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Rn Utilization Management Jobs in Iowa (NOW HIRING)

HealthCheck360

Utilization Management CNA

Dubuque, IA · On-site

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 ...

Trinity Health

Case Manager RN

Des Moines, IA · On-site

Description: RN Case Manager (Onsite) Shift: Monday-Friday (8 hours) No Weekends General Summary ... the Utilization Management Plan and regulatory requirements. * Apply Milliman Care Guidelines and ...

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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 20, 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:

Rn Utilization Management jobs near you
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.

Utilization Management CNA

HealthCheck360

Dubuque, IA • On-site

Full-time

Re-posted 1 hour ago

Job description

Utilization Management Assistant

Location: Onsite in Dubuque, IA. Also accepting remote applicants.

Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off, this is the role for you!

The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You will be responsible for reviewing medical records, coordinating with healthcare providers, and ensuring that patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements.

Preferred Skills

  • Communication - Strong interpersonal skills to be able to connect with patients, doctors, internal team members, and providers
  • Customer Service - Friendly demeanor and understanding to be able to relay sensitive information to members
  • Detail Oriented - Accuracy and attention to detail when reviewing pre-certifications and plans

Qualifications:

  • CNA, LPN, or Medical Assistant preferred
  • Background in patient health support or care
  • 1+ years of experience within this field

Full-Time Benefits - Most benefits start day 1

  • Medical, Dental, Vision Insurance
  • Flex Spending or HSA
  • 401(k) with company match
  • Profit-Sharing/Defined Contribution (1-year waiting period)
  • PTO/Paid Holidays
  • Company-paid ST and LT Disability
  • Maternity Leave/Parental Leave
  • Subsidized Parking
  • Company-paid Term Life/Accidental Death Insurance

About HealthCheck360

HealthCheck 360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs.