ZipRecruiter

Log In

1

Utilization Management Jobs in Iowa (NOW HIRING)

previous page

Showing results 41-60

All JobsUtilization Management JobsUtilization Management Jobs in Iowa

Utilization Management information

See Iowa salary details

$36.6K

$84K

$153.1K

How much do utilization management jobs pay per year?

As of Sep 2, 2026, the average yearly pay for 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 utilization management?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a utilization management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

What are the key skills and qualifications needed to thrive in utilization management, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What degree is needed for utilization management?

Utilization management professionals typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Some roles may require a master's degree or professional certifications such as Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Experience in healthcare settings and knowledge of medical terminology and insurance processes are 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 jobs in Iowa?

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

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

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

What cities in Iowa are hiring for Utilization Management jobs?

Cities in Iowa with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Iowa as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 2% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $84,048 per year, or $40.4 per hour.

Case Manager RN Weekends

Trinityhealth

West Des Moines, IA • On-site

Full-time

Posted 22 days ago

Trinity Health rating

6.6

Company rating: 6.6 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

572nd of 898 rated healthcare providers

Job description

Employment Type:Full timeShift:Weekend ShiftDescription:RN Case Manager (Onsite)

Shift:

Weekends: Saturday and Sunday 7am - 7:30 PM

General Summary:

Responsible for the review of inpatient and outpatient admission records for appropriate admission status at Mercy Medical Center and Mercy West Lakes. Works in collaboration with the attending physician and the Case Management staff utilizing admission criteria guidelines-and second level physician review process when appropriate. Interacts with insurance providers to obtain authorization and continued stay approval for admission. Collaborates with the Verification department, Revenue cycle and Medical Eligibility to facilitate the establishment of the correct payer source for patient stay and the documentation of the interactions in the STAR admitting system

Key Responsibilities

  • Perform admission, concurrent, and post-discharge utilization reviews in accordance with the Utilization Management Plan and regulatory requirements.

  • Apply Milliman Care Guidelines and payer-specific criteria to determine appropriate patient status.

  • Collaborate with attending physicians to clarify admission status and initiate second-level physician reviews as needed.

  • Communicate status changes promptly to Case Management, Admitting, and other relevant departments.

  • Provide patient/family education and issue Notices of Status Change when required.

  • Accurately document utilization review activities, status determinations, authorizations, denials, and communications in the medical record and STAR system.

  • Submit timely clinical information to payers to prevent technical denials and support authorization and continued stay.

  • Review and route denial notifications for appeal consideration; collaborate with post-denials, RAC, and appeal teams.

  • Monitor insurance coverage and communicate updates to verification and financial teams.

  • Participate in peer-to-peer reviews and advocate for appropriate admission status and continued stay.

Qualifications

  • Current Iowa RN license.

  • Minimum of five (5) years of clinical nursing experience.

  • BSN or healthcare-related degree preferred.

  • Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care.

  • Strong clinical judgment, communication, and independent decision-making skills.

  • Utilization Review certification within 12 months of hire preferred.

  • Completion of Mandatory Reporter abuse training within three (3) months of hire.

Work Environment & Physical Requirements

  • Primarily office-based with computer, phone, and documentation tasks.

  • Light physical activity with occasional lifting; use of assistive devices and additional personnel as required.

  • Visual acuity sufficient to review medical records and electronic systems.

  • Ability to work collaboratively in a fast-paced, high-stress healthcare environment while maintaining professionalism and courtesy.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Trinity Health logo

About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

View All Trinity Health Jobs

Apply