... on the first working day following admission • Conduct continued stay reviews at least every ... Health, Social Work, Healthcare Management, or related field. Accredited Case Manager (ACM ...
... on the first working day following admission • Conduct continued stay reviews at least every ... Health, Social Work, Healthcare Management, or related field. Accredited Case Manager (ACM ...
... on the first working day following admission • Conduct continued stay reviews at least every ... Health, Social Work, Healthcare Management, or related field. Accredited Case Manager (ACM ...
... on the first working day following admission • Conduct continued stay reviews at least every ... Health, Social Work, Healthcare Management, or related field. Accredited Case Manager (ACM ...
Social Worker
$62K - $154K/yr
Employees who are appointed on a temporary basis prior to the effective date of the qualification ... Social Worker Qualifications, GS-0185-09 GS-09 Social Worker - Knowledge, Skills and Abilities: In ...
Social Worker
$62K - $154K/yr
Employees who are appointed on a temporary basis prior to the effective date of the qualification ... Social Worker Qualifications, GS-0185-09 GS-09 Social Worker - Knowledge, Skills and Abilities: In ...
Social Worker
$62K/yr
Employees who are appointed on a temporary basis prior to the effective date of the qualification ... Social Worker Qualifications, GS-0185-09 GS-09 Social Worker - Knowledge, Skills and Abilities: In ...
Social Worker
$62K/yr
Employees who are appointed on a temporary basis prior to the effective date of the qualification ... Social Worker Qualifications, GS-0185-09 GS-09 Social Worker - Knowledge, Skills and Abilities: In ...
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Quick apply
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Utilization Manager
Durham, NC · On-site
Reviews records for medical necessity and collaborates with physician (s) and members of the care ... Contributes to a positive working environment and performs other duties as assigned/directed to ...
Utilization Manager
Durham, NC · On-site
Reviews records for medical necessity and collaborates with physician (s) and members of the care ... Contributes to a positive working environment and performs other duties as assigned/directed to ...
Utilization Manager
Durham, NC · On-site
Reviews records for medical necessity and collaborates with physician (s) and members of the care ... Contributes to a positive working environment and performs other duties as assigned/directed to ...
Utilization Manager
Durham, NC · On-site
Reviews records for medical necessity and collaborates with physician (s) and members of the care ... Contributes to a positive working environment and performs other duties as assigned/directed to ...
Utilization Manager
Durham, NC · On-site
Reviews records for medical necessity and collaborates with physician (s) and members of the care ... Contributes to a positive working environment and performs other duties as assigned/directed to ...
Utilization Manager
Durham, NC · On-site
Reviews records for medical necessity and collaborates with physician (s) and members of the care ... Contributes to a positive working environment and performs other duties as assigned/directed to ...
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Utilization Management Nurse
Chapel Hill, NC · On-site +1
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Utilization Management Nurse
Chapel Hill, NC · On-site +1
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Social Worker (MSW)
Chapel Hill, NC · On-site
$33.37 - $47.97/hr
A Social Worker - Behavioral Health II is an integral member of the healthcare team, providing ... department utilization. 5. Resource Facilitation: Connect patients and their families with ...
Social Worker (MSW)
Chapel Hill, NC · On-site
$33.37 - $47.97/hr
A Social Worker - Behavioral Health II is an integral member of the healthcare team, providing ... department utilization. 5. Resource Facilitation: Connect patients and their families with ...
Social Worker - Ambulatory II
Chapel Hill, NC · On-site
$33.37 - $47.97/hr
... department utilization. 3. Resource Facilitation: Connect patients and their families with ... LCSW. 7. Progress Monitoring & Evaluation: Continuously monitor and evaluate the progress of ...
Social Worker - Ambulatory II
Chapel Hill, NC · On-site
$33.37 - $47.97/hr
... department utilization. 3. Resource Facilitation: Connect patients and their families with ... LCSW. 7. Progress Monitoring & Evaluation: Continuously monitor and evaluate the progress of ...
