Mobile MDS (RN)
Raleigh, NC · On-site
Stability - Join an organization with a proven track record in skilled nursing care. Benefits and Perks: * Benefit eligibility the first of the month following 30 days * Comprehensive benefit ...
Mobile MDS (RN)
Raleigh, NC · On-site
Stability - Join an organization with a proven track record in skilled nursing care. Benefits and Perks: * Benefit eligibility the first of the month following 30 days * Comprehensive benefit ...
RN-Care Manager
Chapel Hill, NC · On-site
RN - Care Manager | Chapel Hill, NC Location: Chapel Hill, NC Duration: 3+ Months Shift: Days | 8 ... Conduct utilization review and case management activities. * Participate in daily Care Management ...
RN-Care Manager
Chapel Hill, NC · On-site
RN - Care Manager | Chapel Hill, NC Location: Chapel Hill, NC Duration: 3+ Months Shift: Days | 8 ... Conduct utilization review and case management activities. * Participate in daily Care Management ...
Participates in quality improvement, utilization review, infection control, and risk management activities. * Reviews nursing incidents, medication variances, and quality indicators and implements ...
Participates in quality improvement, utilization review, infection control, and risk management activities. * Reviews nursing incidents, medication variances, and quality indicators and implements ...
Participates in quality improvement, utilization review, infection control, and risk management activities. * Reviews nursing incidents, medication variances, and quality indicators and implements ...
Participates in quality improvement, utilization review, infection control, and risk management activities. * Reviews nursing incidents, medication variances, and quality indicators and implements ...
Participates in quality improvement, utilization review, infection control, and risk management activities. * Reviews nursing incidents, medication variances, and quality indicators and implements ...
Participates in quality improvement, utilization review, infection control, and risk management activities. * Reviews nursing incidents, medication variances, and quality indicators and implements ...
Telehealth Nurse
$29.75 - $39.25/hr
Experience in telehealth, triage, or utilization management in a clinical setting. * Oncology ... reviewed using AI tools.
Quick apply
Telehealth Nurse
$29.75 - $39.25/hr
Experience in telehealth, triage, or utilization management in a clinical setting. * Oncology ... reviewed using AI tools.
RN-Care Manager
Chapel Hill, NC · On-site
Job Title: RN-Care Manager Location: Chapel Hill, NC 27514 Duration: 13 weeks Shift/Schedule: Days ... Perform case management, utilization review, and discharge planning activities. * Review daily ...
RN-Care Manager
Chapel Hill, NC · On-site
Job Title: RN-Care Manager Location: Chapel Hill, NC 27514 Duration: 13 weeks Shift/Schedule: Days ... Perform case management, utilization review, and discharge planning activities. * Review daily ...
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 ...
Telehealth Nurse
$41/hr
Ability to work within utilization management frameworks and adhere to accrediting and regulatory ... reviewed using AI tools.
Quick apply
Telehealth Nurse
$41/hr
Ability to work within utilization management frameworks and adhere to accrediting and regulatory ... reviewed using AI tools.
Travel RN Care Manager
Chapel Hill, NC · On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Travel RN Care Manager
Chapel Hill, NC · On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Travel RN Care Manager
Chapel Hill, NC · On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Travel RN Care Manager
Chapel Hill, NC · On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
RN-Care Manager
Chapel Hill, NC · On-site
$2.0K/wk
Care Manager Profession: RN Specialty: Care Management Duration: 13 weeks Shift: Days Hours per ... N/A Must-Have: - Patient Assessment - Critical Thinking - Case Management - Utilization Review ...
RN-Care Manager
Chapel Hill, NC · On-site
$2.0K/wk
Care Manager Profession: RN Specialty: Care Management Duration: 13 weeks Shift: Days Hours per ... N/A Must-Have: - Patient Assessment - Critical Thinking - Case Management - Utilization Review ...
Travel RN Care Manager - $2,094 per week
Chapel Hill, NC · On-site
$2.0K/wk
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Travel RN Care Manager - $2,094 per week
Chapel Hill, NC · On-site
$2.0K/wk
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
RN - Case Manager
Chapel Hill, NC · On-site
... utilization review, and discharge planning. The Care Manager must be a highly organized ... We're one of the most decorated staffing agencies in America-ranked a Top Travel Nursing Company by ...
RN - Case Manager
Chapel Hill, NC · On-site
... utilization review, and discharge planning. The Care Manager must be a highly organized ... We're one of the most decorated staffing agencies in America-ranked a Top Travel Nursing Company by ...
RN Care Manager - Care Management
Smithfield, NC · On-site
$35.87 - $51.57/hr
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
RN Care Manager - Care Management
Smithfield, NC · On-site
$35.87 - $51.57/hr
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
RN Care Manager - (Per Diem) Care Management
Smithfield, NC · On-site
$35.87 - $51.57/hr
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
RN Care Manager - (Per Diem) Care Management
Smithfield, NC · On-site
$35.87 - $51.57/hr
... utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and ...
RN Case Manager - Cardiothoracic Surgery
Wake Forest, NC · On-site
$38.20 - $57.30/hr
Department: 34033 Wake Forest Baptist Medical Center - Nursing: Care Coordination Status: Full time ... Utilization Review staff of necessary changes 9. Utilizes principles of quality improvement in ...
RN Case Manager - Cardiothoracic Surgery
Wake Forest, NC · On-site
$38.20 - $57.30/hr
Department: 34033 Wake Forest Baptist Medical Center - Nursing: Care Coordination Status: Full time ... Utilization Review staff of necessary changes 9. Utilizes principles of quality improvement in ...
