rn in Des Moines, IA is $41.26, according to ZipRecruiter salary data. Most workers in this role earn between $32.60 and $47.40 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote utilization review RN?

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 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 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 are popular job titles related to Remote Utilization Review Rn jobs in Des Moines, IA? For Remote Utilization Review Rn jobs in Des Moines, IA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Des Moines, IA look for? The top searched job categories for Remote Utilization Review Rn jobs in Des Moines, IA are:
What cities near Des Moines, IA are hiring for Remote Utilization Review Rn jobs? Cities near Des Moines, IA with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Des Moines, IA as of August 2026, with employment types broken down into 86% Full Time, 7% Part Time, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $85,829 per year, or $41.3 per hour.

Bilingual (Spanish) Customer Service Representative (Remote - Iowa)

Aureon

West Des Moines, IA • On-site, Remote

$14.25 - $18/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Aureon rating

3.4

Company rating: 3.4 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

223rd of 223 rated it services

Job description

Job Responsibilities:
  • Telephone Support - perform telephone support as scheduled. Ensure that customer questions are answered completely in a professional, caring and responsive manner, commitments to perform research and follow-up are completed, open issues are resolved and each contact -- including information and resolution achieved -- is logged in the appropriate ticketing system.
  • E-mail & Chat Support - perform as scheduled. Answer and complete all assigned messages or contacts; ensure that all customer questions and issues are addressed in the reply. Properly enter customer information and resolution in the appropriate ticketing system.
  • Skill improvement - continually strive to improve the cognitive and customer service skills necessary to perform the job. This includes proficiency with supported products, demonstrated problem solving ability and excellent verbal and written communication skills. Ability to read, review and understand support resources provided by the contact center and its clients. Attend all training classes and complete any exercises assigned.
  • Communication - provide feedback on support issues, resolutions or suggestions to immediate supervisor or department manager. Communicate trends, issues and appropriate solutions to supervisors and management.
  • Support coworkers - provide procedural advice and assistance to other representatives.
  • Help maintain and ensure positive working relationships with support clients.
  • Provide all support functions within the guidelines of the contact center and client policies and procedures.
  • Maintain departmental productivity standards while exhibiting accuracy in applicable ticketing system.

What can Aureon offer you?
  • Opportunities for professional growth, development, and advancement within the organization
  • 100% remote working employment model
  • Comprehensive training on hardware and software applications for qualified applicants
  • Knowledge and experience relating to basic computer applications
  • Competitive compensation and full benefits package for full-time employees
  • Health, Dental, Vision, and Life Insurance Plans, 401K, and PTO

Required Education:
  • High school or equivalent

Required Skills:
  • Excellent written and oral Spanish communication skills, including strong listening skills
  • Excellent interpersonal skills to establish and maintain effective relationships with customers, employees, superiors and business contacts in a professional and courteous manner
  • Intermediate to advanced computer skills with emphasis on Internet knowledge
  • Aptitude for providing superior customer care
  • Must exhibit dependability, adaptability and flexibility
  • Basic math skills
  • Creative thinking and reasoning ability

WORKING CONDITIONS AND PHYSICAL REQUIREMENTS:
  • Primarily indoor work primarily in office environment
  • Frequent utilization of manual dexterity and visualizing of computer screen
  • No unusual physical requirements

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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