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Utilization Review Rn Jobs in Iowa (NOW HIRING)

RN Case Manager Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are seeking ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

RN Case Manager Location : Onsite in Dubuque, IA. We are seeking a compassionate and detail ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

RN Case Manager Location : Onsite in Dubuque, IA. We are seeking a compassionate and detail ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

RN Case Manager Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are seeking ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

RN Case Manager Location : Onsite in Dubuque, IA. We are seeking a compassionate and detail ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

RN Case Manager Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are seeking ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

RN Case Manager Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are seeking ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

RN Case Manager Location : Onsite in Dubuque, IA. We are seeking a compassionate and detail ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You ...

They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You ...

They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You ...

Bilingual RN Case Manager

Dubuque, IA · On-site

$20.25 - $25.75/hr

Bilingual RN Case Manager Location : Onsite in Dubuque, IA. We are seeking a compassionate and ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You ...

Bilingual RN Case Manager

Asbury, IA · On-site

$20.25 - $25.75/hr

Bilingual RN Case Manager Onsite in Dubuque, IA. We are seeking a compassionate and detail-oriented ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

Bilingual RN Case Manager

Dubuque, IA · On-site

$20.25 - $25.75/hr

Bilingual RN Case Manager Location : Onsite in Dubuque, IA. We are seeking a compassionate and ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

Bilingual RN Case Manager

Dubuque, IA

$20.25 - $25.75/hr

Bilingual RN Case Manager Location : Onsite in Dubuque, IA. We are seeking a compassionate and ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

Bilingual RN Case Manager

Dubuque, IA · On-site

$20.25 - $25.75/hr

Bilingual RN Case Manager Location : Onsite in Dubuque, IA. We are seeking a compassionate and ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

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Showing results 1-20

Utilization Review Rn information

See Iowa salary details

$20

$39

$64

How much do utilization review rn jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for utilization review rn 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.

How to get into utilization review as a nurse?

To become a utilization review RN, candidates typically need a valid nursing license and experience in clinical settings. Additional certifications such as Certified Professional in Healthcare Quality (CPHQ) or case management credentials can enhance prospects, and familiarity with electronic health records and insurance policies is beneficial.

How does a Utilization Review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a Utilization Review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

How to make $300,000 as a nurse?

A Utilization Review RN can earn $300,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-paying settings like insurance companies or managed care organizations, and taking on leadership or specialized roles that offer higher compensation. Advanced skills in clinical assessment, documentation, and understanding of healthcare policies can also contribute to higher earnings.

What does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the necessity, appropriateness, and efficiency of healthcare services. They ensure compliance with insurance policies and clinical guidelines, often using electronic health records and requiring knowledge of coding and documentation standards. This role supports cost-effective patient care and involves collaboration with healthcare providers and insurance companies.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

How to make $150,000 as a nurse?

A Utilization Review RN can earn $150,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-demand settings, and possibly taking on leadership or specialized roles. Increasing your workload, working overtime, or pursuing advanced education can also contribute to higher earnings within this field.

What is a Utilization Review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.
What are the most commonly searched types of Utilization Review Rn jobs in Iowa? The most popular types of Utilization Review Rn jobs in Iowa are:
Infographic showing various Utilization Review Rn job openings in Iowa as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $82,605 per year, or $39.7 per hour.
RN Case Manager

RN Case Manager

Cottingham & Butler

Des Moines, IA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago


Cottingham & Butler rating

8.6

Company rating: 8.6 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

81st of 281 rated insurance


Job description

RN Case Manager
Location: Onsite in Dubuque, IA. Also accepting remote applicants.
We are seeking a compassionate and detail-oriented RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment.
Key Responsibilities:
  • Provide telephonic case management and utilization review for assigned consumers.
  • Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes.
  • Collaborate with healthcare providers, payors, and internal teams to coordinate care.
  • Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support.
  • Track and report case outcomes, including cost savings and quality improvements.

Qualifications:
  • Education: RN licensure in the State of Iowa required. BSN or higher preferred.
  • Experience: Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred.
  • Skills: Strong communication, problem-solving, and computer skills. Ability to work independently.

Full-Time Benefits - Most benefits start day 1
  • Medical, Dental, Vision Insurance
  • Flex Spending or HSA
  • 401(k) with company match
  • Profit-Sharing/Defined Contribution (1-year waiting period)
  • PTO/Paid Holidays
  • Company-paid ST and LT Disability
  • Maternity Leave/Parental Leave
  • Subsidized Parking
  • Company-paid Term Life/Accidental Death Insurance

About Cottingham & Butler:
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday - that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
Want to learn more? Follow us on www.CottinghamButler.com | LinkedIn | Facebook

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