RN Case Manager - Cardiothoracic Surgery
Wake Forest, NC · On-site
$38.20 - $57.30/hr
Department: 34033 Wake Forest Baptist Medical Center - Nursing: Care Coordination Status: Full time ... Utilization Review staff of necessary changes 9. Utilizes principles of quality improvement in ...
RN Case Manager - Cardiothoracic Surgery
Wake Forest, NC · On-site
$38.20 - $57.30/hr
Department: 34033 Wake Forest Baptist Medical Center - Nursing: Care Coordination Status: Full time ... Utilization Review staff of necessary changes 9. Utilizes principles of quality improvement in ...
Entry Level 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 - $33.41
21% of jobs
The median wage is $36.82 / hr.
$33.41 - $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 - $54.44
5% of jobs
$54.44 - $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 utilization review nurse jobs pay per hour?
As of Aug 22, 2026, the average hourly pay for entry level utilization review nurse in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 per hour, depending on experience, location, and employer.
What is an entry level utilization review nurse?
An Entry Level Utilization Review Nurse is a registered nurse (RN) who is new to the field of utilization review. Their main responsibilities include assessing medical records, ensuring that patients receive appropriate and necessary care, and verifying that health services are delivered according to established guidelines and insurance requirements. They typically work for hospitals, insurance companies, or managed care organizations and collaborate with healthcare providers to support quality patient outcomes while managing costs. This role often serves as a stepping stone to more advanced positions in healthcare administration or case management.
What are the key skills and qualifications needed to thrive as an entry level utilization review nurse, and why are they important?
To thrive as an Entry Level Utilization Review Nurse, you need a registered nurse (RN) license, knowledge of clinical guidelines, and an understanding of healthcare regulations. Familiarity with utilization management software, electronic health records (EHR), and relevant certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) are often beneficial. Strong analytical thinking, attention to detail, and effective communication skills help you review cases accurately and collaborate with providers. These skills ensure appropriate care decisions, compliance with payer requirements, and optimal patient outcomes.
What are some common challenges faced by entry level utilization review nurses, and how can they overcome them?
Entry level Utilization Review Nurses often encounter challenges such as adapting to complex insurance policies, learning to review medical records efficiently, and communicating effectively with physicians and case managers. To overcome these challenges, new nurses should seek mentorship from experienced colleagues, participate in ongoing training sessions, and familiarize themselves with the organization's review protocols and documentation systems. Building strong communication skills and staying up to date with regulatory changes will also help in navigating the learning curve and ensuring successful case reviews.
What is the difference between Entry Level Utilization Review Nurse vs Utilization Review Nurse?
| Aspect | Entry Level Utilization Review Nurse | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, possibly some certification | RN license, often with additional certifications |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Insurance companies, healthcare organizations |
| Job Responsibilities | Assist in reviewing patient cases, gather data, support senior staff | Evaluate medical necessity, review patient records, make coverage decisions |
The Entry Level Utilization Review Nurse typically supports the more experienced Utilization Review Nurse by gathering information and assisting in case reviews. Both roles require an RN license and work within healthcare or insurance settings, but the entry-level position involves more support tasks, while the Utilization Review Nurse makes critical coverage decisions.
What are the most commonly searched types of Utilization Review Nurse jobs in Raleigh, NC?
The most popular types of Utilization Review Nurse jobs in Raleigh, NC are:
What are popular job titles related to Entry Level Utilization Review Nurse jobs in Raleigh, NC?
For Entry Level Utilization Review Nurse jobs in Raleigh, NC, the most frequently searched job titles are:
- Utilization Review Rn
- Night Utilization Review Nurse
- Overnight Utilization Review Nurse
- Evening Optum Health Utilization Review
- Utilization Management Nurse Consultant
- Full Time Remote Utilization Review Nurse
- Rn Government
- Evening Utilization Review Nurse
- Medical Review Nurse
- Home Based Utilization Review Nurse
What job categories do people searching Entry Level Utilization Review Nurse jobs in Raleigh, NC look for?
The top searched job categories for Entry Level Utilization Review Nurse jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Entry Level Utilization Review Nurse jobs?
Cities near Raleigh, NC with the most Entry Level Utilization Review Nurse job openings:
Other
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 4 hours ago
Job description
Join Our Team
Make a difference behind the scenes - join our team and help support compassionate care in communities across the company!
Advantages:
- Make a Difference – Ensure financial stability that supports quality resident care.
- Comprehensive Benefits – Health, dental, vision, and retirement plans.
- Generous PTO – Work-life balance with paid time off and holidays.
- Team-Oriented Culture – Work with dedicated professionals who value excellence.
- Stability – Join an organization with a proven track record in skilled nursing care.
Benefits and Perks:
- Benefit eligibility the first of the month following 30 days
- Comprehensive benefit packages including medical, dental, and vision, and more. Health Savings Account available with employer contribution.
- 401K through Fidelity
- Employer-paid life insurance (FT employees)
- Robust Employee Assistance Program
- Generous Paid Time Off (PTO)
- Educational, leadership, and tuition opportunities
- Various discount programs offered, including discounted childcare programs through Kindercare
- Wellness programs offered through WebMD
- Employee recognition programs
- Culture of employees creating an IMPACT!
Position Summary:
The primary purpose of the position is to complete the Resident Assessment Instrument ("RAI") process in accordance with the requirements of State and Federal law as well as the policies and goals of all assigned Communities.
Education/Qualifications:
- Active, unencumbered Registered Nurse license in the State of practice
- Must have two (2) years experience working the RAI/MDS process
- Must be able to travel, as necessary
Shift & Wage:
- Full-Time Opportunity Available
- Shifts Needed: Varies
*Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans.
We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.