Social Worker III IA&T - CQI Social Worker
Pittsboro, NC · On-site
$65K - $83K/yr
Provides training and orientation to new social workers, particularly around policy and procedures ... Conducts record reviews and assisst with preparing for program monitoring, audits, and fiscal ...
Social Worker III IA&T - CQI Social Worker
Pittsboro, NC · On-site
$65K - $83K/yr
Provides training and orientation to new social workers, particularly around policy and procedures ... Conducts record reviews and assisst with preparing for program monitoring, audits, and fiscal ...
RN-Care Manager
Chapel Hill, NC · On-site
Coordinate with physicians, social workers, utilization managers, and multidisciplinary teams ... Utilization Review * Care Coordination * Transition of Care * Complex Case Management
RN-Care Manager
Chapel Hill, NC · On-site
Coordinate with physicians, social workers, utilization managers, and multidisciplinary teams ... Utilization Review * Care Coordination * Transition of Care * Complex Case Management
RN-Care Manager
Chapel Hill, NC · On-site
Coordinate with physicians, social workers, utilization managers, and multidisciplinary teams ... Utilization Review * Care Coordination * Transition of Care * Complex Case Management
RN-Care Manager
Chapel Hill, NC · On-site
Coordinate with physicians, social workers, utilization managers, and multidisciplinary teams ... Utilization Review * Care Coordination * Transition of Care * Complex Case Management
Social Worker III IA&T - CQI Social Worker
$65K - $83K/yr
Provides training and orientation to new social workers, particularly around policy and procedures ... Conducts record reviews and assisst with preparing for program monitoring, audits, and fiscal ...
Social Worker III IA&T - CQI Social Worker
$65K - $83K/yr
Provides training and orientation to new social workers, particularly around policy and procedures ... Conducts record reviews and assisst with preparing for program monitoring, audits, and fiscal ...
Licensed Clinical Social Worker
Durham, NC · On-site
$62K - $73K/yr
... utilization and guidance/mandates from applicable authorities, including the state and federal ... C. LCSW is required. * Bilingual (Spanish) required. Apply for this Position
Quick apply
Licensed Clinical Social Worker
Durham, NC · On-site
$62K - $73K/yr
... utilization and guidance/mandates from applicable authorities, including the state and federal ... C. LCSW is required. * Bilingual (Spanish) required. Apply for this Position
Social Worker III - Adoptions Social Worker
Pittsboro, NC · On-site
$59K - $75K/yr
... working towards permanence for children ... Participate in Child and Family team meetings, Permanency Planning review meetings, Adoption ...
Social Worker III - Adoptions Social Worker
Pittsboro, NC · On-site
$59K - $75K/yr
... working towards permanence for children ... Participate in Child and Family team meetings, Permanency Planning review meetings, Adoption ...
Reviews records for medical necessity and collaborates with physician (s) and members of the care ... Contributes to a positive working environment and performs other duties as assigned/directed to ...
Reviews records for medical necessity and collaborates with physician (s) and members of the care ... Contributes to a positive working environment and performs other duties as assigned/directed to ...
Reviews records for medical necessity and collaborates with physician (s) and members of the care ... Contributes to a positive working environment and performs other duties as assigned/directed to ...
Reviews records for medical necessity and collaborates with physician (s) and members of the care ... Contributes to a positive working environment and performs other duties as assigned/directed to ...
Temporary Utilization Review Social Worker 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 temporary utilization review social worker jobs pay per hour?
As of Sep 8, 2026, the average hourly pay for temporary utilization review social worker 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 temporary utilization review social worker?
A Temporary Utilization Review Social Worker is a licensed social worker hired on a short-term basis to assess the necessity, efficiency, and appropriateness of healthcare services provided to patients. They review patient records, coordinate with healthcare teams, and ensure that treatments meet established guidelines and insurance requirements. Their primary goal is to help manage healthcare costs while ensuring patients receive appropriate care. Temporary positions may be used to cover for staff shortages, leaves, or increased workload periods.
