West Des Moines, IA · Remote
$90K - $110K/yr
We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote ... Review PDPM classifications, clinical documentation, diagnosis coding, and reimbursement accuracy
Quick apply
West Des Moines, IA · Remote
$90K - $110K/yr
We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote ... Review PDPM classifications, clinical documentation, diagnosis coding, and reimbursement accuracy
Des Moines, IA · Remote
$21 - $26.50/hr
Medical
Dental
Vision
Life
Retirement
PTO
Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...
Des Moines, IA · Remote
$21 - $26.50/hr
Medical
Dental
Vision
Life
Retirement
PTO
Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...
Des Moines, IA · Remote
$21 - $26.50/hr
Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...
Quick apply
Des Moines, IA · Remote
$21 - $26.50/hr
Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...
West Des Moines, IA · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Ability to read, review and understand support resources provided by the contact center and its ... Shift differential pay applied to evening and weekend shifts * Comprehensive training on hardware ...
West Des Moines, IA · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Ability to read, review and understand support resources provided by the contact center and its ... Shift differential pay applied to evening and weekend shifts * Comprehensive training on hardware ...
Des Moines, IA · Remote
$55K - $67K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... Weekends encouraged * Will consider alternative availability on individual basis * Work authorized ...
Quick apply
Des Moines, IA · Remote
$55K - $67K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... Weekends encouraged * Will consider alternative availability on individual basis * Work authorized ...
West Des Moines, IA · On-site +1
$14.25 - $18/hr
Medical
Dental
Vision
Life
Retirement
PTO
Ability to read, review and understand support resources provided by the contact center and its ... Frequent utilization of manual dexterity and visualizing of computer screen * No unusual physical ...
West Des Moines, IA · On-site +1
$14.25 - $18/hr
Medical
Dental
Vision
Life
Retirement
PTO
Ability to read, review and understand support resources provided by the contact center and its ... Frequent utilization of manual dexterity and visualizing of computer screen * No unusual physical ...
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 ...
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 ...
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 ...
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 ...
West Des Moines, IA · Remote
$15.75 - $24/hr
Medical
Dental
Vision
Life
Retirement
PTO
Schedule flexibility, including nights, weekends, and holidays, is required. Paid! Training: Start ... Review the Career Site FAQ's for relevant information and guidelines. Current Nordstrom employees:
West Des Moines, IA · Remote
$15.75 - $24/hr
Medical
Dental
Vision
Life
Retirement
PTO
Schedule flexibility, including nights, weekends, and holidays, is required. Paid! Training: Start ... Review the Career Site FAQ's for relevant information and guidelines. Current Nordstrom employees:
Des Moines, IA · On-site +1
$90K - $100K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Standard business hours- no nights or weekends! Opportunities for compressed work week! Option to ... For further information, please review the Know Your Rights notice from the Department of Labor.
Des Moines, IA · On-site +1
$90K - $100K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Standard business hours- no nights or weekends! Opportunities for compressed work week! Option to ... For further information, please review the Know Your Rights notice from the Department of Labor.
West Des Moines, IA · On-site +1
Frequent utilization of manual dexterity and visualizing of computer screen * No unusual physical ... For further information, please review the Know Your Rights notice from the Department of Labor.
West Des Moines, IA · On-site +1
Frequent utilization of manual dexterity and visualizing of computer screen * No unusual physical ... For further information, please review the Know Your Rights notice from the Department of Labor.
Frequent utilization of manual dexterity, computer screen(s), teleconferencing technologies and ... For further information, please review the Know Your Rights notice from the Department of Labor.
Frequent utilization of manual dexterity, computer screen(s), teleconferencing technologies and ... For further information, please review the Know Your Rights notice from the Department of Labor.
West Des Moines, IA · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Reviews, prioritizes, and aligns customer needs and Splunk portfolio strategy to drive significant ... utilization. * Partners with other account executive resources to provide insights to Rev Ops ...
