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Utilization Review Director Jobs in Iowa (NOW HIRING)

UHS

UR Coordinator

Clive, IA · On-site

A minimum of three to five years direct clinical experience in a psychiatric or mental health ... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred.

UHS

UR Coordinator

Clive, IA

A minimum of three to five years direct clinical experience in a psychiatric or mental health ... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred.

UHS

UR Coordinator

Clive, IA · On-site

A minimum of three to five years direct clinical experience in a psychiatric or mental health ... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred.

LifeSkills Connection, Inc.

Clinical Director

Ankeny, IA · On-site

$75K - $102K/yr

Clinical Director FLSA Status: Exempt Reports to: Executive Vice President POSITION Description ... Support documentation audits, utilization review, and quality improvement initiatives * Coordinate ...

UHS

UR Coordinator

Clive, IA

A minimum of three to five years direct clinical experience in a psychiatric or mental health ... review organizations or comparable entities. Licensure: R.N is required - with BSN highly preferred.

LifeSkills Connection Inc.

Clinical Director

Ankeny, IA · On-site

$90 - $120/hr

POSITION Description The Clinical Director is a licensed clinician responsible for providing direct ... Support documentation audits, utilization review, and quality improvement initiatives * Coordinate ...

Socket.dev

Vice President, Dental Director

Johnston, IA · On-site

$180 - $280/hr

We are seeking a Vice President, Dental Director to help advance our mission by serving as the ... Review utilization data, risk assessment data, evidence-based dental outcomes and current dental ...

LifeSkills Connection Inc

Clinical Director

Ankeny, IA

$75K - $102K/yr

Clinical Director FLSA Status: Exempt Reports to: Executive Vice President POSITION Description ... Support documentation audits, utilization review, and quality improvement initiatives * Coordinate ...

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Showing results 21-40

All JobsUtilization Review JobsUtilization Review Director JobsUtilization Review Director Jobs in Iowa

Utilization Review Director information

See Iowa salary details

$20

$39

$64

How much do utilization review director jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for utilization review director in Iowa is $39.71, according to ZipRecruiter salary data. Most workers in this role earn between $31.39 and $45.62 per hour, depending on experience, location, and employer.

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

AspectUtilization Review DirectorUtilization Review Nurse
CredentialsRN license, management experience, certifications (e.g., CCM)RN license, certification in case management or utilization review (e.g., CUC)
Work EnvironmentAdministrative, leadership roles overseeing teamsClinical, review of patient cases, direct patient care
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Search & Comparison IntentLeadership, management, strategic planning in utilization reviewClinical review, case assessment, patient care coordination

The Utilization Review Director typically oversees review teams and manages utilization strategies, requiring leadership skills and management experience. In contrast, the Utilization Review Nurse focuses on clinical case assessments and patient care reviews. Both roles require RN licensure and relevant certifications but differ mainly in scope and responsibilities.

What does a utilization review director do?

A Utilization Review Director oversees the evaluation of medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead teams that review patient care requests, manage compliance with regulations, and implement strategies to ensure cost-effective care without compromising quality. Their responsibilities often include policy development, data analysis, and collaboration with healthcare providers to optimize resource use and improve patient outcomes.

Is utilization review a stressful job?

Utilization Review Directors often work in high-pressure environments where they must make quick, accurate decisions regarding healthcare services. The role can be stressful due to the need to balance patient care, insurance policies, and regulatory compliance, but stress levels vary based on workload, organizational support, and experience. Strong analytical skills and certification in utilization review can help manage job demands effectively.

What degree do I need for utilization review director?

A utilization review director typically needs at least a bachelor's degree in healthcare administration, nursing, or a related field. Many employers prefer candidates with a master's degree such as an MBA or a healthcare-related advanced degree, along with relevant experience and certifications like the Certified Professional in Healthcare Quality (CPHQ).

What are some common challenges faced by a utilization review director, and how can they be addressed?

