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Nurse Practitioner Utilization Review Jobs in Raleigh, NC

Recovery Innovations

Nurse Practitioner

Raleigh, NC

$83 - $88/hr

Nurse Practitioner Job Type: Pool - Non-Exempt Shift Details: Pool As Needed / 8am - 5:00pm Work ... Ensures completion of designated reviews for all new individuals brought to the facility, making ...

RI International

Nurse Practitioner

Raleigh, NC · On-site

$83 - $88/hr

Nurse Practitioner Job Type: Pool - Non-Exempt Shift Details: Pool As Needed / 8am - 5:00pm Work ... Ensures completion of designated reviews for all new individuals brought to the facility, making ...

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All JobsNurse Practitioner Utilization Review JobsNurse Practitioner Utilization Review Jobs in Raleigh, NC

Nurse Practitioner Utilization Review information

See Raleigh, NC salary details

$69K

$130.6K

$204.6K

How much do nurse practitioner utilization review jobs pay per year?

As of Sep 6, 2026, the average yearly pay for nurse practitioner utilization review in Raleigh, NC is $130,618.00, according to ZipRecruiter salary data. Most workers in this role earn between $107,900.00 and $148,200.00 per year, depending on experience, location, and employer.

What is a nurse practitioner utilization review?

A Nurse Practitioner Utilization Review (NP UR) job involves evaluating medical records to ensure treatments are medically necessary, cost-effective, and compliant with healthcare guidelines. NP UR professionals work with insurance companies, healthcare organizations, or government agencies to review patient care decisions, approve or deny claims, and recommend alternative treatments when needed. They use clinical expertise to assess whether services align with best practices and healthcare policies. This role is typically non-clinical, involving case reviews, documentation, and collaboration with healthcare providers. It helps improve patient care efficiency while controlling costs.

What are common day-to-day responsibilities for a nurse practitioner utilization review?

A Nurse Practitioner Utilization Review typically spends their day evaluating patient records, determining medical necessity of treatments, and ensuring care meets established guidelines and payer requirements. This role involves frequent collaboration with physicians, case managers, and insurance representatives to clarify or appeal decisions as needed. You may also participate in team meetings, develop recommendations for optimizing utilization, and provide education to clinical staff regarding documentation or policy changes. The work is often remote or office-based, with a predictable schedule and minimal direct patient contact. This structure allows for a balanced workload and a focus on analytical aspects of patient care.

What are the key skills and qualifications needed to thrive in the nurse practitioner utilization review position, and why are they important?

To thrive as a Nurse Practitioner Utilization Review, you need advanced clinical knowledge, current NP licensure, and expertise in reviewing medical records for appropriateness of care. Familiarity with utilization management software, ICD-10/CPT coding, and case management systems is typically required, along with relevant certifications such as URAC or CCM. Strong analytical thinking, attention to detail, effective written communication, and collaboration skills help you excel in evaluating care plans and working with multi-disciplinary teams. These abilities ensure accurate assessment of healthcare services, optimal resource use, and regulatory compliance within healthcare organizations.

What are the most commonly searched types of Nurse Practitioner Utilization Review jobs in Raleigh, NC?

The most popular types of Nurse Practitioner Utilization Review jobs in Raleigh, NC are:

What are popular job titles related to Nurse Practitioner Utilization Review jobs in Raleigh, NC?

For Nurse Practitioner Utilization Review jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Nurse Practitioner Utilization Review jobs in Raleigh, NC look for?

The top searched job categories for Nurse Practitioner Utilization Review jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Nurse Practitioner Utilization Review jobs?

Cities near Raleigh, NC with the most Nurse Practitioner Utilization Review job openings:

Nurse Practitioner Utilization Review jobs near you
Infographic showing various Nurse Practitioner Utilization Review job openings in Raleigh, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $130,618 per year, or $62.8 per hour.

Infusion Nurse Practitioner (NP)

IVX Health

Raleigh, NC • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

IVX Health rating

5.8

Company rating: 5.8 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

Job Description
Job Description

Join IVX Health as a Full-time Nurse Practitioner in our North Raleigh clinic!

Join a team that's redefining infusion care and creating exceptional patient experiences.

Are you a skilled and compassionate Nurse Practitioner looking for an opportunity to make a meaningful impact in patient-centered infusion care? IVX Health is seeking an NP to provide high-quality, specialized infusion therapy in an outpatient setting. As a Nurse Practitioner at IVX Health, you'll be at the forefront of delivering personalized, compassionate care to our patients. With your expertise in infusion therapy, you'll oversee patient care, collaborate with a multi-disciplinary team, and serve as a trusted resource for patients, families, and providers. You'll ensure every treatment is delivered with precision and care, making a real difference in patients' lives.