What are the key skills and qualifications needed to thrive as a temporary utilization review social worker?
To thrive as a Temporary Utilization Review Social Worker, you need a solid background in social work, case management, and utilization review processes, typically supported by an MSW degree and relevant licensure (such as LCSW or LMSW). Experience with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines are commonly required. Strong communication, critical thinking, and organizational skills help you effectively advocate for patients and collaborate with healthcare teams. These competencies ensure appropriate care planning, resource allocation, and compliance with healthcare regulations while supporting positive patient outcomes.
What are common challenges faced by temporary utilization review social workers, and how can they be managed?
Temporary Utilization Review Social Workers often encounter challenges such as quickly adapting to new healthcare systems, managing large caseloads, and ensuring timely documentation to meet strict deadlines. Because the role is temporary, building rapport with team members and understanding organizational policies can also be demanding. Building strong communication skills, staying organized, and proactively seeking clarification on procedures can help manage these challenges effectively. Additionally, leveraging mentorship from permanent staff can ease the transition and support success in the position.
What is the difference between Temporary Utilization Review Social Worker vs Medical Social Worker?
| Aspect | Temporary Utilization Review Social Worker | Medical Social Worker |
|---|---|---|
| Credentials | Relevant social work degree, licensure, and possibly utilization review certifications | Social work degree, licensure, and clinical social work certification |
| Work Environment | Healthcare facilities, insurance companies, utilization review departments | Hospitals, clinics, mental health facilities, community agencies |
| Employer & Industry | Insurance companies, healthcare organizations, utilization review firms | Hospitals, outpatient clinics, mental health agencies |
| Common Search & Comparison | Yes | No |
The main difference is that Temporary Utilization Review Social Workers focus on evaluating medical necessity for insurance purposes, often working in utilization review departments. Medical Social Workers provide direct patient support, counseling, and discharge planning in healthcare settings. Both roles require social work credentials but serve different functions within the healthcare industry.
What are the most commonly searched types of Utilization Review Social Worker jobs in Raleigh, NC?
The most popular types of Utilization Review Social Worker jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Temporary Utilization Review Social Worker jobs?
Cities near Raleigh, NC with the most Temporary Utilization Review Social Worker job openings:
Full-time
Medical, Dental, Vision, Life, Retirement
Re-posted 21 days ago
Granville Health System rating
8.6
Based on 5 frontline employees who took The Breakroom Quiz
Job description
Case Manager - Utilization Review
Location: Granville Health System, Oxford NC
About Granville Health System:
For over a century, Granville Health System has been at the forefront of quality healthcare. To cater to the evolving needs of its community, Granville Health System has extended its services throughout Granville County, ensuring convenient medical care access for its residents. The Granville Health System main campus can be found at 1010 College Street, Oxford, North Carolina. For more details, visit GHS online at www.ghsHospital.org.
About Oxford, NC
Oxford, NC is a charming and welcoming community that offers a perfect blend of small-town charm and modern convenience, making it an ideal place to live and work. Located just about 30 miles north of Durham and 40 miles from Raleigh. The region enjoys a mild, four-season climate with warm summers, crisp autumns, blooming springs, and gentle winters-perfect for enjoying the area's outdoor activities year-round. With a thriving local economy, excellent healthcare facilities, and a strong sense of community, its historic downtown, scenic parks, and proximity to the Research Triangle ensure a balanced lifestyle with both professional and personal fulfillment.
Position Overview:
The primary role of the Case Manager is to review and monitor members' utilization of health care services with the goal of maintaining high quality, cost-effective care. This role will provide the medical and utilization review expertise necessary to evaluate patient status. This includes reviewing clinical information against established criteria, assessing the medical necessity of services and procedures, collaborating with providers and interdisciplinary teams, and ensuring that the patient is placed at the appropriate level of care from the time of admission. This includes providing referral authorization, concurrent review, proactive discharge/transition planning, appropriate referral to case management, and high-dollar claims review.
