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Overnight Remote Utilization Review Jobs in Raleigh, NC

Self Help

Network Administrator

Durham, NC · Remote

... Remote services/monitoring, Backup maintenance, EndPoint Hardware/Software, Wireless infrastructures, Vendor management. HeavySecurity emphasis. Collect/review network utilization reports: Debug ...

Labcorp

Sr. Business Development Director

Durham, NC · Remote

Remote Travel: Approximately 35% travel required, with overnight travel representing approximately ... Review client quotations and provide feedback to support commercial objectives. * Utilize ...

New

Aerotek

Proposal Writer

Raleigh, NC · On-site +1

$61K - $71K/yr

Manage version control, review and stakeholder feedback to maintain accuracy and quality * Manage ... Utilization of Monday.com collaboration tool for project tracking and management * Support ...

Aerotek

Proposal Writer

Raleigh, NC · On-site +1

Manage version control, review and stakeholder feedback to maintain accuracy and quality * Manage ... Utilization of Monday.com collaboration tool for project tracking and management * Support ...

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Showing results 21-40

All JobsUtilization Review JobsOvernight Remote Utilization Review JobsOvernight Remote Utilization Review Jobs in Raleigh, NC

Overnight Remote Utilization Review information

See Raleigh, NC salary details

$20

$41

$67

How much do overnight remote utilization review jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for overnight remote 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 Overnight Remote Utilization Review vs Daytime Remote Utilization Review?

AspectOvernight Remote Utilization ReviewDaytime Remote Utilization Review
Work HoursTypically overnight shifts, often 10 PM to 6 AMStandard daytime hours, usually 8 AM to 4 PM
CertificationsSame as utilization review roles, e.g., RN, CPC, or other healthcare credentialsSame as overnight roles, requiring similar certifications
Work EnvironmentRemote, focused on reviewing cases during night hoursRemote, reviewing cases during daytime hours
Employer & IndustryHealthcare insurance companies, third-party administratorsSame as overnight, within healthcare and insurance sectors

Overnight Remote Utilization Review involves reviewing cases during night hours, providing flexibility for healthcare providers and insurers. Daytime Remote Utilization Review occurs during regular business hours. Both roles require similar credentials and work environments but differ mainly in shift timing, catering to different operational needs.

What are the main challenges faced by overnight remote utilization review professionals, and how can they be addressed?

Overnight remote utilization review professionals often encounter challenges such as working independently during non-traditional hours, limited immediate access to colleagues or supervisors, and the need to make timely decisions with potentially less available support. To address these challenges, it is important to develop strong self-management skills, establish clear communication channels with team members, and utilize comprehensive digital resources and documentation. Employers typically provide thorough training and access to on-call support to help ensure that overnight staff can make confident, accurate determinations and maintain high-quality patient care standards.

What are the key skills and qualifications needed to thrive as an overnight remote utilization review?

To thrive as an Overnight Remote Utilization Review nurse, you need a current RN license, strong clinical judgment, and experience in acute care or case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare/Medicaid are typically required. Excellent critical thinking, attention to detail, and the ability to communicate clearly in written and verbal forms are vital soft skills for this role. These skills ensure accurate, timely case reviews and effective collaboration with healthcare providers while maintaining compliance with payer requirements.

What is an overnight remote utilization review?

An Overnight Remote Utilization Review position involves evaluating medical records and healthcare services during nighttime hours to ensure that treatments are medically necessary and meet established guidelines. Professionals in this role usually work from home, reviewing patient cases, authorizing or denying services, and collaborating with healthcare providers. This job is crucial for maintaining quality care while controlling healthcare costs, and it often requires clinical credentials such as RN, LPN, or other relevant certifications. Strong analytical, communication, and computer skills are important for success in this remote role.
What are the most commonly searched types of Remote Utilization Review jobs in Raleigh, NC? The most popular types of Remote Utilization Review jobs in Raleigh, NC are:
What are popular job titles related to Overnight Remote Utilization Review jobs in Raleigh, NC? For Overnight Remote Utilization Review jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Overnight Remote Utilization Review jobs in Raleigh, NC look for? The top searched job categories for Overnight Remote Utilization Review jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Overnight Remote Utilization Review jobs? Cities near Raleigh, NC with the most Overnight Remote Utilization Review job openings:
Overnight Remote Utilization Review jobs near you

Dental Consultant, Independent Contractor

The Carolinas Center for Medical Excellence

Raleigh, NC • Remote

$125/hr

Contractor

Re-posted 14 days ago

Job description

Dental Consultant, Independent Contractor

Remote

Who We Are

Constellation Quality Health is a non-profit health care quality consultancy and QIO-like Entity certified by Centers for Medicare and Medicaid Services (CMS) founded by physicians in 1983. Headquartered in North Carolina’s Research Triangle, we offer an array of quality improvement, clinical review, audit, technical, and consulting services and solutions to improve care delivery, system performance, and patient outcomes.

What You’ll Do

The Dental Consultant supports Constellation’s payment integrity work, both directly and under contract with our partners. This position is responsible for conducting detailed reviews of clinical records to determine appropriateness of treatment, timelines and fact chronology, determination of reasonable and necessary treatment modality, causation, and medical necessity. This includes assessing consistency between diagnosis, procedures, and clinical documentation. The Dental Consultant works collaboratively with program staff to provide expert opinions on care provided to patients and develops formal, professionally written summaries of those opinions based on evidence and accepted practice standards as derived from a review of the supporting documentation.

We Expect You To:

  • Utilize best practices to assess dental documentation to determine causation, appropriateness of treatment, and determine medical necessity.
  • Review clinical documentation for reasonable and necessary treatment modalities including assessment of consistency between diagnosis, procedures, and other treatments.
  • Document expert opinion of clinical findings, assessment of care, and utilization of practice standards in a professionally written, formal summary report.
  • Respond to and/or attend hearings as required which may include some travel.

This position is contingent upon work assigned by the customer and works remotely on an as needed basis.

Our requirement for this role:

  • Licensed Dentist (DDS or DMD) in good standing
  • Minimum 3-5 years of experience in performing expert clinical review of treatment records including review of radiographs, procedure reports, treatment notes, and other records in support of causation
  • Demonstrated ability to communicate complex clinical information to diverse audiences.
  • Strong written, verbal, visual, and interpersonal communication skills.
  • Experience developing formal, professionally written reports which may be used during litigation.
  • Ability to manage multiple projects simultaneously and meet deadlines in a fast-paced environment.
  • Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Outlook, Teams, and SharePoint) for documentation, reporting, data management, and administrative functions.

Compensation & Contract Terms

  • Hourly rate: From $125.00, per hour
  • This engagement is contingent upon contract award, satisfactory performance and mutual agreement.
  • The selected consultant will operate as an independent contractor and will not be considered an employee. The contractor will be responsible for their own taxes, insurance, benefits, and business expenses unless otherwise specified in a written agreement.
  • The selected consultant agrees to maintain and provide current certificates of coverage for professional liability insurance ($1M /$1M) and cyber liability insurance ($1M /$1M)

Constellation Quality Health is committed to equal opportunity and nondiscrimination in contracting opportunities. We do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, gender identity, national origin, medical condition, disability, veteran status, or any other basis protected by law.