Why Join IVX Health

  • Make a Meaningful Impact – Deliver high-quality care that directly improves patients' lives and supports their families.
  • Collaborative & Supportive Team – Work alongside a dedicated, multidisciplinary team in a positive and patient-focused environment.
  • Grow Your Career – Access Continuing Education Units (CEUs), tuition reimbursement, and professional development opportunities. We cover the cost of CRNI (Certified Registered Nurse Infusion) and ONCC (Oncology Nursing Certification Corporation) certifications to support your career advancement.
  • Advanced Clinical Training – Receive ultrasound IV skills training to enhance your expertise in infusion therapy.
  • Prioritize Work-Life Balance – Enjoy flexible scheduling, ample PTO, and the ability to truly disconnect and recharge during holidays.
  • Innovative Outpatient Care – Be part of a cutting-edge healthcare model that prioritizes patient comfort, seamless care coordination, and specialized infusion therapies.

What You Will Do

  • Provide Direct Patient Care – Deliver on-site and virtual supervision while administering infusions and injections with precision.
  • Conduct Patient Assessments – Perform evaluations, document SOAP notes, and monitor treatment responses.
  • Educate and Support Patients – Guide patients and families through treatment expectations, potential side effects, and disease management.
  • Ensure Compliance and Quality – Maintain accurate records in the Electronic Health Record (EHR) system, review nursing documentation, and uphold HIPAA and OSHA standards.
  • Optimize Clinical Workflows – Assist with chart preparation and treatment planning to streamline patient visits.
  • Collaborate with Healthcare Teams – Work closely with referring providers and cross-functional teams to enhance care coordination.
  • Support Operations and Training – Assist in inventory management, prior authorizations, and regulatory adherence.
  • Flexibility and Adaptability – Work at multiple facilities within a designated market as needed.
  • Perform Additional Duties – Take on other responsibilities as assigned to support patient care and organizational objectives.

What We're Looking For

  • Active and Unrestricted Licenses – Nurse Practitioner (NP) license and Registered Nurse (RN) license (if required by the state).
  • Board Certification – AANP or ANCC certification required.
  • Life Support Certifications – BLS certification required; PALS certification preferred.
  • Clinical Experience – Background in an ambulatory infusion center, outpatient specialty clinic, or similar setting is a plus.
  • Ability to Treat a Diverse Patient Population – Must be able to care for both adults and pediatrics—Family Nurse Practitioner (FNP) preferred.
  • Strong IV and Infusion Therapy Skills – Experience with specialty biologics, medication management, and emergency response protocols.
  • Proficiency in Clinical Documentation – Experience with EHR systems and a strong understanding of HIPAA and regulatory compliance.
  • Exceptional Communication & Collaboration – Ability to work effectively with patients, families, and multidisciplinary teams.

About IVX Health

IVX Health is a national provider of infusion and injection therapy for patients managing complex chronic conditions. Through a patient-centered approach focused on comfort, convenience, clinical excellence, and exceptional service, we're redefining the care experience and improving lives every day. As a growing healthcare organization, we're committed to supporting our employees with meaningful work, professional development opportunities, and a culture built on collaboration, innovation, and purpose.
Guided by Our Purpose

Mission: To improve the lives of those we care for by redefining the care experience.
Vision: To be the nation's preferred destination for pharmaceutical care of complex chronic conditions.
Values: Be Kind. Do What's Right. Never Settle. Make It Happen. Enjoy the Ride.

Benefits & Perks
Eligible employees may receive:
  • Medical, Dental, and Vision Coverage
  • Prescription Drug Coverage and Telemedicine Services
  • Health Savings Account (HSA), Health Reimbursement Arrangement (HRA), and Flexible Spending Options
  • 401(k) Retirement Plan with Company Match
  • Life, AD&D, and Disability Insurance
  • Accident, Critical Illness, and Hospital Indemnity Coverage
  • Fertility and Family Planning Support
  • Tuition Reimbursement and Certification Assistance
  • Continuing Education and Professional Development Resources
  • Employee Assistance Program and Wellness Support
  • Paid Time Off
  • Volunteer Time Off and Charitable Giving Match
  • Employee Referral Bonus Program
Benefits may vary based on employment status and eligibility.

EEO STATEMENT

IVX Health is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive workplace where all employees are treated with respect and provided equal employment opportunities. Employment decisions are made based on business needs, job requirements, qualifications, merit, and applicable law.
IVX Health prohibits discrimination, harassment, and retaliation of any kind and is committed to providing reasonable accommodations to qualified individuals with disabilities and those with sincerely held religious beliefs.
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