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Utilization Review Manager Jobs in Iowa (NOW HIRING)

Actalent

Remote Utilization Management Nurse

Des Moines, IA · On-site

$40/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Conduct post-service reviews for medical necessity and experimental/investigational services ... Process utilization management requests by interpreting medical policy, criteria, and benefit ...

New

HealthCheck360

Utilization Management Assistant

Dubuque, IA

$39K - $45K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will evaluate certification requests by reviewing the group specific ...

HealthCheck360

Utilization Management Assistant

Dubuque, IA · On-site

$39K - $45K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will evaluate certification requests by reviewing the group specific ...

Cottingham & Butler

Utilization Management Assistant

Des Moines, IA · On-site

$41K - $47K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... They will evaluate certification requests by reviewing the group specific requirements and will ...

Cottingham & Butler

Utilization Management Assistant

Des Moines, IA · On-site

$41K - $47K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... They will evaluate certification requests by reviewing the group specific requirements and will ...

Cottingham & Butler

Utilization Management Assistant

Dubuque, IA · On-site

$39K - $45K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... They will evaluate certification requests by reviewing the group specific requirements and will ...

Cottingham & Butler

Utilization Management Assistant

Dubuque, IA · On-site

$39K - $45K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants ... They will evaluate certification requests by reviewing the group specific requirements and will ...

Actalent

Utilization Management Nurse

Des Moines, IA · On-site

$40/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilization Management Nurse We are seeking a dedicated Utilization Management Nurse to provide ... Conduct post-service reviews for medical necessity and experimental/investigational services.

New

HealthCheck360

Utilization Management CNA

Dubuque, IA

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will evaluate certification requests by reviewing the group specific ...

HealthCheck360

Utilization Management CNA

Dubuque, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will evaluate certification requests by reviewing the group specific ...

HealthCheck360

Utilization Management CNA

Dubuque, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will evaluate certification requests by reviewing the group specific ...

HealthCheck360

Utilization Management CNA

Asbury, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will evaluate certification requests by reviewing the group specific ...

Cottingham & Butler

Utilization Management CNA

Asbury, IA · On-site

$29K - $39K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilization Management Assistant Davenport, Iowa, United States Utilization Management Assistant ... They will evaluate certification requests by reviewing the group specific requirements and will ...

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Showing results 1-20

All JobsUtilization Review JobsUtilization Review Manager JobsUtilization Review Manager Jobs in Iowa

Utilization Review Manager information

See Iowa salary details

$36.6K

$85.5K

$157.3K

How much do utilization review manager jobs pay per year?

As of Aug 19, 2026, the average yearly pay for utilization review manager in Iowa is $85,484.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,900.00 and $102,800.00 per year, depending on experience, location, and employer.

What does a utilization review manager do?

A Utilization Review Manager oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that patient care adheres to established guidelines and that healthcare resources are used effectively. Their duties typically include leading a team of reviewers, collaborating with healthcare providers, ensuring compliance with regulations, and making recommendations on care authorization. The goal is to balance quality patient care with cost-effective resource management.

What are the key skills and qualifications needed to thrive as a utilization review manager?

To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.

What are some common challenges faced by utilization review managers in balancing patient care and cost efficiency?

Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.

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

AspectUtilization Review ManagerUtilization Review Coordinator
CertificationsTypically requires certifications like CCM or ACUMay require similar certifications but often less advanced
Work EnvironmentSupervises review teams, manages processes in healthcare or insurance settingsPerforms case reviews, supports the review process under supervision
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare providers, third-party administrators

The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.

How much does a utilization review manager make?

A utilization review manager typically earns between $70,000 and $110,000 annually, depending on experience, location, and the size of the organization. They often require knowledge of healthcare policies, insurance processes, and may hold certifications such as URAC or CCM.

Is utilization review manager a stressful job?

Utilization review managers often work in a fast-paced healthcare environment, which can be stressful due to the need to meet strict deadlines, ensure accurate assessments, and handle complex cases. The role requires strong organizational skills and attention to detail, and some individuals may find the responsibility and workload challenging, especially during high-volume periods.

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 Manager jobs in Iowa?

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

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

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

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

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

Utilization Review Manager jobs near you
Infographic showing various Utilization Review Manager job openings in Iowa as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 13% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $85,484 per year, or $41.1 per hour.

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

Telligen

West Des Moines, IA • On-site

Other

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

35th 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 careers@telligen.com

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