West Des Moines, IA · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Reviews, prioritizes, and aligns customer needs and Splunk portfolio strategy to drive significant ... utilization. * Partners with other account executive resources to provide insights to Rev Ops ...
Altoona, IA · Remote
$101K - $126K/yr
Medical
Dental
Vision
Retirement
PTO
Remote (US) Exemption Status : Salary, Exempt Shift: Monday - Friday, a minimum of 20% call shifts ... weekends, holidays, and peak times. * Leads case reviews and organizes meetings with Medical ...
Quick apply
Altoona, IA · Remote
$101K - $126K/yr
Medical
Dental
Vision
Retirement
PTO
Remote (US) Exemption Status : Salary, Exempt Shift: Monday - Friday, a minimum of 20% call shifts ... weekends, holidays, and peak times. * Leads case reviews and organizes meetings with Medical ...
Des Moines, IA · On-site +1
$86K/yr
Medical
Dental
Vision
Retirement
PTO
Participate in ongoing coaching, call reviews, and training to continuously improve performance ... Schedule includes some evenings, weekends, and holidays Compensation: * Hourly Base Salary: $51,500 ...
Des Moines, IA · On-site +1
$86K/yr
Medical
Dental
Vision
Retirement
PTO
Participate in ongoing coaching, call reviews, and training to continuously improve performance ... Schedule includes some evenings, weekends, and holidays Compensation: * Hourly Base Salary: $51,500 ...
Ames, IA · Remote
$17.75 - $23.25/hr
Medical
Dental
Vision
Life
Retirement
While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred
Ames, IA · Remote
$17.75 - $23.25/hr
Medical
Dental
Vision
Life
Retirement
While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred
Johnston, IA · On-site +1
$150K/yr
Medical
Dental
Vision
Retirement
PTO
This is a remote position, but if you're near one of our local offices, you're welcome to come ... Annual review with raise option * 22 days Paid Time Off accrued annually, and 4 holidays * After 3 ...
Johnston, IA · On-site +1
$150K/yr
Medical
Dental
Vision
Retirement
PTO
This is a remote position, but if you're near one of our local offices, you're welcome to come ... Annual review with raise option * 22 days Paid Time Off accrued annually, and 4 holidays * After 3 ...
Des Moines, IA · Remote
$66K - $77K/yr
Medical
Dental
Vision
Retirement
... or remote post-sale product training on digital intraoral imaging products to customers in a ... Responsible for review and follow-up on completed surveys within their territory, to ensure ...
Des Moines, IA · Remote
$66K - $77K/yr
Medical
Dental
Vision
Retirement
... or remote post-sale product training on digital intraoral imaging products to customers in a ... Responsible for review and follow-up on completed surveys within their territory, to ensure ...
Iowa, IA · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
As a remote-friendly company, Imagine Learning offers flexible work arrangements across the U.S ... reviews involving many stakeholders. The ideal candidate will be comfortable working with many ...
Quick apply
Iowa, IA · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
As a remote-friendly company, Imagine Learning offers flexible work arrangements across the U.S ... reviews involving many stakeholders. The ideal candidate will be comfortable working with many ...
Johnston, IA · On-site +1
$150K/yr
Medical
Dental
Vision
Retirement
PTO
This is a remote position, but if you're near one of our local offices, you're welcome to come ... Annual review with raise option * 22 days Paid Time Off accrued annually, and 4 holidays * After 3 ...
Johnston, IA · On-site +1
$150K/yr
Medical
Dental
Vision
Retirement
PTO
This is a remote position, but if you're near one of our local offices, you're welcome to come ... Annual review with raise option * 22 days Paid Time Off accrued annually, and 4 holidays * After 3 ...
$20.88 - $25.10
2% of jobs
$25.10 - $29.32
9% of jobs
$32.21 is the 25th percentile. Wages below this are outliers.
$29.32 - $33.55
21% of jobs
The median wage is $36.97 / hr.
