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Utilization Review Rn Jobs in Iowa (NOW HIRING)

Accura HealthCare of Newton

MDS Coordinator - RN

Newton, IA · On-site

$34.25 - $41.50/hr

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ...

Accura HealthCare of Newton

MDS Coordinator - RN

Newton, IA · On-site

$34.25 - $41.50/hr

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ...

Accura HealthCare of Newton

MDS Coordinator - RN

Newton, IA · On-site

$34.25 - $41.50/hr

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ...

Trinity Health

RN Care Coordination

Davenport, IA

Certification in Case Management, Professional Utilization Review or Managed Care; DRG/CPT knowledge; Interqual Admission/Continued Stay criteria knowledge * Licensure/Registration: Registered Nurse ...

Corvel

RN Case Manager I

Iowa City, IA · On-site

$63K - $95K/yr

A cost containment background, such as utilization review or managed care is helpful * Strong ... Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Iowa

Utilization Review Rn information

See Iowa salary details

$20

$39

$64

How much do utilization review rn jobs pay per hour?

As of Jun 21, 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 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.

How do I become a utilization review RN?

To become a utilization review RN, you typically need to hold a valid registered nurse (RN) license and have experience in clinical nursing. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Utilization Review Certification (URAC) can enhance job prospects, and strong knowledge of medical coding, insurance policies, and healthcare regulations is important.

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.

What does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the appropriateness, necessity, 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.

How to make $300,000 a year as a nurse?

To earn $300,000 annually as a Utilization Review RN, professionals typically need extensive experience, advanced certifications such as CCM or ANCC, and may work in high-paying settings like insurance companies or healthcare consulting firms. Increasing specialization, taking on leadership roles, or working overtime can also boost income, but reaching this level often requires a combination of skills, experience, and strategic career moves.

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 CCM or ANCC, and working in high-paying settings like insurance companies or managed care organizations. Advanced skills in case management, strong clinical knowledge, and sometimes working overtime or in leadership roles can also contribute to higher earnings.

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:
What are popular job titles related to Utilization Review Rn jobs in Iowa? For Utilization Review Rn jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Iowa look for? The top searched job categories for Utilization Review Rn jobs in Iowa are:
What are popular job titles related to Utilization Review Rn jobs in IA? For Utilization Review Rn jobs in IA, the most frequently searched job titles are:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Iowa as of June 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $82,605 per year, or $39.7 per hour.

MDS Coordinator - RN

Accura HealthCare of Carlisle

Carlisle, IA • On-site

$34 - $42/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Job description

Accura HealthCare of Carlisle has the opportunity to welcome a MDS Coordinator (RN) to join our team! Our MDS Coordinators are passionate about assessing the needs of our residents to provide the support and care they need and promote the physical, mental, emotional, and spiritual well-being of our residents and team members. If this sounds like the ideal culture you desire, we welcome the opportunity to work with you!
  • JOB HIGHLIGHTS:
  • Full Time position
  • Position is a hybrid of MDS Coordinator and Oversight Nurse duties
  • $34-42/hr DOE
  • Welcoming Nurse Leadership Team
  • Supportive Work Environment
  • Professional Development, Tuition Reimbursement
  • Paid Holidays, 401K Matching

ABOUT OUR COMMUNITY:
Accura HealthCare of Carlisle is a campus community featuring an 80-bed Skilled Nursing Facility (SNF) with memory care located in Carlisle, IA. The campus also features Stonebridge Suites of Carlisle, a 22-apartment independent and assisted living. We embrace a unique, upside-down philosophy that places residents, patients, and direct care employees at the very top of the organizational chart. That includes you!
We take pride in providing quality, person-centered care, in addition to fostering an environment that team members want to be a part of. If you desire an organization that creates an environment that allows both our residents and team members to thrive, consider Accura HealthCare and join us in being partners in care, family for life.
ABOUT ACCURA HEALTHCARE:
Accura HealthCare is a Midwest-based healthcare company that manages and operates over 30 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska. From its beginning in 2016 with 9 care communities, Accura HealthCare has held true to its mission and vision while serving others. Built on the pillars of trust, integrity, accountability, commitment, and kindness, Accura HealthCare is a leader in the Midwest in providing high-quality care. Our employees play a key role in supporting our purpose, "to care for others," while advancing our mission: "to be partners in care, family for life."
OUR BRANDS: Accura HealthCare | Stonebridge Suites | Traditions Memory Care
OUR VALUES: Trust. Integrity. Accountability. Commitment. Kindness.
Accura HealthCare is where personal life and work life blend together to bring value and purpose to one's existence.
JOB SUMMARY:
The MDS (Minimum Data Set) Coordinator is required to be knowledgeable of applicable laws and/or licensing regulations for healthcare facilities. This includes compiling information, preparing statistical reports and data from health records, and personalized assessments for use in the evaluation of quality of care and utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with physicians, nurses, and other health personnel to ensure complete, current, and accurate medical records.
QUALIFICATIONS:
  • Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ability to obtain state-specific license
  • MDS experience required
  • Strong attention to details and deadlines
  • Analytical skills required
  • Must be capable of performing the Essential Functions of this job, with or without reasonable accommodation

BENEFITS:
  • Vacation time, Sick time & Paid Holidays*
  • Medical, Dental, & Vision Benefits*
  • Flexible Spending Account*
  • Employer Paid Life & AD&D*
  • Supplemental Benefits*
  • Employee Assistance Program
  • 401(k) with company match
  • Education Assistance available through education partners

*These benefits are available to full-time employees. 401k is available to FT and PT employees. Minnesota and Nebraska employees are eligible for Sick time regardless of status.
Accura HealthCare, an Equal Opportunity Employer and leading post-acute healthcare provider based in Iowa, has communities in Iowa, Minnesota, South Dakota, and Nebraska, and growing!

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