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Weekday Insurance Utilization Review Jobs in Iowa

Utilization Tech/Nurse M-F 1st shift, 32 biweekly hours 8-4:30 Clinical background preferred About ... review. Compensation amp; Benefits * Competitive salary * Health, dental, vision, life insurance ...

Utilization Management Nurse Medical Associates 1 Positions ID: ou7IAfwD Posted On 09/01/2026 Job ... Dental Insurance, etc. What You Will Be Doing: * Review requests from providers or members for ...

Knowledge of CMS regulations, insurance eligibility, and utilization review processes preferred ... of a weekday schedule and a collaborative, supportive work environment. Bring your clinical ...

Knowledge of CMS regulations, insurance eligibility, and utilization review processes preferred ... of a weekday schedule and a collaborative, supportive work environment. Bring your clinical ...

Knowledge of CMS regulations, insurance eligibility, and utilization review processes preferred ... of a weekday schedule and a collaborative, supportive work environment. Bring your clinical ...

Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.

Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.

Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.

Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.

Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.

Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.

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Weekday Insurance Utilization Review information

What is the difference between Weekday Insurance Utilization Review vs Weekday Claims Processor?

AspectWeekday Insurance Utilization ReviewWeekday Claims Processor
Primary RoleAssessing medical necessity and appropriateness of servicesProcessing and reviewing insurance claims for payment
CredentialsOften requires healthcare or insurance certificationsTypically requires insurance or administrative experience
Work EnvironmentHealthcare settings, insurance companiesInsurance companies, healthcare offices
FocusMedical review and authorizationClaims data entry and verification

Weekday Insurance Utilization Review focuses on evaluating medical necessity, while Weekday Claims Processors handle the administrative processing of insurance claims. Both roles are essential in the insurance industry but serve different functions related to claims management and healthcare authorization.

What cities in Iowa are hiring for Weekday Insurance Utilization Review jobs?

Cities in Iowa with the most Weekday Insurance Utilization Review job openings:

Utilization Tech

Vinton, IA โ€ข On-site

Virginia Gay Hospital
201 - 500 employees

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago


Job description

Utilization Tech/Nurse
M-F 1st shift, 32 biweekly hours
8-4:30
Clinical background preferred

About VGH
Virginia Gay Hospital, established in Vinton in 1923, is an independent, nonprofit critical access hospital supported by a strong local community. The organization includes a 25-bed hospital and four family medical clinics located throughout Benton County, Iowa, offering high-quality, local healthcare and opportunities for professional growth and meaningful patient relationships.

Position Summary
  • ESSENTIAL DUTIES AND RESPONSIBILITIES
โ€ขThe Utilization Review Tech/Nurse is responsible for the utilization review for preadmission screenings of patients, monitoring of patient status/needs, and notification of third-party payors, precertification of outpatient procedures, medication preauthorization and auditing charts as requested. The UR Tech/Nurse is responsible for the InterQual review of charts to assist with determination of appropriate level and length of stay.
MINIMUM QUALIFICATIONS (from job description)
โ€ขCurrent Iowa nursing license, preferred. Graduated from a state approved nursing program if applicable. Maintains current BCLS if indicated. Would prefer candidate to have previous education and experience as an MA/RN/LPN, Utilization Review Nurse and/or have experience in physician office preauthorization and utilization review.

Compensation amp; Benefits
  • Competitive salary
  • Health, dental, vision, life insurance, supplemental insurance
  • Retirement plan with match
  • Paid time off
  • License and Continuing Education Reimbursement available.

Equal Opportunity Statement
Virginia Gay Hospital is an equal opportunity employer.