$33.55 - $37.77
23% of jobs
$37.77 - $41.99
13% of jobs
$45.28 is the 75th percentile. Wages above this are outliers.
$41.99 - $46.22
10% of jobs
$46.22 - $50.44
8% of jobs
$50.44 - $54.66
5% of jobs
$54.66 - $58.88
5% of jobs
$58.88 - $63.11
2% of jobs
$63.11 - $67.33
2% of jobs
$20
$41
$67
| Aspect | Remote Weekend Utilization Review | Remote Weekday Utilization Review |
|---|---|---|
| Credentials | Typically requires a healthcare professional license and utilization review certification | Same as weekend role, healthcare license and utilization review certification |
| Work Environment | Remote, weekend hours, often part-time or flexible | Remote, weekday hours, standard business hours |
| Employer & Industry | Health insurance companies, third-party administrators | Same as weekend role, health insurance industry |
| Work Schedule | Primarily weekends, possibly evenings | Weekdays, regular business hours |
Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.
The most popular types of Weekend Utilization Review jobs in Des Moines, IA are:
For Remote Weekend Utilization Review jobs in Des Moines, IA, the most frequently searched job titles are:
The top searched job categories for Remote Weekend Utilization Review jobs in Des Moines, IA are:
Cities near Des Moines, IA with the most Remote Weekend Utilization Review job openings:
$90K - $110K/yr
Full-time
Re-posted 17 days ago
Are you ready to make a change?
We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote reimbursement, MDS, PDPM, Case Mix Index, and RAI support to our long-term care and skilled nursing facilities.
This position will provide regional oversight to ensure accurate MDS completion, proper PDPM classification, optimized reimbursement, accurate case mix, regulatory compliance, and strong interdisciplinary team processes. Quarterly travel to assigned facilities will be required for on-site audits, training, clinical reimbursement review, and team support.
This role is ideal for a highly organized MDS professional with strong knowledge of PDPM, RAI guidelines, CMI, care planning, Medicare documentation, and long-term care reimbursement systems.
Key Responsibilities
Provide regional oversight for MDS, PDPM, CMI, and RAI processes
Monitor timely and accurate MDS completion across assigned facilities
Review PDPM classifications, clinical documentation, diagnosis coding, and reimbursement accuracy
Support Case Mix Index improvement through accurate assessment and documentation
Audit MDS assessments for accuracy, compliance, and missed reimbursement opportunities
Review Medicare Part A documentation and skilled coverage support
Assist with Triple Check and Medicare meetings
Support facility MDS Coordinators, DONs, Administrators, and interdisciplinary teams
Review care plans for accuracy and alignment with MDS assessments
Monitor ARD schedules, assessment calendars, significant change assessments, and discharge assessments
Provide education and coaching to facility MDS and clinical teams
Assist with RAI Manual interpretation and regulatory compliance
Identify trends, risks, late assessments, coding errors, and reimbursement concerns
Participate in monthly or quarterly reimbursement reviews with regional leadership
Travel quarterly to assigned facilities for audits, training, and operational support
Qualifications
Active RN license required
Long-term care/skilled nursing experience required
MDS experience required
Strong knowledge of PDPM, RAI, CMI, Medicare, and Medicaid case mix processes
Experience with multi-facility MDS oversight preferred
RAC-CT certification preferred
Experience with Triple Check, Medicare meetings, care planning, and reimbursement audits preferred
Strong understanding of RAI Manual requirements
Ability to work independently from home
Strong communication, organization, auditing, and follow-through skills
Ability to travel quarterly to assigned facilities
Experience with PCC or similar electronic health record system preferred
Compensation & Benefits
Competitive salary or hourly rate
Primarily remote/work-from-home position
Quarterly travel reimbursement
Mileage reimbursement
Lodging and meal reimbursement when overnight travel is required
Licensure or certification reimbursement as approved
Opportunity to support multiple facilities and directly impact reimbursement accuracy, compliance, and clinical outcomes
