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Utilization Coordinator Jobs in Iowa (NOW HIRING)

Trinity Health

Utilization Review RN

Des Moines, IA · On-site

Reviews denial letters/faxes received in Care Coordination Department and direct to Conifer Appeal ... Specialty certification in Utilization Review within 12 months of hire preferred. Colleagues ...

Trinityhealth

Utilization Review RN

Des Moines, IA · On-site

Reviews denial letters/faxes received in Care Coordination Department and direct to Conifer Appeal ... Specialty certification in Utilization Review within 12 months of hire preferred. Colleagues ...

Trinityhealth

Utilization Review RN

Des Moines, IA · On-site

Reviews denial letters/faxes received in Care Coordination Department and direct to Conifer Appeal ... Specialty certification in Utilization Review within 12 months of hire preferred. Colleagues ...

HealthCheck360

Utilization Management Assistant

Dubuque, IA · On-site

$39K - $45K/yr

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... You will be responsible for reviewing medical records, coordinating with healthcare providers, and ...

HealthCheck360

Utilization Management Assistant

Dubuque, IA

$39K - $45K/yr

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... You will be responsible for reviewing medical records, coordinating with healthcare providers, and ...

HealthCheck360

Utilization Management Assistant

Dubuque, IA · On-site

$39K - $45K/yr

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... You will be responsible for reviewing medical records, coordinating with healthcare providers, and ...

HealthCheck360

Utilization Management CNA

Asbury, IA · On-site

Utilization Management Cna Dubuque, Iowa, United States Utilization Management Assistant Location ... You will be responsible for reviewing medical records, coordinating with healthcare providers, and ...

Access Dubuque

Utilization Management CNA

Dubuque, IA · On-site

Utilization Management CNA Cottingham & Butler/ SISCO 1 Positions ID: 4965537008 Posted On 10/24 ... You will be responsible for reviewing medical records, coordinating with healthcare providers, and ...

HealthCheck360

Utilization Management CNA

Dubuque, IA

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... You will be responsible for reviewing medical records, coordinating with healthcare providers, and ...

HealthCheck360

Utilization Management CNA

Dubuque, IA · On-site

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... You will be responsible for reviewing medical records, coordinating with healthcare providers, and ...

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All JobsUtilization JobsUtilization Coordinator JobsUtilization Coordinator Jobs in Iowa

Utilization Coordinator information

See Iowa salary details

$14

$25

$53

How much do utilization coordinator jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for utilization coordinator in Iowa is $25.94, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $29.38 per hour, depending on experience, location, and employer.

How does a utilization coordinator typically interact with clinical and administrative teams in a healthcare setting?

A Utilization Coordinator regularly collaborates with both clinical teams, such as physicians and nurses, and administrative staff to ensure that patient care services are medically necessary and efficiently delivered. They review medical records, coordinate pre-authorizations, and communicate with insurance providers to support appropriate resource use. Effective communication and teamwork are essential, as Utilization Coordinators often serve as a liaison between departments, helping to resolve discrepancies and streamline processes for optimal patient outcomes.

What are the key skills and qualifications needed to thrive as a utilization coordinator, and why are they important?

To thrive as a Utilization Coordinator, you need a background in healthcare or social services, strong analytical skills, and familiarity with medical terminology, often supported by a relevant degree or certification. Proficiency in case management software, electronic health records (EHRs), and knowledge of insurance policies and regulatory requirements is typically required. Excellent communication, organizational, and problem-solving abilities help you effectively coordinate care and advocate for patient needs. These skills ensure efficient resource utilization, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What is the difference between Utilization Coordinator vs Utilization Review Specialist?

AspectUtilization CoordinatorUtilization Review Specialist
CredentialsTypically requires healthcare-related certifications or licenses, such as a Registered Nurse (RN) or healthcare administration backgroundOften requires similar healthcare credentials, including RN, licensed practical nurse (LPN), or medical reviewer certifications
Work EnvironmentWorks in hospitals, clinics, or insurance companies, coordinating patient services and resource allocationWorks mainly in insurance companies or healthcare facilities, reviewing medical necessity and treatment plans
Employer & Industry UsageCommonly employed by healthcare providers and insurance companies to optimize resource usePrimarily employed by insurance companies and third-party payers for case reviews

While both roles involve healthcare coordination and require similar credentials, the Utilization Coordinator focuses on managing patient services and resource allocation, whereas the Utilization Review Specialist primarily reviews medical necessity and treatment plans for approval or denial.

