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Utilization Management Coordinator Jobs in Iowa (NOW HIRING)

UnityPoint Health

Care Coord

Sioux City, IA · On-site

Case Management- SLRMC * Shift: varies 3-12 hours shifts with every other weekend * Job ID: 185827 ... Promotes effective and efficient utilization of ED and community resources. Assists patients with ...

Elevance Health

LTSS Service Coordinator-Western Iowa

Adel, IA · On-site

$20 - $25.25/hr

LTSS Service Coordinator-Western Iowa LTSS Service Coordinator The candidate must reside in one of ... Submits utilization/authorization requests to utilization management with documentation supporting ...

Elevance Health

LTSS Service Coordinator-Western Iowa

Adel, IA · On-site

$20 - $25.25/hr

LTSS Service Coordinator-Western Iowa LTSS Service Coordinator The candidate must reside in one of ... Submits utilization/authorization requests to utilization management with documentation supporting ...

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Utilization Management Coordinator information

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$14

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$43

How much do utilization management coordinator jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for utilization management coordinator in Iowa is $27.81, according to ZipRecruiter salary data. Most workers in this role earn between $20.10 and $32.50 per hour, depending on experience, location, and employer.

What does a utilization management coordinator do?

A Utilization Management Coordinator is responsible for reviewing and assessing healthcare services to ensure that patients receive appropriate care while managing costs for healthcare providers or insurance companies. They evaluate medical records, coordinate with healthcare professionals, and help determine if certain treatments or procedures are medically necessary according to established guidelines. Their goal is to optimize the use of healthcare resources, prevent unnecessary treatments, and support quality patient outcomes.

What are the key skills and qualifications needed to thrive as a utilization management coordinator?

To thrive as a Utilization Management Coordinator, you need a background in healthcare or nursing, knowledge of medical terminology, and experience in case management or utilization review, often supported by a relevant degree or certification (such as RN or LPN). Familiarity with utilization management software, electronic health records (EHRs), and insurance authorization platforms is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this role. These capabilities ensure accurate review of medical cases, compliance with regulations, and efficient coordination between providers, payers, and patients.

How does a utilization management coordinator typically collaborate with clinical staff and insurance providers?

A Utilization Management Coordinator serves as a vital link between healthcare providers, clinical staff, and insurance companies. They regularly communicate with physicians and nurses to gather clinical information, review treatment plans, and ensure that proposed services meet medical necessity criteria. Coordinators also interact with insurance providers to obtain pre-authorizations, clarify coverage policies, and appeal denied claims when appropriate. Effective collaboration and strong communication skills are essential, as the role requires balancing the needs of patients, providers, and payers while ensuring timely and cost-effective care.

What degree do you need for utilization management coordinator?

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

What are the most commonly searched types of Utilization Management jobs in Iowa?

The most popular types of Utilization Management jobs in Iowa are:

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

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

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

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

What cities in Iowa are hiring for Utilization Management Coordinator jobs?

Cities in Iowa with the most Utilization Management Coordinator job openings:

Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in Iowa as of August 2026, with employment types broken down into 2% As Needed, 82% Full Time, 14% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $57,844 per year, or $27.8 per hour.

RN Care Coordinator - Acute Care (Full Time)

UnityPoint Health

Cedar Rapids, IA • On-site

Full-time

Medical, Dental, Retirement, PTO

Re-posted 12 days ago

UnityPoint Health rating

7.3

Company rating: 7.3 out of 10

Based on 364 frontline employees who took The Breakroom Quiz

301st of 898 rated healthcare providers

Job description

Overview
Coordinates patient care across the acute care continuum by partnering with physicians, nursing, social services, and ancillary teams to develop and implement an interdisciplinary plan of care. Conducts admission and ongoing assessments, monitors clinical progress and resource utilization, and leads safe transitions of care, including discharge planning and referrals to community services. Educates patients and families, addresses psychosocial and social determinants of health barriers, and collaborates with Utilization Management regarding level of care considerations. Serves as the central communicator to promote collaboration, continuity, and achievement of defined outcomes such as reduced readmissions and optimized length of stay.
Why UnityPoint Health?
At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.
Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few:
  • Expect paid time off, parental leave, 401K matching and an employee recognition program.
  • Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
  • Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.
And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.
Find a fulfilling career and make a difference with UnityPoint Health.
Responsibilities
Care Coordination and Discharge Planning:
  • Screens and assesses patients to identify clinical, psychosocial, financial and legal concerns that affect recovery and transition needs
  • Prioritizes patients for care coordination using screening tools.
  • Develops and coordinates an individualized plan of care
  • Supports interdisciplinary care rounds and documents the plan in the medical record
  • Collaborates with patients, families, providers, nursing, social work, payers, and agencies to eliminate barriers, arrange services, and execute safe transitions across levels and locations of care
  • Coordinates access to post-acute resources including home care, equipment, medications, therapies and follow-up appointments
  • Provides thorough handoff to the next care team
  • Monitors progression of care, avoidable days and length of stay targets
  • Escalates issues that may result in failed discharge or readmission
  • Maintains thorough and timely documentation of assessments, plans and interventions to ensure continuity and regulatory compliance

Regulatory Compliance:
  • Administers and/or delegates administration of Medicare notices per regulatory guidelines.
  • Collaborates with Utilization Management specialists
  • Coordinates pre-authorization for diagnostic tests, procedures and treatments with payers
  • Communicates Utilization Management determinations impacting discharge planning and resource utilization with the care team.
  • Functions as a resource for external agencies requiring clinical review of patient conditions and care

Patient and Family Education:
  • Assesses patient and family learning needs and readiness
  • Formulates and updates individualized teaching plans in coordination with the care team and evaluates outcomes
  • Facilitates education regarding disease process, treatment plan, medications and self-management; empowers patients and families to utilize healthcare resources appropriately
  • Provides ongoing education throughout hospitalization and transition, reinforcing discharge instructions and coordinating community resources to support continuity of care
  • Acts as a clinical resource and mentor to staff on care coordination practices, criteria application and documentation standards

Quality of Care and Performance Improvement:
  • Monitors readmissions, length of stay, avoidable days and other indicators
  • Identifies trends and implements improvement opportunities with multidisciplinary partners
  • Performs quality data collection and reporting as assigned
  • Supports development of policies and forms to meet regulatory and documentation requirements
  • Engages in process improvement initiatives to enhance patient flow, effectiveness of care coordination and transitions of care
  • Supports and coaches accurate clinical documentation by physicians and the healthcare team to optimize outcomes and compliance

Qualifications
  • Graduate of an accredited nursing program - ADN or BSN
  • Valid RN License in the State of Iowa in good standing
  • 3 Years Clinical RN experience in acute care or hospital settings, collaborating with multidisciplinary teams and caring for specific patient populations

What UnityPoint Health employees say

Pay

Benefits

Hours and flexibility

Workplace

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About UnityPoint Health

Sourced by ZipRecruiter

At UnityPoint Health, we provide care in nine regions throughout Illinois, Iowa, and Wisconsin. As the nation's fourth largest nondenominational health system in America, UnityPoint Health keeps people at the center of all we do. We are looking for dynamic and talented individuals to join our team. You'll find opportunities for every sized dream.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

West Des Moines, IA, US

Year founded

1995

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