Utilization Review RN
Des Moines, IA ยท On-site
Works in collaboration with the attending physician and the Case Management staff utilizing ... Conducts admission review per the Utilization Management Plan to ensure that the hospitalization is ...
Utilization Review RN
Des Moines, IA ยท On-site
Works in collaboration with the attending physician and the Case Management staff utilizing ... Conducts admission review per the Utilization Management Plan to ensure that the hospitalization is ...
Works in collaboration with the attending physician and the Case Management staff utilizing ... Conducts admission review per the Utilization Management Plan to ensure that the hospitalization is ...
Works in collaboration with the attending physician and the Case Management staff utilizing ... Conducts admission review per the Utilization Management Plan to ensure that the hospitalization is ...
Works in collaboration with the attending physician and the Case Management staff utilizing ... Conducts admission review per the Utilization Management Plan to ensure that the hospitalization is ...
Works in collaboration with the attending physician and the Case Management staff utilizing ... Conducts admission review per the Utilization Management Plan to ensure that the hospitalization is ...
RN Case Manager
Dubuque, IA ยท On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
RN Case Manager
Dubuque, IA ยท On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Quick apply
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
RN Case Manager
Dubuque, IA ยท On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
RN Case Manager
Dubuque, IA ยท On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
RN - Utilization Review
Cedar Rapids, IA ยท On-site
The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments ... Documents the case management plan to include: clinical needs, barriers to quality care, effective ...
RN - Utilization Review
Cedar Rapids, IA ยท On-site
The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments ... Documents the case management plan to include: clinical needs, barriers to quality care, effective ...
Bilingual RN Case Manager
Des Moines, IA ยท On-site
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Des Moines, IA ยท On-site
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Des Moines, IA ยท Remote
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Des Moines, IA ยท Remote
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Dubuque, IA ยท On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Dubuque, IA ยท On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Dubuque, IA ยท On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Dubuque, IA ยท On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Dubuque, IA ยท On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Quick apply
Bilingual RN Case Manager
Dubuque, IA ยท On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Des Moines, IA ยท On-site
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Des Moines, IA ยท On-site
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Dubuque, IA ยท On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Dubuque, IA ยท On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Asbury, IA ยท On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Asbury, IA ยท On-site
$20.25 - $25.75/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Bilingual RN Case Manager
Des Moines, IA ยท Remote
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Quick apply
Bilingual RN Case Manager
Des Moines, IA ยท Remote
$21 - $26.50/hr
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
RN Case Manager
Asbury, IA ยท On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
RN Case Manager
Asbury, IA ยท On-site
Provide telephonic case management and utilization review for assigned consumers. * Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
Case Manager RN
Des Moines, IA ยท On-site
Description: RN Case Manager (Onsite) Shift: Monday-Friday (8 hours) No Weekends General Summary ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN
Des Moines, IA ยท On-site
Description: RN Case Manager (Onsite) Shift: Monday-Friday (8 hours) No Weekends General Summary ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN
Des Moines, IA ยท On-site
Description: RN Case Manager (Onsite) Shift: Monday-Friday (8 hours) No Weekends General Summary ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN
Des Moines, IA ยท On-site
Description: RN Case Manager (Onsite) Shift: Monday-Friday (8 hours) No Weekends General Summary ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Utilization Review Case Manager information
See Iowa salary details
$15.58 - $19.29
3% of jobs
$19.29 - $23.01
1% of jobs
$23.01 - $26.72
6% of jobs
$28.52 is the 25th percentile. Wages below this are outliers.
$26.72 - $30.44
30% of jobs
The median wage is $31.78 / hr.
$30.44 - $34.15
26% of jobs
$35.57 is the 75th percentile. Wages above this are outliers.
$34.15 - $37.87
22% of jobs
$37.87 - $41.59
3% of jobs
$41.59 - $45.30
0% of jobs
$45.30 - $49.02
5% of jobs
$49.02 - $52.73
2% of jobs
$52.73 - $56.45
1% of jobs
$15
$34
$56
How much do utilization review case manager jobs pay per hour?
As of Jul 29, 2026, the average hourly pay for utilization review case manager in Iowa is $34.27, according to ZipRecruiter salary data. Most workers in this role earn between $27.79 and $36.11 per hour, depending on experience, location, and employer.
What are some common challenges Utilization Review Case Managers face when coordinating care across multiple departments?
Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.
What is a Utilization Review Case Manager?
A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.
What is the difference between Utilization Review Case Manager vs Utilization Review Nurse?
| Aspect | Utilization Review Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license or relevant healthcare certification | Registered Nurse (RN) license is required |
| Work Environment | Office-based, insurance companies, healthcare organizations | Hospital, clinic, insurance review departments |
| Primary Focus | Reviewing medical necessity, coordinating care, managing cases | Assessing medical records, clinical review, patient care evaluation |
Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.
What are the key skills and qualifications needed to thrive as a Utilization Review Case Manager, and why are they important?
To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.
What are popular job titles related to Utilization Review Case Manager jobs in Iowa? For Utilization Review Case Manager jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Utilization Review Case Manager jobs in Iowa look for? The top searched job categories for Utilization Review Case Manager jobs in Iowa are:
- Workers Comp Nurse Case Manager
- Anthem Utilization Review Nurse
- Commission Authorization Utilization Review Bcba
- Utilization Case Manager
- Nurse Manager Case Management
- Dental Utilization Review
- Manager Case Management
- Remote Physical Therapy Utilization Review
- Utilization Review Manager
- Weekend Utilization Review
What cities in Iowa are hiring for Utilization Review Case Manager jobs? Cities in Iowa with the most Utilization Review Case Manager job openings:
