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How much do utilization review jobs pay per hour?

As of May 30, 2026, the average hourly pay for utilization review 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 a Utilization Review job?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What are the key skills and qualifications needed to thrive in the Utilization Review position, and why are they important?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

What does a typical day look like for someone working in Utilization Review?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
More about Utilization Review jobs
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 jobs in Iowa? For Utilization Review jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Utilization Review jobs in Iowa look for? The top searched job categories for Utilization Review jobs in Iowa are:
What cities in Iowa are hiring for Utilization Review jobs? Cities in Iowa with the most Utilization Review job openings:
Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Iowa as of May 2026, with employment types broken down into 84% Full Time, 14% Part Time, and 2% Contract. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $82,605 per year, or $39.7 per hour.
Utilization Review Assistant

Utilization Review Assistant

Trinity Health

Mason City, IA • On-site

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Trinity Health rating

6.5

Company rating: 6.5 out of 10

Based on 348 frontline employees who took The Breakroom Quiz

593rd of 864 rated healthcare providers

Job description

Employment Type:
Full timeShift:
Day Shift
Description:
Full Time
Day Shift
40 hours weekly
Position Purpose:
The Utilization Review (UR) Assistant supports utilization management activities and serves as the central coordinator for postacute prior authorizations (PAs) for skilled nursing, swing bed, CAH swing, acute rehab, LTACH, and other postacute levels of care.
This role drives timely authorization determinations, reduces authorizationrelated delays, supports throughput goals, decreases avoidable inpatient days, and helps ensure efficient discharge planning.
Responsibilities include PA submission and followup, denialprevention support, external notifications, data extraction from the chart, Epic work queue tasks, supporting second IMM processes as needed, coordination with payers and postacute facilities, and administrative support for the acute population care management team.
What you will Do:
1) Post-Acute Prior Authorization Management (Primary Function)
  • Centralizes, submits, monitors, and follows up on post-acute prior authorizations using payer portals, phone calls, and clinical documentation workflows.
  • Ensures complete and accurate clinical packets; escalates delays when authorization timelines exceed expectations.
  • Documents all PA activity in Epic and maintains standardized PA workflows for consistency and efficiency.
  • Communicates PA status and clinical needs to postacute facilities, payers, case managers, social workers, and UR RNs.
  • Provides external notification of discharges and post-acute transfers.
  • Supports implementation and evaluation of the centralized PA workflow, including establishing a regular cadence for outcome monitoring.
2) Utilization Management & Denial Prevention Support
  • Extracts meaningful data from the medical record to support UR/Concurrent Review RN clinical reviews.
  • Identifies potential concurrent denials and routes information to UR RNs promptly.
  • Gathers documentation for denial reviews and assists with payer communication.
  • Inputs payer authorization information into systems to support payment of services rendered.
  • Reviews and monitors UR reports to identify necessary actions to reduce denials.
3) Throughput Collaboration
  • Acts as a liaison between internal departments, physicians, outside facilities, and hospital units to promote patient flow, discharge coordination, and receipt of medically appropriate care at the correct level.
4) Patient & Payer Communications
  • Meets with admitted patients to review Medicare notices (such as the Important Message from Medicare/IMM).
  • Clarifies payer medical benefits, policies, and procedures to patients, physicians, office staff, contract providers, and facilities.
Minimum Qualifications:
Education & Licensure
  • Must be one of the following:
    • Licensed Practical Nurse (LPN) with an active, unrestricted license, OR
    • Certified Medical Assistant (CMA/CCMA/RMA) with active, current certification.
  • Minimum of two (2) years of practice in the licensed/certified discipline (LPN or CMA) required.
Experience
  • Minimum two years of direct LPN or CMA practice required.
  • Demonstrated experience in UR, discharge planning, or postacute workflows preferred.
Certifications
  • Basic Life Support (BLS) within 60 days of hire; must maintain certification.
  • Mandatory Reporter - Child & Dependent Adult Abuse within 6 months of hire; renewal per policy.
Knowledge, Skills & Abilities
  • Strong organizational and time-management skills; detail-oriented.
  • Proficient in email, internet navigation, payer portals, and Microsoft Excel and Word.
  • Ability to multitask and work independently while collaborating with multidisciplinary teams.
  • Strong customer-service skills aligned with MercyOne mission and values.
Corporate & Compliance Expectations
  • Upholds the Mission, Values, Standards of Conduct, and all organizational policies/procedures.
  • HIPAA Security Level: High - access to restricted/confidential PHI; compliance with all security policies is required.
Position Highlights and Benefits:
  • Education Assistance offered
  • Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 16 hours per week or greater
  • Competitive wages; including weekend and night differentials
  • Generous paid time off program
  • Retirement Savings program with employer match starting on Day 1

Ministry/Facility Information:
MercyOne North Iowa Medical Center provides expert health care to 15 counties.
MercyOne North Iowa Medical Center is a 342 bed, regional referral teaching hospital in Mason City, Iowa. MercyOne New Hampton Medical Center is an 11 bed, rural access hospital in New Hampton, Iowa. Our service area spans 15 counties across northern Iowa and southern Minnesota. We serve a population over 260,000.
With more than 3,000 colleagues and a medical staff of almost 500 physicians and allied health professionals, MercyOne North Iowa Medical Center is the largest employer in the region.
MercyOne Medical Group - North Iowa is part of Iowa's largest multispecialty clinic systems. In north Iowa, our clinics are made up of more than 25 primary care, pediatric, internal medicine and specialty clinics.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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