Case Manager Oncology
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager Oncology
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager PRN
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Work with Utilization Management partners to provide information and feedback that will enhance ...
Case Manager PRN
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Work with Utilization Management partners to provide information and feedback that will enhance ...
Case Manager Oncology
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager Oncology
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager- Float
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager- Float
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager- Float
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager- Float
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager- Float
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager- Float
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager PRN
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Work with Utilization Management partners to provide information and feedback that will enhance ...
Case Manager PRN
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Work with Utilization Management partners to provide information and feedback that will enhance ...
Case Manager PRN
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Work with Utilization Management partners to provide information and feedback that will enhance ...
Case Manager PRN
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Work with Utilization Management partners to provide information and feedback that will enhance ...
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Work with Utilization Management partners to provide information and feedback that will enhance ...
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Work with Utilization Management partners to provide information and feedback that will enhance ...
Case Manager PRN
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Work with Utilization Management partners to provide information and feedback that will enhance ...
Case Manager PRN
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Work with Utilization Management partners to provide information and feedback that will enhance ...
Case Manager Oncology
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager Oncology
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager- Float
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager- Float
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager Adult Transplant
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager Adult Transplant
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager Adult Transplant
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager Adult Transplant
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager Adult Transplant
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager Adult Transplant
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Care Coordinator, RN
Raleigh, NC · On-site
Overview The Care Coordinator is a Registered Nurse who is assigned to a specific clinical care ... party utilization management regulatory requirements. What You'll Do * Serves as a central ...
Care Coordinator, RN
Raleigh, NC · On-site
Overview The Care Coordinator is a Registered Nurse who is assigned to a specific clinical care ... party utilization management regulatory requirements. What You'll Do * Serves as a central ...
Case Manager Adult Transplant
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Case Manager Adult Transplant
Durham, NC · On-site
Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 ... Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote ...
Apprentice Utilization Management Nurse information
See Raleigh, NC salary details
$37.9K - $48.9K
15% of jobs
$48.9K - $59.8K
8% of jobs
$61.4K is the 25th percentile. Wages below this are outliers.
$59.8K - $70.8K
15% of jobs
The median wage is $77.7K / yr.
$70.8K - $81.7K
20% of jobs
$81.7K - $92.7K
11% of jobs
$98.2K is the 75th percentile. Wages above this are outliers.
$92.7K - $103.7K
13% of jobs
$103.7K - $114.6K
5% of jobs
$114.6K - $125.6K
3% of jobs
$125.6K - $136.5K
4% of jobs
$136.5K - $147.5K
3% of jobs
$147.5K - $158.4K
3% of jobs
$37.9K
$87K
$158.4K
How much do apprentice utilization management nurse jobs pay per year?
As of Jul 26, 2026, the average yearly pay for apprentice utilization management nurse in Raleigh, NC is $86,984.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,700.00 and $101,600.00 per year, depending on experience, location, and employer.
What is the difference between Apprentice Utilization Management Nurse vs Utilization Management Nurse?
| Aspect | Apprentice Utilization Management Nurse | Utilization Management Nurse |
|---|---|---|
| Credentials | Licensed RN, in training or early certification stage | Licensed RN with certification in utilization review |
| Work Environment | Supervised training setting, often in healthcare or insurance companies | Independent review in healthcare or insurance organizations |
| Job Responsibilities | Assisting with case reviews, learning utilization review processes | Conducting case assessments, making coverage decisions |
The Apprentice Utilization Management Nurse is in training, focusing on learning review procedures under supervision, while the Utilization Management Nurse is fully qualified, responsible for independent case evaluations and decision-making. The apprentice role is a stepping stone toward becoming a licensed Utilization Management Nurse.
What are the key skills and qualifications needed to thrive as an Apprentice Utilization Management Nurse, and why are they important?
To thrive as an Apprentice Utilization Management Nurse, you need a foundational understanding of nursing principles, strong analytical skills, and typically an RN license or progression toward one. Familiarity with utilization management software, electronic health records (EHR), and knowledge of insurance guidelines such as Medicare or Medicaid are often required. Attention to detail, critical thinking, and effective communication are essential soft skills for collaborating with healthcare teams and conveying clinical information. These competencies ensure accurate patient care reviews, compliance with regulations, and effective support in healthcare cost management.
What are some common challenges faced by Apprentice Utilization Management Nurses, and how can they be addressed?
Apprentice Utilization Management Nurses often encounter challenges such as learning to interpret complex medical records, understanding insurance policies, and adhering to strict regulatory guidelines. Balancing patient advocacy with cost-effective care decisions can also be demanding. These challenges can be addressed by actively participating in mentorship programs, seeking regular feedback from experienced colleagues, and utilizing ongoing training resources provided by employers. Developing strong communication and organizational skills will also help manage the workload and foster effective collaboration with physicians, case managers, and insurance representatives.