What degree do I need for utilization review?

Utilization coordinators typically need at least a bachelor's degree in healthcare administration, nursing, or a related field. Relevant certifications, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Strong knowledge of medical terminology, insurance processes, and data management tools is also important.

What is a utilization coordinator?

Utilization Coordinators are healthcare professionals responsible for reviewing and monitoring the use of medical services to ensure patients receive appropriate care efficiently and cost-effectively. They assess treatment plans, review medical records, and help coordinate care among providers to ensure compliance with insurance and regulatory guidelines. Utilization Coordinators also work with clinical staff to determine the medical necessity of procedures and help optimize patient outcomes while managing healthcare costs.
What are the most commonly searched types of Utilization jobs in Iowa? The most popular types of Utilization jobs in Iowa are:
What cities in Iowa are hiring for Utilization Coordinator jobs? Cities in Iowa with the most Utilization Coordinator job openings:
Utilization Coordinator jobs near you
Infographic showing various Utilization Coordinator job openings in Iowa as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $53,959 per year, or $25.9 per hour.

Senior Review Coordinator - Utilization Management (RN)

Telligen

West Des Moines, IA • On-site

Full-time

Posted 12 days ago

Telligen rating

7.9

Company rating: 7.9 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

35th of 72 rated business consultants

Job description

This position will be responsible for conducting utilization review/medical management for all services including training/mentoring other team members and performing preliminary research on requested topics. In addition, the incumbent may provide technical assistance, medical record review and support to provider staff and physician reviewers.
 
What you'll do:
  • Perform prospective, concurrent or retrospective utilization review/medical management for all services including appropriateness of quality of care based on contract, state, or URAC requirements.
  • Screen individual situations according to specific criteria to determine if care is appropriate.
  • Refer cases that fail to meet screening criteria to peer reviewer.
  • Coordinate and participate in peer-to-peer review as warranted. With prior management approval, may deviate from criteria with proper justification to authorize the service.
  • Serve as liaison between peer reviewer, provider, facility and/or subscriber.
  • Coordinate and participates in appeal process as directed by management.
  • Train or serve as a mentor to team members and physician reviewers to ensure reviews and appeals are conducted thoroughly and within specified time frames.
  • Performs preliminary research on topics such as experimental or cosmetic services, coverage determinations, coding or standards of care.
  • Documents review and special project results in workflow documentation system, ensuring data is accurate and timely.
  • Assists in compliance reporting.
  • Performs miscellaneous duties as assigned.
Required Skills and Experience
  • Current RN license that is recognized in the relevant jurisdiction(s)or other certification directly relevant to the type of review performed; Ability to obtain required license(s) in state(s) by timeframe set by business not to exceed 6 months
  • Current RN license must be unrestricted and if there is a restriction that is allowed by a relevant jurisdiction, according to the Medical Director, it is of the type that does not affect the health professional’s ability to fulfill the roles and responsibilities of a reviewer
  • Four-year degree in health care or two- or three-year degree in nursing or related field and/or equivalent training and/or experience
  • 3 – 5 years recent experience working in a clinical environment
  • 5% local and/or overnight travel
 
 
Preferred Skills and Experience
  • Knowledge of URAC standards 
  • Oncology experience highly preferred
Who We Are:
 
Telligen is one of the most respected population health management organizations in the country. We offer clinical, analytical, and technical expertise to support local, Tribal, and national partners, state and federal government programs, and employers and health plans.
 
Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
 
Our business is our people and we’re seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health.
 
Are you Ready?
 
We’re on a mission to transform lives and economies by improving health.
 
Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.
Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.
Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.
Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence.
  
Thank you for your interest in Telligen!
Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed.
 
While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
 
Telligen is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, protected veteran status, disability or any other protected class.
 
Telligen is committed to ensuring that our employment process is open to all individuals, and provides reasonable accommodations to individuals who need assistance during any part of the employment process due to a disability, medical condition, or physical or mental impairment. Reasonable accommodations are considered on a case-by-base basis.
 
If you need assistance to navigate Telligen’s careers website or to apply for a position, please send an email to careers@telligen.com

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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