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Part Time Utilization Review Jobs in Raleigh, NC

Shaw University is looking for Part-Time (Adjunct) Faculty, Mathematics. Reporting to the ... In addition to the utilization of a variety of teaching strategies, full-time teaching faculty must ...

Shaw University is looking for Part-Time (Adjunct) Faculty, Mathematics. Reporting to the ... In addition to the utilization of a variety of teaching strategies, full-time teaching faculty must ...

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Part Time Utilization Review information

See Raleigh, NC salary details

$20

$41

$67

How much do part time utilization review jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for part time 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 a Part Time Utilization Review job?

A Part Time Utilization Review job involves evaluating healthcare services provided to patients in order to ensure they are medically necessary and cost-effective. Professionals in this role review patient records, treatment plans, and insurance information to make recommendations about the appropriateness of care. Working part-time, they may collaborate with healthcare providers, insurance companies, and patients to optimize healthcare outcomes while managing costs. This position is often found in hospitals, insurance companies, or healthcare management organizations, and typically requires a background in nursing or healthcare administration.

What are some common challenges faced in a part-time utilization review role and how can I effectively manage them?

Part-time utilization review professionals often face challenges such as managing fluctuating caseloads within limited hours and staying up-to-date with rapidly changing healthcare regulations. Balancing efficiency and thoroughness is crucial, especially when reviewing complex cases or communicating with providers on tight timelines. Effective time management, strong organizational skills, and clear communication with your team are key to overcoming these challenges. Many employers provide flexible schedules and supportive technology platforms, which can help streamline your workflow and maintain high-quality reviews.

What is the difference between Part Time Utilization Review vs Part Time Case Management?

AspectPart Time Utilization ReviewPart Time Case Management
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials)Often requires social work, nursing, or healthcare certifications, with some overlap
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsHospitals, insurance companies, or community health agencies
Employer & Industry UsageUsed mainly in insurance and healthcare to evaluate medical necessityUsed in healthcare to coordinate patient care and services

Part Time Utilization Review focuses on assessing the medical necessity of services, while Part Time Case Management involves coordinating patient care and services. Both roles require healthcare credentials and are common in insurance and healthcare settings, but they serve different functions within patient care and resource management.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Review Nurse, and why are they important?

To thrive as a Part Time Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management systems, InterQual or MCG guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, attention to detail, and effective communication help in collaborating with healthcare providers and payers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes in a part-time capacity.
What are the most commonly searched types of Utilization Review jobs in Raleigh, NC? The most popular types of Utilization Review jobs in Raleigh, NC are:

PT Instructor-Computer Information Systems (Adjunct Pool)

Shaw University

Raleigh, NC

Part-time

Posted 9 hours ago


Job description

Do you love working in an academic environment? Do you love teaching and mentoring students, helping to shape the future? If so, we have the job for you! Shaw University is looking for Part-Time (Adjunct) Faculty, Computer Information Science. Reporting to the Dean, the Adjunct Faculty of Computer Information Science teaches traditional and/or non-traditional college-level students, at on-campus and/or off-campus sites on weekdays and/or weeknights and Saturdays.  In addition to the utilization of a variety of teaching strategies, part-time teaching faculty must provide student assistance and advice in their subject area, and may be required to participate in student orientation sessions.

Essential Job Functions:

  • Demonstrates acceptance and support of the mission and goals of the University.
  • Effectively teach knowledge-relevant college-level Computer Information Science courses, with a commitment to providing excellence in education.
  • Present course teachings in such a way that students are encouraged to develop critical thinking and problem-solving skills, to increase motivation, to develop a positive self-image, and to clarify their values.
  • Actively engages in planning, developing and improving curriculum offerings.
  • On the first day of class, provides each student with a copy of a course syllabus that conforms to University-approved requirements.
  • Teaches the course in accordance with the course syllabus.
  • Informs students of the course objectives and requirements, explains the grading system and attendance policy, and provides a bibliography of suggested readings.
  • Participates in orientation sessions conducted each semester by the Division Head, as applicable.
  • Ensures that undergraduate students are aware of tutorial and support services of the Academic Support Center, which includes advising, tutorials and first-year programs, and all other departmental workshops associated with student learning.
  • Other duties as assigned by supervisor.

 Education and/or Experience

  • Doctorate in computer science, computer information science, or a related field required
    • from an accredited institution
    • Minimum of 18 graduate semester hours in the teaching of Computer Information Science
    • Computer architecture, operating systems, and networking expertise/networking security are preferred.
    • Ability to effectively teach college-level courses, with a commitment to providing excellence in education, including the ability to present course teachings in such a way that students are encouraged to develop critical thinking and problem-solving skills, to increase motivation, to develop a positive self-image, and to clarify their values.
    • Computer skill proficiency with Microsoft Outlook, Word and Excel software.
    • Ability to work collaboratively with a diverse population and adapt to change.
    • Knowledge and experience in using instructional technology.

    Other Competencies

    Must have a philosophy that is consistent with the Mission, Vision and Core Values of the organization. Vision, commitment, and experience in achieving goals and pursuing excellence are critical. Strong oral and written presentation skills. Ability to work well independently and as a member of a team. Excellence in organization, decision-making, problem-solving, and creating a collaborative environment. Ability to manage multiple projects simultaneously. Must be able to read, write and speak fluently in English.

    For faculty employment consideration, a candidate who meets job opening qualifications must COMPLETE THE FOLLOWING STEPS for EACH job opening to which the qualified candidate applies.

    - A current, fully complete resume or curriculum vitae

    - An unofficial Graduate transcript

    - An application cover letter with statements of teaching philosophy and research interests

    - Three current letters of reference.

     A resume or curriculum vitae without an accompanying Shaw University Application Form cannot be accepted.

    Following the Human Resources office’s receipt of a candidate’s fully completed application package for a current job opening, then an applicant can be considered for employment, with their application information submitted to the recruiting manager/selection committee for review. 

    Any potential hire is contingent upon the FINALIST candidate’s ordering OFFICIAL transcripts of the highest graduate-level degree(s) awarded to be sent DIRECTLY FROM the awarding institution(s) DIRECTLY TO the Shaw University Human Resources Department at 118 E. South Street, Raleigh, NC 27601.  Hand-delivered sealed transcripts will not be considered as official – they must be received directly from the awarding institution(s).

    Candidates are personally responsible for any potential travel and/or relocation expenses incurred.

    We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, or any other legally protected status.