Case Manager RN
Des Moines, IA · On-site
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN
Des Moines, IA · On-site
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN
Des Moines, IA · On-site
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN
Des Moines, IA · On-site
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN
Des Moines, IA · On-site
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN
Des Moines, IA · On-site
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN
Des Moines, IA · On-site
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN
Des Moines, IA · On-site
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN Days
Des Moines, IA · On-site
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN Days
Des Moines, IA · On-site
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN
Des Moines, IA · On-site
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
Case Manager RN
Des Moines, IA · On-site
Monday-Friday (8 hours) No Weekends General Summary: Responsible for the review of inpatient and ... Perform admission, concurrent, and post-discharge utilization reviews in accordance with the ...
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
Quick apply
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
Utilization Management Nurse
Dubuque, IA · On-site
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
Utilization Management Nurse
Dubuque, IA · On-site
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
Utilization Management Nurse
Dubuque, IA · On-site
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
Utilization Management Nurse
Dubuque, IA · On-site
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
Regional Reimbursement Nurse Consultant
West Des Moines, IA · Remote
$90K - $110K/yr
Review PDPM classifications, clinical documentation, diagnosis coding, and reimbursement accuracy * Support Case Mix Index improvement through accurate assessment and documentation * Audit MDS ...
Quick apply
Regional Reimbursement Nurse Consultant
West Des Moines, IA · Remote
$90K - $110K/yr
Review PDPM classifications, clinical documentation, diagnosis coding, and reimbursement accuracy * Support Case Mix Index improvement through accurate assessment and documentation * Audit MDS ...
Utilization Management Nurse
Dubuque, IA · On-site
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
Utilization Management Nurse
Dubuque, IA · On-site
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
Quick apply
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
Utilization Management Nurse
Asbury, IA · On-site
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
Utilization Management Nurse
Asbury, IA · On-site
... daytime office hours and weekends/holidays off. This position is responsible for working ... Review requests and match up to an evidence-based guideline to ensure proper care and ensure the ...
Weekend Utilization Review information
See Iowa salary details
$20.09 - $24.16
2% of jobs
$24.16 - $28.22
9% of jobs
$31 is the 25th percentile. Wages below this are outliers.
$28.22 - $32.29
21% of jobs
The median wage is $35.58 / hr.
$32.29 - $36.35
23% of jobs
$36.35 - $40.42
13% of jobs
$43.58 is the 75th percentile. Wages above this are outliers.
$40.42 - $44.48
10% of jobs
$44.48 - $48.54
8% of jobs
$48.54 - $52.61
5% of jobs
$52.61 - $56.67
5% of jobs
$56.67 - $60.74
2% of jobs
$60.74 - $64.80
2% of jobs
$20
$39
$64
How much do weekend utilization review jobs pay per hour?
As of Aug 16, 2026, the average hourly pay for weekend 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 weekend utilization review?
A Weekend Utilization Review job involves assessing patient care and medical services during weekends to ensure they meet medical necessity and insurance guidelines. Professionals in this role review clinical documentation, coordinate with healthcare providers, and determine appropriate levels of care for patients. They typically work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, medical knowledge, and familiarity with regulatory requirements are essential for success in this role.
What does a weekend utilization review professional do?
Weekend Utilization Review professionals typically work independently, reviewing patient cases for medical necessity, appropriateness of care, and compliance with payer guidelines during non-standard business hours. You will analyze patient charts, interact with clinical staff, and document findings, often collaborating remotely with other care coordinators or medical teams. While much of the role is desk-based, quick decision-making and effective communication are essential due to faster-paced weekend workflows. This schedule can offer greater autonomy and flexibility, but may also require prioritizing tasks and managing multiple cases efficiently to ensure continuous patient care.
What are the key skills and qualifications needed to thrive in the weekend utilization review position?
Success as a Weekend Utilization Review professional requires a strong background in nursing or healthcare, critical thinking skills, and a thorough understanding of medical necessity criteria, such as InterQual or Milliman guidelines. Familiarity with electronic medical records (EMR) systems and utilization management software is highly beneficial, and RN or healthcare-related licensure is often required. Exceptional communication, attention to detail, and the ability to work independently on weekends are crucial soft skills. Mastering these areas allows efficient and accurate reviews of patient care, supporting optimal healthcare resource allocation outside of standard work hours.
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 Weekend Utilization Review jobs in Iowa?
For Weekend Utilization Review jobs in Iowa, the most frequently searched job titles are:
- Evening Utilization Review Nurse
- Utilization Review Rn
- Freelance Utilization Review Nurse
- Remote Utilization Review Rn
- Remote Utilization Management Nurse
- Flex Schedule Remote Utilization Review Nurse
- Part Time Utilization Review Nurse
- Home Based Utilization Review Nurse
- Utilization Management
- Remote Utilization Review Nurse
What job categories do people searching Weekend Utilization Review jobs in Iowa look for?
The top searched job categories for Weekend Utilization Review jobs in Iowa are:
- Remote Aetna Utilization Review
- Fulltime Cigna Utilization Review Nurse
- Remote Dental Utilization Review
- Utilization Review
- Anthem Utilization Review Nurse
- Work From Home Utilization Review
- Insurance Utilization Review
- Aetna Utilization Review Nurse
- Commission Authorization Utilization Review Bcba
- From Home International Utilization Review Nurse
What cities in Iowa are hiring for Weekend Utilization Review jobs?
Cities in Iowa with the most Weekend Utilization Review job openings:
Full-time
Re-posted 8 days ago
Job description
Employment Type:Full timeShift:Description:RN Case Manager (Onsite)
Shift:
Monday-Friday (8 hours) No Weekends
General Summary:
Responsible for the review of inpatient and outpatient admission records for appropriate admission status at Mercy Medical Center and Mercy West Lakes. Works in collaboration with the attending physician and the Case Management staff utilizing admission criteria guidelines-and second level physician review process when appropriate. Interacts with insurance providers to obtain authorization and continued stay approval for admission. Collaborates with the Verification department, Revenue cycle and Medical Eligibility to facilitate the establishment of the correct payer source for patient stay and the documentation of the interactions in the STAR admitting system
Key ResponsibilitiesPerform admission, concurrent, and post-discharge utilization reviews in accordance with the Utilization Management Plan and regulatory requirements.
Apply Milliman Care Guidelines and payer-specific criteria to determine appropriate patient status.
Collaborate with attending physicians to clarify admission status and initiate second-level physician reviews as needed.
Communicate status changes promptly to Case Management, Admitting, and other relevant departments.
Provide patient/family education and issue Notices of Status Change when required.
Accurately document utilization review activities, status determinations, authorizations, denials, and communications in the medical record and STAR system.
Submit timely clinical information to payers to prevent technical denials and support authorization and continued stay.
Review and route denial notifications for appeal consideration; collaborate with post-denials, RAC, and appeal teams.
Monitor insurance coverage and communicate updates to verification and financial teams.
Participate in peer-to-peer reviews and advocate for appropriate admission status and continued stay.
Current Iowa RN license.
Minimum of five (5) years of clinical nursing experience.
BSN or healthcare-related degree preferred.
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care.
Strong clinical judgment, communication, and independent decision-making skills.
Utilization Review certification within 12 months of hire preferred.
Completion of Mandatory Reporter abuse training within three (3) months of hire.
Primarily office-based with computer, phone, and documentation tasks.
Light physical activity with occasional lifting; use of assistive devices and additional personnel as required.
Visual acuity sufficient to review medical records and electronic systems.
Ability to work collaboratively in a fast-paced, high-stress healthcare environment while maintaining professionalism and courtesy.
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.