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Remote Utilization Review Rn Jobs in Des Moines, IA

Varsity Tutors

NCLEX Tutor

Ames, IA · Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

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 ...

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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.

Account Executive - ITC (Remote Iowa)

Aureon

West Des Moines, IA • On-site, Remote

Full-time

Re-posted 11 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

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Client Relationship Management:
  • Build and maintain strong, long-lasting relationships with both new and existing clients.
  • Serve as the primary point of contact for client inquiries, concerns, and support needs.
  • Proactively understand client needs, objectives, and challenges to provide tailored solutions.
  • Ensure high client satisfaction and retention through ongoing communication and support.

Sales and Business Development:
  • Identify and pursue new business opportunities through prospecting, networking, cold calling, and email outreach.
  • Execute strategic sales plans to achieve and exceed monthly, quarterly, and annual revenue targets.
  • Conduct thorough needs assessments and present compelling product/service demonstrations and proposals to prospective clients.
  • Negotiate contracts, terms, and pricing to close deals effectively and ethically.
  • Identify opportunities for upselling and cross-selling within existing accounts.

Collaboration and Reporting:
  • Collaborate effectively with internal teams (e.g., marketing, product, client experience, implementation, etc.) to ensure seamless client onboarding and satisfaction.
  • Maintain accurate and up-to-date records of all client interactions, sales activities, and forecasts in the CRM system (e.g., Salesforce, HubSpot).
  • Prepare and deliver regular reports on sales performance, market trends, and client feedback to management.
  • Stay informed about industry trends, market developments, and competitor activities to inform sales strategies.

EDUCATION, TRAINING, AND EXPERIENCE:
  • Bachelor's degree in Business, Marketing, or a related field (or equivalent practical experience).
  • Proven experience (2+ years) in sales, account management, or business development in the telecommunications and managed services industries.
  • Demonstrated ability to meet and exceed sales quotas consistently.

REQUIRED SKILLS:
  • Excellent interpersonal skills to establish and maintain effective relationships with customers, employees, superiors, and business contacts in a professional, timely and courteous manner.
  • Strategic thinking and the ability to accurately estimate the stage and close dates for business/sales opportunities.
  • Effective written and oral communication skills.
  • Ability to perform a variety of tasks, often changing assignments on short notice
  • Ability to make sound decisions using the information at hand
  • Strong trouble resolution and problem-solving skills
  • Confident when presenting technical information to clients and key stakeholders.
  • Deadline-driven with the ability to multi-task and manage change within a fast-paced environment.
  • Knowledgeable of sales level complex services and promotions.
  • Expert in network building, negotiation, and issue resolution skills.
  • Analytical thinker with the ability to manage and foster change.
  • Coachable with an entrepreneurial spirit and an aptitude to learn the product suite.
  • History of working well under pressure within a dynamic, fast-paced environment.
  • Experience selling various verticals.
  • Able to work independently and remotely to identify and cultivate market opportunities.

TOOLS, EQUIPMENT, AND SOFTWARE:
  • Demonstrated knowledge of personal computer applications Microsoft Windows and Microsoft Office, including Microsoft Outlook.
  • Demonstrated commitment to and discipline for the use of whichever CRM solution or other tools are defined as mission critical to the work.
  • Must have and maintain a valid Driver's license

WORKING CONDITIONS AND PHYSICAL REQUIREMENTS:
  • Mix of indoor work in an office environment and work at and going between prospect locations.
  • Frequent utilization of manual dexterity, computer screen(s), teleconferencing technologies and similar tools.
  • Frequent travel by vehicle with minimal overnight

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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