A Utilization Review Director often navigates challenges such as balancing regulatory compliance with organizational goals, managing interdisciplinary teams, and keeping up with evolving healthcare policies. Staying proactive with ongoing education, fostering open communication among staff, and implementing efficient review processes can help address these issues. Additionally, leveraging data analytics and technology streamlines case reviews and ensures evidence-based decision-making, ultimately improving both patient outcomes and operational efficiency.

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

To thrive as a Utilization Review Director, you need a deep understanding of clinical guidelines, healthcare regulations, and case management principles, typically supported by a nursing or related healthcare degree and relevant licensure. Familiarity with utilization management software, electronic health records (EHR), and certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) is common in the field. Strong leadership, communication, analytical thinking, and decision-making skills help you effectively manage teams and ensure compliance. These competencies ensure efficient resource use, regulatory adherence, and high-quality patient outcomes within healthcare organizations.
What are the most commonly searched types of Utilization Review jobs in Iowa? The most popular types of Utilization Review jobs in Iowa are:
Utilization Review Director jobs near you

Vice President Dental Director

The Jacobson Group

Iowa, IA • On-site

$260K/yr

Contractor

Medical, Dental

Posted 19 days ago

Job description

Job Description: A well-established organization dedicated to improving oral health outcomes is seeking a highly qualified Vice President Dental Director. The organization provides dental benefits and services, focusing on innovative policies and clinical excellence. The Vice President Dental Director will oversee the scientific and clinical aspects of benefits administration, ensuring alignment with current dental practices, evidence-based research, and regulatory requirements. This leadership role involves collaborating with internal teams, external stakeholders, and professional organizations to promote high-quality oral health care and drive strategic initiatives related to dental benefits and disease management. Responsibilities:

  • Identify emerging trends and technologies in the dental industry and provide strategic analysis and recommendations to organizational leadership.

  • Review utilization, risk assessment data, and dental outcomes to develop and refine payment policies.

  • Provide clinical guidance on the necessity and appropriateness of dental treatments, ensuring benefit review procedures align with professional standards.

  • Oversee quality assurance programs by establishing performance metrics, developing protocols to improve care quality, and assessing outcomes to ensure continuous improvement.

  • Offer expertise in government administration and contracting to support organizational compliance and efficiency.

  • Lead initiatives to increase the adoption of risk-based dental benefits and disease management strategies, engaging both internal and external stakeholders.

  • Collaborate with the Professional Relations team on network recruitment, credentialing, and fraud prevention efforts.

  • Act as a spokesperson representing the organization externally to stakeholders, professional associations, and the community.

  • Train and calibrate professional dental consultants to ensure consistent and accurate claims adjudication and policy adherence.

  • Serve as a key liaison to state and national dental organizations, regulatory agencies, and academic institutions for research, education, and policy advocacy.

  • Support product development, marketing, and community outreach efforts related to dental benefits and health education.

  • Lead the provider appeals committee and participate in various committees, coalitions, and special projects to advance oral health initiatives.

  • Perform additional duties as required to sustain organizational goals and objectives.

Requirements:

  • Doctor of Dental Science or Doctor of Dental Medicine degree from an accredited college of dentistry

  • State of Iowa dental licensure or willingness to obtain licensure

  • Demonstrated excellent verbal and written communication skills, including experience presenting publicly and representing an organization

  • Comprehensive knowledge of evidence-based dentistry, disease management, oral wellness and systemic health correlations

  • Familiarity with current dental science, utilization review standards, data analysis, practice protocols, CDT terminology and ADA issues

  • Experience with dental quality assurance programs, risk assessments and outcome measurement standards

  • Proven leadership, coaching and team development skills

  • Ability to travel up to 50% throughout Iowa and occasionally other states, including overnight stays

  • Valid driver's license and reliable transportation

Contact: Janet Foor jfoor@jacobsongroup.com Salary Range: The anticipated pay for this position is $260,000.00 annually. We understand salary is an important factor in a job search and we encourage you to apply even if you feel that your desired compensation may fall outside of the listed range. The final pay for this position is determined based on several factors including but not limited to, relevant experience, skills and certifications, education and training, geographic location, market conditions, and internal equity. We are committed to finding the right candidate for this role and are open to discussing how your unique qualifications align with our needs.