North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
Utilization Review Nurse
Oxford, NC · On-site
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
Utilization Review Nurse
Oxford, NC · On-site
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of ...
Utilization Review Nurse (RN)
Raleigh, NC · On-site
Utilization and Quality Management/Outcomes experience preferred. Previous work experience with a ... review. Qualifications RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN ...
Utilization Review Nurse (RN)
Raleigh, NC · On-site
Utilization and Quality Management/Outcomes experience preferred. Previous work experience with a ... review. Qualifications RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN ...
Travel Nurse RN - Case Manager, Utilization Review - $2,250 per week
Chapel Hill, NC · On-site
$2.2K/wk
Utilization Review * Discipline: RN * Start Date: 08/24/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Care Manager StartDate: 8/24/2026 ...
New
Travel Nurse RN - Case Manager, Utilization Review - $2,250 per week
Chapel Hill, NC · On-site
$2.2K/wk
Utilization Review * Discipline: RN * Start Date: 08/24/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Care Manager StartDate: 8/24/2026 ...
New
Travel RN Care Manager
Chapel Hill, NC · On-site
Openings: 2 Description American Traveler is seeking an RN Care Manager for an acute care setting with case management, discharge planning, and utilization review responsibilities, requiring a NC or ...
Travel RN Care Manager
Chapel Hill, NC · On-site
Openings: 2 Description American Traveler is seeking an RN Care Manager for an acute care setting with case management, discharge planning, and utilization review responsibilities, requiring a NC or ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
MDS Coordinator (RN)
$33.75 - $40.75/hr
Lead or participate in PPS, Medicare, and utilization review meetings * Ensure timely completion ... Current, active RN license in the state * Minimum three (3) years of clinical experience; long-term ...
Quick apply
MDS Coordinator (RN)
$33.75 - $40.75/hr
Lead or participate in PPS, Medicare, and utilization review meetings * Ensure timely completion ... Current, active RN license in the state * Minimum three (3) years of clinical experience; long-term ...
MDS Coordinator (RN)
Durham, NC · On-site
$33.75 - $40.75/hr
... utilization review meetings • Ensure timely completion, validation, and transmission of all MDS assessments • Collaborate with therapy, nursing, and interdisciplinary team members on ARDs and ...
MDS Coordinator (RN)
Durham, NC · On-site
$33.75 - $40.75/hr
... utilization review meetings • Ensure timely completion, validation, and transmission of all MDS assessments • Collaborate with therapy, nursing, and interdisciplinary team members on ARDs and ...
Case Manager - Utilization Review Location: Granville Health System, Oxford NC About Granville Health System: For over a century, Granville Health System has been at the forefront of quality health ...
Case Manager - Utilization Review Location: Granville Health System, Oxford NC About Granville Health System: For over a century, Granville Health System has been at the forefront of quality health ...
... RN Experience in the public Intellectual and Developmental Disability (I/DD)/TBI field is highly desired due to the complexity of the work Experience in a Utilization Review and/or Utilization ...
... RN Experience in the public Intellectual and Developmental Disability (I/DD)/TBI field is highly desired due to the complexity of the work Experience in a Utilization Review and/or Utilization ...
Case Manager - Utilization Review Location: Granville Health System, Oxford NC About Granville Health System: For over a century, Granville Health System has been at the forefront of quality health ...
Case Manager - Utilization Review Location: Granville Health System, Oxford NC About Granville Health System: For over a century, Granville Health System has been at the forefront of quality health ...
... RN Experience in the public Intellectual and Developmental Disability (I/DD)/TBI field is highly desired due to the complexity of the work Experience in a Utilization Review and/or Utilization ...
... RN Experience in the public Intellectual and Developmental Disability (I/DD)/TBI field is highly desired due to the complexity of the work Experience in a Utilization Review and/or Utilization ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Entry Level Rn Utilization Review Nurse information
See Raleigh, NC salary details
$20.80 - $25
2% of jobs
$25 - $29.21
9% of jobs
$32.09 is the 25th percentile. Wages below this are outliers.
$29.21 - $33.42
21% of jobs
The median wage is $36.82 / hr.
$33.42 - $37.62
23% of jobs
$37.62 - $41.83
13% of jobs
$45.10 is the 75th percentile. Wages above this are outliers.
$41.83 - $46.03
10% of jobs
$46.03 - $50.24
8% of jobs
$50.24 - $54.45
5% of jobs
$54.45 - $58.65
5% of jobs
$58.65 - $62.86
2% of jobs
$62.86 - $67.06
2% of jobs
$20
$41
$67
How much do entry level rn utilization review nurse jobs pay per hour?
- Nurse Practitioner Utilization Review
- Remote Occupational Therapy Utilization Review
- Remote Rn Utilization Review Nurse
- Registered Nurse Reviewer
- Remote Preservice Review Nurse
- Remote Aetna Utilization Review Nurse
- Optum Utilization Review Nurse
- Remote Utilization Review Nurse Practitioner
- Registered Nurse Medical Reviewer
- Chart Review Nurse Practitioner

Granville Health System rating
8.6
Based on 5 frontline employees who took The Breakroom Quiz
Job description
Position Summary:
Conducts patient reviews as specified in review plan using screening criteria; identifies and documents actual and potential delays in services or treatment and works with departments and other providers to resolve problems; communicates to attending physician need for documentation for admission or continuation of hospitalization; refers cases that do not meet criteria to Director when needed. Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews.
Qualifications:
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization management criteria and standards. Excellent communication skills. Ability to work with physicians and hospital staff. Maintains professional knowledge and skills related to areas of responsibility. Self direction with the ability to work with minimal supervision and manage multiple tasks. Demonstrates understanding of variations in care of the following age groups - newborn, infant, child, adolescent, adult and geriatric.
What Granville Health System employees say
Pay
Hours and flexibility
Workplace
Get the full story on Breakroom