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Rn Utilization Management Jobs in Iowa (NOW HIRING)

Would prefer candidate to have previous education and experience as an MA/RN/LPN, Utilization Review Nurse and/or have experience in physician office preauthorization and utilization review.

Utilization Management Assistant

Dubuque, IA · On-site

$39K - $45K/yr

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... CNA, Medical Assistants, or individuals with a background in customer service who are looking to ...

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... CNA, Medical Assistants, or individuals with a background in customer service who are looking to ...

Utilization Management Assistant

Dubuque, IA · On-site

$39K - $45K/yr

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... CNA, Medical Assistants, or individuals with a background in customer service who are looking to ...

Conducts admission review per the Utilization Management Plan to ensure that the hospitalization is approved based on established criteria. Reviewing may be both concurrent or post discharge.

Conducts admission review per the Utilization Management Plan to ensure that the hospitalization is approved based on established criteria. Reviewing may be both concurrent or post discharge.

Conducts admission review per the Utilization Management Plan to ensure that the hospitalization is approved based on established criteria. Reviewing may be both concurrent or post discharge.

Utilization Management Cna Dubuque, Iowa, United States Utilization Management Assistant Location: Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient care and ...

Utilization Management CNA Cottingham & Butler/ SISCO 1 Positions ID: 4965537008 Posted On 10/24/2025 Refreshed On 07/30/2026 Job Overview Utilization Management Assistant Location : Onsite in ...

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... CNA, Medical Assistants, or individuals with a background in customer service who are looking to ...

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... CNA, Medical Assistants, or individuals with a background in customer service who are looking to ...

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... CNA, Medical Assistants, or individuals with a background in customer service who are looking to ...

Utilization Management CNA

Asbury, IA · On-site

$29K - $39K/yr

Utilization Management Assistant Davenport, Iowa, United States Utilization Management Assistant ... CNA, Medical Assistants, or individuals with a background in customer service who are looking to ...

Showing results 21-40

Rn Utilization Management information

See Iowa salary details

$36.6K

$84K

$153.1K

How much do rn utilization management jobs pay per year?

As of Aug 21, 2026, the average yearly pay for rn utilization management in Iowa is $84,048.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,600.00 and $98,200.00 per year, depending on experience, location, and employer.

What is an RN Utilization Management?

RN Utilization Management nurses are registered nurses who specialize in reviewing healthcare services to ensure patients receive appropriate and cost-effective care. They evaluate the necessity, efficiency, and quality of medical treatments and procedures, often working with insurance companies, hospitals, or healthcare organizations. Their responsibilities include reviewing patient records, coordinating with clinical staff, making coverage recommendations, and ensuring compliance with healthcare regulations. This role helps manage healthcare costs while maintaining high standards of patient care.

What skills and qualifications are needed to thrive as an RN Utilization Management?

To thrive as an RN Utilization Management Nurse, you need a current RN license, strong clinical assessment skills, and experience in care coordination or case management. Familiarity with utilization review tools, electronic health records, and knowledge of insurance guidelines or InterQual/MCG criteria are typically required. Exceptional communication, critical thinking, and negotiation skills help facilitate collaboration among providers, payers, and patients. These abilities are crucial for ensuring appropriate resource use, compliance with regulations, and optimal patient outcomes.

How does an RN Utilization Management typically collaborate with physicians and other healthcare team members?

RN Utilization Management professionals work closely with physicians, case managers, and insurance representatives to ensure patients receive appropriate, high-quality care while managing healthcare costs. They review patient records, communicate clinical findings, and may participate in interdisciplinary meetings to discuss care plans and discharge needs. Building strong relationships and maintaining open lines of communication with the care team is essential for timely authorizations and effective care coordination. This collaborative approach helps optimize patient outcomes and resource utilization.

What is the difference between Rn Utilization Management vs Rn Case Management?

AspectRn Utilization ManagementRn Case Management
CertificationsRN license, possibly certifications in utilization reviewRN license, case management certification often preferred
Work EnvironmentUtilization review departments, insurance companies, hospitalsCommunity clinics, hospitals, insurance companies
Primary FocusReviewing medical necessity and appropriateness of servicesCoordinating patient care and discharge planning

Both roles require an RN license, but Rn Utilization Management focuses on reviewing the necessity of services, while Rn Case Management emphasizes coordinating patient care. Understanding these differences helps professionals choose the right career path and employers.

How to get into utilization management as an RN?

To become an RN in utilization management, gain experience as a registered nurse, often in case management or clinical roles, and obtain knowledge of healthcare policies and insurance processes. Certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) can enhance prospects. Strong communication skills and familiarity with electronic health records (EHR) systems are also beneficial.

What are popular job titles related to Rn Utilization Management jobs in Iowa?

For Rn Utilization Management jobs in Iowa, the most frequently searched job titles are:

What job categories do people searching Rn Utilization Management jobs in Iowa look for?

The top searched job categories for Rn Utilization Management jobs in Iowa are:

Infographic showing various Rn Utilization Management job openings in Iowa as of August 2026, with employment types broken down into 11% As Needed, 67% Full Time, 11% Part Time, and 11% Nights. Highlights an 89% In-person, and 11% Hybrid job distribution, with an average salary of $84,048 per year, or $40.4 per hour.

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Job description

Utilization Tech/Nurse
M-F 1st shift, 32 biweekly hours
8-4:30
Clinical background preferred

About VGH
Virginia Gay Hospital, established in Vinton in 1923, is an independent, nonprofit critical access hospital supported by a strong local community. The organization includes a 25-bed hospital and four family medical clinics located throughout Benton County, Iowa, offering high-quality, local healthcare and opportunities for professional growth and meaningful patient relationships.

Position Summary
  • ESSENTIAL DUTIES AND RESPONSIBILITIES
•The Utilization Review Tech/Nurse is responsible for the utilization review for preadmission screenings of patients, monitoring of patient status/needs, and notification of third-party payors, precertification of outpatient procedures, medication preauthorization and auditing charts as requested. The UR Tech/Nurse is responsible for the InterQual review of charts to assist with determination of appropriate level and length of stay.
MINIMUM QUALIFICATIONS (from job description)
•Current Iowa nursing license, preferred. Graduated from a state approved nursing program if applicable. Maintains current BCLS if indicated. Would prefer candidate to have previous education and experience as an MA/RN/LPN, Utilization Review Nurse and/or have experience in physician office preauthorization and utilization review.

Compensation amp; Benefits
  • Competitive salary
  • Health, dental, vision, life insurance, supplemental insurance
  • Retirement plan with match
  • Paid time off
  • License and Continuing Education Reimbursement available.

Equal Opportunity Statement
Virginia Gay Hospital is an equal opportunity employer.