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Utilization Review Director Jobs in Iowa (NOW HIRING)

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.

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.

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.

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.

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 ...

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 ...

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 ...

Showing results 21-40

Utilization Review Director information

See Iowa salary details

$20

$39

$64

How much do utilization review director jobs pay per hour?

As of Sep 2, 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 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.

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

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

UR Coordinator

UHS

Clive, IA • On-site

Full-time

Re-posted 18 days ago


Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

455th of 898 rated healthcare providers


Job description

Responsibilities
Clive Behavioral Health is a 100-inpatient bed stand-alone mental health hospital. We provide compassionate inpatient and outpatient care for individuals of all ages who struggle with a behavioral health disorder or co-occurring disorders. Our care providers work closely with patients and their loved ones to help achieve their personal treatment goals. We provide a secure, healing environment for all our patients, staff and visitors. We also offer intensive outpatient programming (IOP) for adolescents aged 13 to 17 and a substance use disorder intensive outpatient program for adults called First Step Recovery. Our goal with all of our programs is to help people reach their highest quality of life.
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
Qualifications
UR Coordinator
The UR Coordinator is responsible for collaborating with healthcare providers, clinical staff, and patient's to promote quality care outcomes, and the effective use of resources. Additional duties include accurately interpreting treatment plans and medical records in accordance with current standards of care along with accurately interpreting participating Managed Care Organizations (MCOs) certification requirements.
The UR Coordinator is responsible for managing the treatment activities offered to the patient, including the appropriate clinical screening of admissions, establishment of treatment plans, interface with the treatment team/external case managers/managed care organizations and implementation and supervision of the discharge planning.
This position is on-site with full-time working hours Monday - Friday.
Qualifications
Education: Bachelor's degree from an accredited college or university is required - in Nursing is preferred.
Experience: A minimum of three to five years direct clinical experience in a psychiatric or mental health setting. Experience in patient assessment, treatment planning, CMS quality improvement guidelines, in particular experience working with Medicare/Medicaid and communication with external review organizations or comparable entities.
Licensure: R.N is required - with BSN highly preferred. Any additional certification related to case management, mental health, and/or quality improvement highly regarded.
Additional Requirements: Complete knowledge of crisis intervention techniques.
What do our current nurses value at UHS?
An environment that puts patient care first. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for leadership development as a Registered Nurse (RN) with UHS. Supportive and responsive leadership. Competitive salary and comprehensive benefits package.
This opportunity provides the following benefits:
  • UHS is Challenging and rewarding work environment
  • Growth and development opportunities within UHS and its subsidiaries
  • Competitive Compensation
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449 .
UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.
UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US