What is an Apprentice Utilization Management Nurse?
An Apprentice Utilization Management Nurse is a nursing professional in training who assists with the review and evaluation of healthcare services to ensure they are medically necessary and cost-effective. They work under the supervision of experienced utilization management nurses and follow established guidelines to assess patient care plans, medical records, and insurance policies. Their role is crucial in helping healthcare organizations maintain quality care while managing costs, and they may interact with physicians, patients, and insurance companies to clarify or justify treatment decisions. As apprentices, they are gaining hands-on experience to develop their skills and knowledge in utilization management.
What are the most commonly searched types of Utilization Management Nurse jobs in Raleigh, NC? The most popular types of Utilization Management Nurse jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Apprentice Utilization Management Nurse jobs? Cities near Raleigh, NC with the most Apprentice Utilization Management Nurse job openings:
Duke University rating
6.7
Based on 55 frontline employees who took The Breakroom Quiz
482nd of 611 rated colleges and universities
Job description
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Duke Nursing Highlights:
$7,500.00 Commitment Bonus to external candidates paid over 1 year in 6 month increments
The Case Manager is responsible for managing an assigned caseload to ensure timely assessment, planning, implementation, and evaluation of discharge plans and care transitions across the continuum of care. This role supports optimal patient outcomes, effective resource utilization, and compliance with CMS and other regulatory agencies. The Case Manager collaborates closely with interdisciplinary teams, patients, families, and community partners to coordinate safe, efficient care transitions.
Key Responsibilities
Care Coordination & Discharge Planning
Collaboration & Communication
Documentation & Compliance
Quality & Professional Development
Knowledge, Skills & Abilities
Minimum Qualifications
Education
Experience
License and Certification
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Duke Nursing Highlights:
- Duke University Health System is designated as a Magnet organization
- Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
- Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
- Duke University Health System has 6000 + registered nurses
- Quality of Life: Living in the Triangle!
- Relocation Assistance (based on eligibility)
$7,500.00 Commitment Bonus to external candidates paid over 1 year in 6 month increments
The Case Manager is responsible for managing an assigned caseload to ensure timely assessment, planning, implementation, and evaluation of discharge plans and care transitions across the continuum of care. This role supports optimal patient outcomes, effective resource utilization, and compliance with CMS and other regulatory agencies. The Case Manager collaborates closely with interdisciplinary teams, patients, families, and community partners to coordinate safe, efficient care transitions.
Key Responsibilities
Care Coordination & Discharge Planning
- Assess all assigned patients for case management needs, including discharge planning, care transitions, advocacy, consultations, and patient/family education.
- Develop, implement, and evaluate individualized discharge plans ensuring timely and appropriate transitions of care.
- Coordinate services such as Home Health, Durable Medical Equipment (DME), transportation, Substance Abuse Treatment, outpatient follow-up, Skilled Nursing Facility (SNF) placement, and Acute Rehab referrals.
- Monitor daily census to ensure all patients are evaluated for case management needs.
Collaboration & Communication
- Maintain effective communication with the healthcare team regarding assessment findings, discharge needs, and provider orders.
- Provide education to patients, families, and care teams regarding benefits, reimbursement guidelines, and regulatory requirements.
- Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote appropriate resource use.
Documentation & Compliance
- Maintain timely, accurate documentation of assessments, interventions, discharge arrangements, and all actions taken.
- Ensure compliance with federal, state, and local regulations, as well as organizational policies.
- Prepare reports and maintain records as required.
Quality & Professional Development
- Participate in Quality Assurance/Performance Improvement (QAPI) activities.
- Represent the department with professionalism while fostering positive working relationships across Duke Health and external partners.
- Provide weekend, holiday, or after-hours coverage as assigned based on entity needs.
Knowledge, Skills & Abilities
- Ability to work independently in a self-directed role.
- Strong problem-solving skills and ability to manage complex situations.
- Excellent written and verbal communication skills.
- Basic computer proficiency.
Minimum Qualifications
Education
- BSN or MSW required
Experience
- Minimum of 3 years of relevant experience
License and Certification
- Case Management Certification (ACM, CCM, or ANCC) required within 3 years of hire
- For BSN-prepared candidates: Must hold a current RN license (or compact license) in the state of North Carolina.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
What Duke University employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Duke University
Sourced by ZipRecruiter
Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate, and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.
Industry
Colleges, universities, and professional schools and hospitals
Company size
10,000+ Employees
Headquarters location
Durham, NC, US