Position Highlights:
Key Responsibilities:
• Conduct concurrent review of all patients, regardless of payer source, using approved screening criteria
• Perform admission reviews on the first working day following admission
• Conduct continued stay reviews at least every three (3) days or more frequently as indicated
Qualifications
Associate degree in a healthcare-related field or equivalent combination of healthcare experience and education.
At least a year of experience in a related role (utilization review, case management, care coordination, insurance authorization/prior authorization, clinical documentation review, hospital patient access or revenue cycle support, healthcare quality or compliance functions).
Strong attention to detail, organizational skills and interpersonal skills. Ability to interpret clinical documentation and apply review criteria. Strong communication skills for interaction with physicians and interdisciplinary teams. Knowledge of healthcare regulations and payer requirements
Preferred
Bachelor's degree in Health Administration, Public Health, Social Work, Healthcare Management, or related field. Accredited Case Manager (ACM) certification.
Experience with insurance authorization criteria preferred; one year utilization and discharge planning experience.
Apply Today:
If you're a dedicated professional looking for a position with a focus on work-life balance and the opportunity to make a difference, we encourage you to apply for this position with Granville Health System.
Location: Granville Health System, Oxford NC
About Granville Health System:
For over a century, Granville Health System has been at the forefront of quality healthcare. To cater to the evolving needs of its community, Granville Health System has extended its services throughout Granville County, ensuring convenient medical care access for its residents. The Granville Health System main campus can be found at 1010 College Street, Oxford, North Carolina. For more details, visit GHS online at www.ghsHospital.org.
About Oxford, NC
Oxford, NC is a charming and welcoming community that offers a perfect blend of small-town charm and modern convenience, making it an ideal place to live and work. Located just about 30 miles north of Durham and 40 miles from Raleigh. The region enjoys a mild, four-season climate with warm summers, crisp autumns, blooming springs, and gentle winters-perfect for enjoying the area's outdoor activities year-round. With a thriving local economy, excellent healthcare facilities, and a strong sense of community, its historic downtown, scenic parks, and proximity to the Research Triangle ensure a balanced lifestyle with both professional and personal fulfillment.
Position Overview:
The primary role of the Case Manager is to review and monitor members' utilization of health care services with the goal of maintaining high quality, cost-effective care. This role will provide the medical and utilization review expertise necessary to evaluate patient status. This includes reviewing clinical information against established criteria, assessing the medical necessity of services and procedures, collaborating with providers and interdisciplinary teams, and ensuring that the patient is placed at the appropriate level of care from the time of admission. This includes providing referral authorization, concurrent review, proactive discharge/transition planning, appropriate referral to case management, and high-dollar claims review.
Position Highlights:
- Retirement Benefits: NC Local Government Pension Plan (5-year vesting period)
- Loan Forgiveness: Eligible employer for Public Service Loan Forgiveness (PSLF)
- Comprehensive Benefits: Medical, dental, vision, life insurance, and various supplemental benefits available
Key Responsibilities:
• Conduct concurrent review of all patients, regardless of payer source, using approved screening criteria
• Perform admission reviews on the first working day following admission
• Conduct continued stay reviews at least every three (3) days or more frequently as indicated
Qualifications
Associate degree in a healthcare-related field or equivalent combination of healthcare experience and education.
At least a year of experience in a related role (utilization review, case management, care coordination, insurance authorization/prior authorization, clinical documentation review, hospital patient access or revenue cycle support, healthcare quality or compliance functions).
Strong attention to detail, organizational skills and interpersonal skills. Ability to interpret clinical documentation and apply review criteria. Strong communication skills for interaction with physicians and interdisciplinary teams. Knowledge of healthcare regulations and payer requirements
Preferred
Bachelor's degree in Health Administration, Public Health, Social Work, Healthcare Management, or related field. Accredited Case Manager (ACM) certification.
Experience with insurance authorization criteria preferred; one year utilization and discharge planning experience.
Apply Today:
If you're a dedicated professional looking for a position with a focus on work-life balance and the opportunity to make a difference, we encourage you to apply for this position with Granville Health System.
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