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 ...
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization ...
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 and Quality Management/Outcomes experience preferred. Previous work experience with a ... Prior experience in case management, home health, discharge planning, or Concurrent review.
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 ...
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 ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
... review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift ... Weekend shift hours may vary. How you will make an impact: * Managing incoming calls or incoming ...
UM Clinical Specialist RN-Physical Health (Full-time Remote, NC Based)
Morrisville, NC · Remote
$68K - $86K/yr
Conduct utilization reviews to monitor adherence to clinical practice guidelines and best practice standards * Notify members of adverse benefit determinations while preserving members' Due Process ...
UM Clinical Specialist RN-Physical Health (Full-time Remote, NC Based)
Morrisville, NC · Remote
$68K - $86K/yr
Conduct utilization reviews to monitor adherence to clinical practice guidelines and best practice standards * Notify members of adverse benefit determinations while preserving members' Due Process ...
Dir-Utilization Management-Physical Health (Full-time Remote, Morrisville, NC Based)
Morrisville, NC · On-site +1
Oversee the UM Unit reviewing physical health services * Ensure consistent application of medical ... Advise the Utilization Management Committee regarding service line trends and operational key ...
Dir-Utilization Management-Physical Health (Full-time Remote, Morrisville, NC Based)
Morrisville, NC · On-site +1
Oversee the UM Unit reviewing physical health services * Ensure consistent application of medical ... Advise the Utilization Management Committee regarding service line trends and operational key ...
Dir-Utilization Management-Physical Health (Full-time Remote, Morrisville, NC Based)
Morrisville, NC · Remote
Oversee the UM Unit reviewing physical health services * Ensure consistent application of medical ... Advise the Utilization Management Committee regarding service line trends and operational key ...
Dir-Utilization Management-Physical Health (Full-time Remote, Morrisville, NC Based)
Morrisville, NC · Remote
Oversee the UM Unit reviewing physical health services * Ensure consistent application of medical ... Advise the Utilization Management Committee regarding service line trends and operational key ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
RN Care Manager - Rex Case Management Services
Raleigh, 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 - Rex Case Management Services
Raleigh, 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 Patient Logistic Transfer Specialist - Transfer Center
Raleigh, NC · On-site
$33.37 - $47.97/hr
... utilization review, and effective patient flow activities. Schedule: Weekend-only position; shifts are scheduled every Saturday and Sunday. Responsibilities: 1. Incoming Transfer Requests ...
RN Patient Logistic Transfer Specialist - Transfer Center
Raleigh, NC · On-site
$33.37 - $47.97/hr
... utilization review, and effective patient flow activities. Schedule: Weekend-only position; shifts are scheduled every Saturday and Sunday. Responsibilities: 1. Incoming Transfer Requests ...
Medical Director
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Medical Director
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Medical Director
Durham, NC · On-site
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Medical Director
Durham, NC · On-site
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Medical Director
Durham, NC · On-site
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Medical Director
Durham, NC · On-site
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Medical Director
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Quick apply
Apply Early
Medical Director
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Apply Early
Medical Director
Durham, NC · On-site
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Medical Director
Durham, NC · On-site
$248K - $298K/yr
Monday-Friday 8:00 AM-5:00 PM (Every Other Weekend) The Medical Director objective is to provide ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...
Hourly Weekend 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 hourly weekend utilization review jobs pay per hour?
As of Jul 5, 2026, the average hourly pay for hourly weekend 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 is the difference between Hourly Weekend Utilization Review vs Medical Billing Specialist?
| Aspect | Hourly Weekend Utilization Review | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications, such as RHIT or RHIA | Requires coding certifications like CPC or CCS |
| Work Environment | Healthcare facilities, insurance companies, or utilization review organizations, often during weekends | Medical offices, billing companies, or hospitals, primarily weekdays |
| Job Focus | Assessing patient care and resource utilization during weekends | Processing insurance claims, coding, and billing |
Hourly Weekend Utilization Review involves evaluating patient care and resource use during weekends, often requiring healthcare certifications. In contrast, Medical Billing Specialists focus on coding and billing processes, mainly during weekdays. Both roles are essential in healthcare operations but differ in focus, credentials, and work hours.
What are the most commonly searched types of Weekend Utilization Review jobs in Raleigh, NC? The most popular types of Weekend Utilization Review jobs in Raleigh, NC are:
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.
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.
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