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Utilization Review Coordinator Jobs in Iowa (NOW HIRING)

Virginia Gay Hospital

Utilization Tech

Vinton, IA

ESSENTIAL DUTIES AND RESPONSIBILITIES • The Utilization Review Tech/Nurse is responsible for the utilization review for preadmission screenings of patients, monitoring of patient status/needs, and ...

UHS

UR Coordinator

Clive, IA · On-site

The UR Coordinator is responsible for managing the treatment activities offered to the patient ... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred.

UHS

UR Coordinator

Clive, IA · On-site

... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred ... UR Coordinator The UR Coordinator is responsible for collaborating with healthcare providers ...

UHS

UR Coordinator

Clive, IA

... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred ... UR Coordinator The UR Coordinator is responsible for collaborating with healthcare providers ...

UHS

UR Coordinator

Clive, IA

... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred ... UR Coordinator The UR Coordinator is responsible for collaborating with healthcare providers ...

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

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 ...

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 ...

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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Utilization Review Coordinator information

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How much do utilization review coordinator jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for utilization review 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 review coordinator do?

A Utilization Review Coordinator is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance information to ensure that care meets established guidelines and regulatory requirements. By coordinating between healthcare providers, insurance companies, and patients, Utilization Review Coordinators help optimize resource use and manage healthcare costs while ensuring quality patient care.

What skills and qualifications are needed to be a utilization review coordinator?

To thrive as a Utilization Review Coordinator, you need expertise in healthcare regulations, clinical guidelines, and case management, often supported by an RN license or a background in health administration. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance approval processes are typically required. Strong analytical thinking, attention to detail, and effective communication skills help you collaborate with providers and advocate for appropriate patient care. These skills ensure compliance, optimize resource use, and support quality care delivery within healthcare organizations.

How does a utilization review coordinator collaborate with healthcare providers and insurance companies?

A Utilization Review Coordinator regularly communicates with both healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. They review medical records and treatment plans, discuss cases with physicians to clarify medical necessity, and submit documentation to insurance payers for approval. This role requires strong interpersonal skills, as coordinators often need to negotiate coverage decisions and resolve discrepancies between clinical teams and insurers. Effective collaboration ensures timely authorizations and helps avoid unnecessary delays in patient care.

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

AspectUtilization Review CoordinatorUtilization Review Nurse
CredentialsTypically requires a healthcare-related certification or associate degreeRegistered Nurse (RN) license required
Work EnvironmentOffice setting, administrative tasks, coordinationClinical setting, patient chart review, direct communication with healthcare providers
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Common Search & ComparisonFocuses on administrative review processesInvolves clinical assessment and patient care considerations

While both roles involve reviewing healthcare utilization, the Utilization Review Coordinator primarily handles administrative and coordination tasks, often without direct patient contact, whereas the Utilization Review Nurse performs clinical assessments as a licensed RN, often in hospital or clinical settings. Understanding these differences helps job seekers identify the right role based on their credentials and career goals.

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

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

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

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

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

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

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

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

Utilization Review Coordinator jobs near you
Infographic showing various Utilization Review Coordinator job openings in Iowa as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $57,844 per year, or $27.8 per hour.

Senior Review Coordinator (Oncology) - Utilization Management (RN)

Telligen

West Des Moines, IA

Full-time

Re-posted 4 days ago

Telligen rating

7.9

Company rating: 7.9 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

36th 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 [email protected]
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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