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Part Time Utilization Management Nurse Jobs in Raleigh, NC

MDS Nurse Part Time

Durham, NC · On-site

$32.50 - $42.25/hr

... Very supportive management • Health insurance • Dental insurance • Vision insurance • ... MDS Coordinator - Part Time Essential Functions: Reasonable accommodations may be made to enable ...

Part Time MDS Nurse

Raleigh, NC · On-site

$31.75 - $41.75/hr

... Very supportive management • Health insurance • Dental insurance • Vision insurance • ... MDS Coordinator - Part Time Essential Functions: Reasonable accommodations may be made to enable ...

Under the direction of the Nurse Manager, the PRN RN delivers professional, direct patient care ... Support efficient room turnover and appropriate utilization of supplies Documentation, Safety ...

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Part Time Utilization Management Nurse information

See Raleigh, NC salary details

$37.9K

$87K

$158.4K

How much do part time utilization management nurse jobs pay per year?

As of Jul 20, 2026, the average yearly pay for part time utilization management nurse in Raleigh, NC is $86,984.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,700.00 and $101,600.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Part Time Utilization Management Nurse position, and why are they important?

A Part Time Utilization Management Nurse needs an active RN license, strong clinical assessment abilities, and a solid understanding of medical necessity criteria. Familiarity with utilization review software, medical coding, and knowledge of insurance guidelines or programs such as InterQual or Milliman is often required. Excellent critical thinking, attention to detail, and professional communication skills help nurses collaborate effectively with providers and payers. These competencies ensure appropriate care delivery, resource management, and compliance with healthcare regulations in a dynamic environment.

What is a Part Time Utilization Management Nurse job?

A Part Time Utilization Management Nurse evaluates the medical necessity, efficiency, and appropriateness of healthcare services for patients. They review patient records, collaborate with healthcare providers, and ensure treatments align with clinical guidelines and insurance policies. Working part-time, they may focus on prior authorizations, case reviews, or appeals. This role helps optimize resource use while ensuring quality patient care and compliance with regulations.

What are the typical responsibilities of a Part Time Utilization Management Nurse on a weekly basis?

As a Part Time Utilization Management Nurse, you are responsible for reviewing patient records, assessing medical necessity, and determining the appropriateness of hospital admissions or continued stays according to established guidelines. You’ll routinely interact with physicians, case managers, and insurance representatives to advocate for patients and ensure cost-effective care. Your weekly duties may involve detailed documentation, participation in interdisciplinary meetings, and responding to authorization requests in a timely manner. By balancing clinical judgment with regulatory requirements, you play a key role in optimizing patient outcomes while managing healthcare resources efficiently.

What are the most commonly searched types of Utilization Management Nurse jobs in Raleigh, NC? The most popular types of Utilization Management Nurse jobs in Raleigh, NC are:
What are popular job titles related to Part Time Utilization Management Nurse jobs in Raleigh, NC? For Part Time Utilization Management Nurse jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Management Nurse jobs in Raleigh, NC look for? The top searched job categories for Part Time Utilization Management Nurse jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Part Time Utilization Management Nurse jobs? Cities near Raleigh, NC with the most Part Time Utilization Management Nurse job openings:
Infographic showing various Part Time Utilization Management Nurse job openings in Raleigh, NC as of July 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution, with an average salary of $86,984 per year, or $41.8 per hour.
Registered Nurse(RN)/Licensed Practical Nurse(LPN)

Registered Nurse(RN)/Licensed Practical Nurse(LPN)

Integrated Resources INC

Durham, NC

$26.25 - $35.75/hr

Part-time

Re-posted 9 days ago


Job description

Company Description

A Few Words About Us
Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Our client is a public and rapidly growing diagnostics company that is looking to expand their Quality team in Memphis TN.  They are willing to assist with relocation.  This position will have no direct reports.

Job Description

RN or LPN with valid NC license.
Experience in Utilization Management processes

BSN strongly preferred

  • Knowledge of Microsoft Windows operating system and proficiency with applications such as Microsoft Office.
  • Knowledge of medical care patterns, regulatory and governmental rules and regulations along with medical criteria and policies related to care management.
  • Demonstrated commitment to high quality service to all customers.
  • Strong clinical decision making skills, with the ability to work independently with minimal supervision.
  • Ability to embrace and accept change.
  • Ability to work with an interdisciplinary team is essential.
  • Excellent oral and written communication skills.
  • Ability to communicate and deal effectively with providers, members, employers and Plan staff.
  • Ability to interpret and summarize medical treatment information
  • Adhere to confidentiality, conflict of interest, and code of conduct regulations.
  • Demonstrated ability to build collaborative working relationships and effectively act as a supportive team member.


Immediate Interview Process!!
If you are available and interested in hearing more about the opportunity, please send an updated Word copy of your resume.
In considering candidates, time is of essence so please respond ASAP. 

Qualifications

RN or LPN with valid NC license.
Experience in Utilization Management processes

BSN strongly preferred.

Additional Information
All your information will be kept confidential according to EEO guidelines.

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996