Utilization Review Nurse
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Utilization Review Nurse
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Utilization Review Specialist
Raleigh, NC · On-site
Triangle Springs is a 77-bed behavioral health hospital located in Raleigh, North Carolina ... How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ...
Utilization Review Specialist
Raleigh, NC · On-site
Triangle Springs is a 77-bed behavioral health hospital located in Raleigh, North Carolina ... How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ...
Triangle Springs is a 77-bed behavioral health hospital located in Raleigh, North Carolina ... How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ...
Triangle Springs is a 77-bed behavioral health hospital located in Raleigh, North Carolina ... How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ...
Utilization Review Nurse
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Utilization Review Nurse
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Utilization Review Nurse
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Utilization Review Nurse
Oxford, NC · On-site
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
Utilization Review Nurse (RN)
Raleigh, NC · On-site
Utilization Review Nurse (RN) A Few Words About Us - Integrated Resources, Inc is a premier ... home health, discharge planning, or Concurrent review. · RN Diploma, RN Associate's degree or ...
Utilization Review Nurse (RN)
Raleigh, NC · On-site
Utilization Review Nurse (RN) A Few Words About Us - Integrated Resources, Inc is a premier ... home health, discharge planning, or Concurrent review. · RN Diploma, RN Associate's degree or ...
Join a dedicated healthcare team as a Registered Nurse specializing in Utilization Review and Coordination of Care. This role involves evaluating patient admissions and ongoing care to ensure medical ...
Join a dedicated healthcare team as a Registered Nurse specializing in Utilization Review and Coordination of Care. This role involves evaluating patient admissions and ongoing care to ensure medical ...
Case Manager - Utilization Review Location ... Granville Health System, Oxford NC About Granville Health System: For over a century, Granville ...
Case Manager - Utilization Review Location ... Granville Health System, Oxford NC About Granville Health System: For over a century, Granville ...
Case Manager - Utilization Review Location ... Granville Health System, Oxford NC About Granville Health System: For over a century, Granville ...
Case Manager - Utilization Review Location ... Granville Health System, Oxford NC About Granville Health System: For over a century, Granville ...
Utilization Review Nurse (RN)
Raleigh, NC · On-site
Utilization and Quality Management/Outcomes experience preferred. Previous work experience with a ... Prior experience in case management, home health, discharge planning, or Concurrent review.
Utilization Review Nurse (RN)
Raleigh, NC · On-site
Utilization and Quality Management/Outcomes experience preferred. Previous work experience with a ... Prior experience in case management, home health, discharge planning, or Concurrent review.
Utilization Manager
Durham, NC · On-site
Provides formal and informal education to physicians and the healthcare team to improve processes and outcomes related to utilization review and compliance with utilization management plan. * Gives ...
Utilization Manager
Durham, NC · On-site
Provides formal and informal education to physicians and the healthcare team to improve processes and outcomes related to utilization review and compliance with utilization management plan. * Gives ...
Utilization Manager
Durham, NC · On-site
Provides formal and informal education to physicians and the healthcare team to improve processes and outcomes related to utilization review and compliance with utilization management plan. * Gives ...
Utilization Manager
Durham, NC · On-site
Provides formal and informal education to physicians and the healthcare team to improve processes and outcomes related to utilization review and compliance with utilization management plan. * Gives ...
Utilization Manager
Durham, NC · On-site
Provides formal and informal education to physicians and the healthcare team to improve processes and outcomes related to utilization review and compliance with utilization management plan. * Gives ...
Utilization Manager
Durham, NC · On-site
Provides formal and informal education to physicians and the healthcare team to improve processes and outcomes related to utilization review and compliance with utilization management plan. * Gives ...
Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies ...
Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies ...
The Utilization Management Nurse performs medical necessity and benefit review requests in ... Collaborates with healthcare partners to ensure timely review of services and care. * Provides ...
Quick apply
The Utilization Management Nurse performs medical necessity and benefit review requests in ... Collaborates with healthcare partners to ensure timely review of services and care. * Provides ...
Provides formal and informal education to physicians and the healthcare team to improve processes and outcomes related to utilization review and compliance with utilization management plan. * Gives ...
Provides formal and informal education to physicians and the healthcare team to improve processes and outcomes related to utilization review and compliance with utilization management plan. * Gives ...
Utilization Manager
Durham, NC · On-site
Provides formal and informal education to physicians and the healthcare team to improve processes and outcomes related to utilization review and compliance with utilization management plan. * Gives ...
Utilization Manager
Durham, NC · On-site
Provides formal and informal education to physicians and the healthcare team to improve processes and outcomes related to utilization review and compliance with utilization management plan. * Gives ...
... healthcare partners to ensure timely review of services and care. • Provides referrals to Case ... in Utilization Review process including benefit interpretation, contract language, medical and ...
... healthcare partners to ensure timely review of services and care. • Provides referrals to Case ... in Utilization Review process including benefit interpretation, contract language, medical and ...
Utilization Management Nurse
Chapel Hill, NC · On-site +1
... healthcare partners to ensure timely review of services and care. • Provides referrals to Case ... in Utilization Review process including benefit interpretation, contract language, medical and ...
Utilization Management Nurse
Chapel Hill, NC · On-site +1
... healthcare partners to ensure timely review of services and care. • Provides referrals to Case ... in Utilization Review process including benefit interpretation, contract language, medical and ...
Utilization Management Representative I Utilization Management Representative I Location : This ... review the education and awareness resources at HB531 | Florida Agency for Health Care ...
Utilization Management Representative I Utilization Management Representative I Location : This ... review the education and awareness resources at HB531 | Florida Agency for Health Care ...
Evening Optum Health Utilization Review 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 evening optum health utilization review jobs pay per hour?
As of Aug 24, 2026, the average hourly pay for evening optum health utilization review 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 are the most commonly searched types of Optum Health Utilization Review jobs in Raleigh, NC?
The most popular types of Optum Health Utilization Review jobs in Raleigh, NC are:
What are popular job titles related to Evening Optum Health Utilization Review jobs in Raleigh, NC?
For Evening Optum Health Utilization Review jobs in Raleigh, NC, the most frequently searched job titles are:
- Remote Telephonic Nurse
- Utilization Review Rn
- Night Utilization Review Nurse
- Overnight Utilization Review Nurse
- Home Based Utilization Review Nurse
- Manager Utilization Management
- Full Time Remote Utilization Review Nurse
- Evening Utilization Review Nurse
- Full Time Behavioral Health Utilization Review
- Remote Utilization Review Nurse
What job categories do people searching Evening Optum Health Utilization Review jobs in Raleigh, NC look for?
The top searched job categories for Evening Optum Health Utilization Review jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Evening Optum Health Utilization Review jobs?
Cities near Raleigh, NC with the most Evening Optum Health Utilization Review job openings:
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
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