Reviews staff utilization regularly and promptly addresses staff not meeting utilization goals ... insurance; a company-matched 401(k)/Roth; paid time off that includes parental and military leave ...
Reviews staff utilization regularly and promptly addresses staff not meeting utilization goals ... insurance; a company-matched 401(k)/Roth; paid time off that includes parental and military leave ...
Group Health insurance for you and your family * Company-paid life and disability insurance ... Utilization Review, Case Manager RN *Weekly payment estimates are intended for informational ...
Group Health insurance for you and your family * Company-paid life and disability insurance ... Utilization Review, Case Manager RN *Weekly payment estimates are intended for informational ...
Part Time Pharmacy Intern P2
$14.25 - $17.75/hr
... Insurance Carrier or Pharmacy Benefit Manager, and expiration dates (if applicable), and patient ... Notify the pharmacist in the event of early fills or drug utilization review (DUR) messages. Ensure ...
Part Time Pharmacy Intern P2
$14.25 - $17.75/hr
... Insurance Carrier or Pharmacy Benefit Manager, and expiration dates (if applicable), and patient ... Notify the pharmacist in the event of early fills or drug utilization review (DUR) messages. Ensure ...
Reviews staff utilization regularly and promptly addresses staff not meeting utilization goals ... insurance; a company-matched 401(k)/Roth; paid time off that includes parental and military leave ...
Reviews staff utilization regularly and promptly addresses staff not meeting utilization goals ... insurance; a company-matched 401(k)/Roth; paid time off that includes parental and military leave ...
Reviews staff utilization regularly and promptly addresses staff not meeting utilization goals ... insurance; a company-matched 401(k)/Roth; paid time off that includes parental and military leave ...
Reviews staff utilization regularly and promptly addresses staff not meeting utilization goals ... insurance; a company-matched 401(k)/Roth; paid time off that includes parental and military leave ...
Case Manager
Raleigh, NC · On-site
$19.50 - $25/hr
... insurance payers within required timeframes * Makes the initial evaluation visit and regularly ... Participates in clinical record/utilization review of medical records and quality assurance and ...
Case Manager
Raleigh, NC · On-site
$19.50 - $25/hr
... insurance payers within required timeframes * Makes the initial evaluation visit and regularly ... Participates in clinical record/utilization review of medical records and quality assurance and ...
... including physicians, utilization review and nursing staff members * Demonstrates active ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...
... including physicians, utilization review and nursing staff members * Demonstrates active ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...
... including physicians, utilization review and nursing staff members * Demonstrates active ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...
... including physicians, utilization review and nursing staff members * Demonstrates active ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...
... including physicians, utilization review and nursing staff members * Demonstrates active ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...
... including physicians, utilization review and nursing staff members * Demonstrates active ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...
Case Manager
Raleigh, NC · On-site
$19.50 - $25/hr
... insurance payers within required timeframes * Makes the initial evaluation visit and regularly ... Participates in clinical record/utilization review of medical records and quality assurance and ...
Case Manager
Raleigh, NC · On-site
$19.50 - $25/hr
... insurance payers within required timeframes * Makes the initial evaluation visit and regularly ... Participates in clinical record/utilization review of medical records and quality assurance and ...
... review, claims appeals, medical billing and coding, utilization management, or payment integrity * Experience applying International Classification of Diseases, Tenth Revision (ICD-10), Current ...
... review, claims appeals, medical billing and coding, utilization management, or payment integrity * Experience applying International Classification of Diseases, Tenth Revision (ICD-10), Current ...
... insured clients. * Lead preparation for URAC and NCQA audits, surveys, and accreditation reviews ... outcomes, utilization, throughput, readmissions, denial prevention, length of stay, member ...
... insured clients. * Lead preparation for URAC and NCQA audits, surveys, and accreditation reviews ... outcomes, utilization, throughput, readmissions, denial prevention, length of stay, member ...
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
Regional Planner/Scheduler
Raleigh, NC · On-site
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
Regional Planner/Scheduler
Raleigh, NC · On-site
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
Regional Planner/Scheduler
Raleigh, NC · On-site
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
Regional Planner/Scheduler
Raleigh, NC · On-site
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
May review utilization and cost data to recommend corrective actions to reduce costs.Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
Regional Planner/Scheduler
Raleigh, NC · On-site +1
May review utilization and cost data to recommend corrective actions to reduce costs. • Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
Regional Planner/Scheduler
Raleigh, NC · On-site +1
May review utilization and cost data to recommend corrective actions to reduce costs. • Performs ... insurance programs, and paid and unpaid time away from work. In addition to a comprehensive ...
Insurance 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 insurance utilization review jobs pay per hour?
As of Jun 14, 2026, the average hourly pay for insurance 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 common challenges faced by Insurance Utilization Review professionals?
One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.
What are the key skills and qualifications needed to thrive in the Insurance Utilization Review position, and why are they important?
To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.
What is an Insurance Utilization Review job?
An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.
What are the most commonly searched types of Insurance Utilization Review jobs in Raleigh, NC? The most popular types of Insurance Utilization Review jobs in Raleigh, NC are:
What are popular job titles related to Insurance Utilization Review jobs in Raleigh, NC? For Insurance Utilization Review jobs in Raleigh, NC, the most frequently searched job titles are:
- Remote Utilization Management
- Utilization Review Physician
- Evening Optum Health Utilization Review
- Overnight Utilization Review Nurse
- Medical Review Nurse
- Full Time Appeals Nurse Remote
- Non Exempt No Experience Utilization Management Nurse
- 3Rd Shift Behavioral Health Utilization Review
- Contract Hedis Review Nurse
- Full Time Behavioral Health Utilization Review
What job categories do people searching Insurance Utilization Review jobs in Raleigh, NC look for? The top searched job categories for Insurance Utilization Review jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Insurance Utilization Review jobs? Cities near Raleigh, NC with the most Insurance Utilization Review job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 17 days ago
Colliers Engineering & Design rating
7.4
Based on 8 frontline employees who took The Breakroom Quiz
236th of 352 rated engineering
Job description
Overview
Colliers Engineering & Design is seeking a Department Manager to join our Water/Wastewater team in Raleigh, NC! We are seeking a seasoned and dynamic leader who can help us build our Water/Wastewater business in this region.
At Colliers Engineering & Design, we're not just shaping the community, we're shaping the future. As a national, multi-disciplinary engineering and design powerhouse, we bring cutting-edge solutions to complex challenges across the public sector! Our culture thrives on innovation, collaboration, and the drive to deliver excellence. This is your chance to join a passionate team that's shaping the communities of tomorrow.
Responsibilities
Qualifications
What We Offer
At Colliers Engineering & Design, our people are our most important resource. That's why we are committed to providing all our employees with a safe, comfortable work environment, potential for career advancement, and the ability to impact society through their projects as well as Company sponsored activities.
This dedication begins with supporting a work life balance through a generous compensation package that includes: company paid medical, dental, and vision coverage; paid pregnancy disability leave; short- and long-term disability insurance; life insurance; a company-matched 401(k)/Roth; paid time off that includes parental and military leave; employee referral and professional license bonuses and a straight time policy that compensates exempt employees for billable hours worked in excess of 40 billable hours within a work week.
We have also created an internal culture that provides the resources and technology needed to encourage personal and professional growth opportunities through reimbursement for education; a free in-house resource for hundreds of educational and self-enrichment courses; mentorship program; wellness program; Women's Organization and ongoing philanthropic opportunities.
Apply today to learn how you can join our team of professionals, so we can help you Accelerate Your Success!
Colliers Engineering & Design is seeking a Department Manager to join our Water/Wastewater team in Raleigh, NC! We are seeking a seasoned and dynamic leader who can help us build our Water/Wastewater business in this region.
At Colliers Engineering & Design, we're not just shaping the community, we're shaping the future. As a national, multi-disciplinary engineering and design powerhouse, we bring cutting-edge solutions to complex challenges across the public sector! Our culture thrives on innovation, collaboration, and the drive to deliver excellence. This is your chance to join a passionate team that's shaping the communities of tomorrow.
Responsibilities
- Provide leadership, strategic/managerial direction, and guidance to achieve established financial and growth goals for the discipline.
- Responsible for overall productivity, profitability, client satisfaction, and quality of work.
- Develop, execute, and lead discipline marketing and business development strategies in collaboration with the marketing and business development teams.
- Work with leadership to build a production team.
- Evaluate and monitor budgets, billing, and collections.
- Consistently monitors the backlog of work and the sharing of resources within the discipline, maximizing staff utilization. Reviews staff utilization regularly and promptly addresses staff not meeting utilization goals.
- Responsible for fostering staff professional development, monitoring staffing/recruiting activity, and effectively managing employee relations.
- Comply with and ensure others' compliance with all policies and procedures.
- Serve as project manager while being a resource for staff on assigned projects and manage completion of projects regarding scope, schedule, quality, and budget.
- Provide staff with technical assistance and supervision in the preparation of proposals and contracts for assigned projects.
- Prepare pertinent information for client/agency meetings and attend, as needed.
- Develop the skills and abilities of staff which are necessary for successful execution of work duties.
- Serve as a mentor and coach staff.
- Manage the performance of assigned staff, conduct performance evaluations, and provide input for promotions and staff advancement.
- Collaborate with other firms in pursuit of opportunities and manage subconsultant contracts.
Qualifications
- Bachelor's degree in civil engineering.
- P.E. (Professional Engineer) license required.
- 8+ years of experience in civil/environmental engineering with concentration on water/wastewater design.
- Ability to read, write, and understand English for purposes of comprehending written job-related communications and verbal instructions and interactions.
- Ability to manage clients and develop new business.
- Excellent communication skills.
What We Offer
At Colliers Engineering & Design, our people are our most important resource. That's why we are committed to providing all our employees with a safe, comfortable work environment, potential for career advancement, and the ability to impact society through their projects as well as Company sponsored activities.
This dedication begins with supporting a work life balance through a generous compensation package that includes: company paid medical, dental, and vision coverage; paid pregnancy disability leave; short- and long-term disability insurance; life insurance; a company-matched 401(k)/Roth; paid time off that includes parental and military leave; employee referral and professional license bonuses and a straight time policy that compensates exempt employees for billable hours worked in excess of 40 billable hours within a work week.
We have also created an internal culture that provides the resources and technology needed to encourage personal and professional growth opportunities through reimbursement for education; a free in-house resource for hundreds of educational and self-enrichment courses; mentorship program; wellness program; Women's Organization and ongoing philanthropic opportunities.
Apply today to learn how you can join our team of professionals, so we can help you Accelerate Your Success!
About Colliers Engineering & Design
Sourced by ZipRecruiter
Colliers Engineering & Design, an affiliate of Colliers, is a trusted provider of multi-discipline engineering and architecture, design and consulting services to public and private sector clients. Headquartered in Holmdel, New Jersey with offices throughout the United States, we specialize in providing a comprehensive suite of services including civil/site, architecture, transportation, survey/geospatial, infrastructure, governmental, geotechnical/environmental, telecommunications, utilities/energy and project management. We employ professionals who utilize the most advanced technologies to deliver customized solutions for our clients.
Industry
Engineering professional services
Company size
1,001 - 5,000 Employees
Headquarters location
Holmdel, NJ, US
Year founded
1984