UR Clinical Associate
Morehead City, NC · On-site
Works closely with and directly supports the Utilization Review Specialist (RN), Care Management staff, physicians, Vice President of Medical Affairs, CDI, Revenue Cycle, Patient Access, and the ...
UR Clinical Associate
Morehead City, NC · On-site
Works closely with and directly supports the Utilization Review Specialist (RN), Care Management staff, physicians, Vice President of Medical Affairs, CDI, Revenue Cycle, Patient Access, and the ...
UR Clinical Associate
Morehead City, NC · On-site
Works closely with and directly supports the Utilization Review Specialist (RN), Care Management staff, physicians, Vice President of Medical Affairs, CDI, Revenue Cycle, Patient Access, and the ...
UR Clinical Associate
Morehead City, NC · On-site
Works closely with and directly supports the Utilization Review Specialist (RN), Care Management staff, physicians, Vice President of Medical Affairs, CDI, Revenue Cycle, Patient Access, and the ...
Facilitate the integration of case management with utilization management (UM) and harmonize nursing case management with social work case management. Maintain productive relationships with relevant ...
Facilitate the integration of case management with utilization management (UM) and harmonize nursing case management with social work case management. Maintain productive relationships with relevant ...
Facilitate the integration of case management with utilization management (UM) and harmonize nursing case management with social work case management. Maintain productive relationships with relevant ...
Facilitate the integration of case management with utilization management (UM) and harmonize nursing case management with social work case management. Maintain productive relationships with relevant ...
Integrate CM and utilization management (UM) and integrating nursing case management with social work case management. Maintain liaison with appropriate community agencies and organizations.
Integrate CM and utilization management (UM) and integrating nursing case management with social work case management. Maintain liaison with appropriate community agencies and organizations.
... utilization management (UM) and integrating nursing case management with social work case management. • Maintain liaison with appropriate community agencies and organizations. • Accurately ...
... utilization management (UM) and integrating nursing case management with social work case management. • Maintain liaison with appropriate community agencies and organizations. • Accurately ...
RN Case Manager
Morehead City, NC · On-site
Perform utilization reviews to assess the appropriateness and medical necessity of healthcare ... Case Management Certification (CCM), Accredited Case Manager (ACM) and/or Health Care Quality and ...
RN Case Manager
Morehead City, NC · On-site
Perform utilization reviews to assess the appropriateness and medical necessity of healthcare ... Case Management Certification (CCM), Accredited Case Manager (ACM) and/or Health Care Quality and ...
RN Case Manager
Morehead City, NC · On-site
Perform utilization reviews to assess the appropriateness and medical necessity of healthcare ... Case Management Certification (CCM), Accredited Case Manager (ACM) and/or Health Care Quality and ...
RN Case Manager
Morehead City, NC · On-site
Perform utilization reviews to assess the appropriateness and medical necessity of healthcare ... Case Management Certification (CCM), Accredited Case Manager (ACM) and/or Health Care Quality and ...
RN Case Manager
Morehead City, NC · On-site
Perform utilization reviews to assess the appropriateness and medical necessity of healthcare ... Case Management Certification (CCM), Accredited Case Manager (ACM) and/or Health Care Quality and ...
RN Case Manager
Morehead City, NC · On-site
Perform utilization reviews to assess the appropriateness and medical necessity of healthcare ... Case Management Certification (CCM), Accredited Case Manager (ACM) and/or Health Care Quality and ...
... utilization management (UM) and integrating nursing case management with social work case management. • Maintain liaison with appropriate community agencies and organizations. • Accurately ...
... utilization management (UM) and integrating nursing case management with social work case management. • Maintain liaison with appropriate community agencies and organizations. • Accurately ...
... utilization management (UM) and integrating nursing case management with social work case management. • Maintain liaison with appropriate community agencies and organizations. • Accurately ...
... utilization management (UM) and integrating nursing case management with social work case management. • Maintain liaison with appropriate community agencies and organizations. • Accurately ...
... utilization management (UM) and integrating nursing case management with social work case management. • Maintain liaison with appropriate community agencies and organizations. • Accurately ...
... utilization management (UM) and integrating nursing case management with social work case management. • Maintain liaison with appropriate community agencies and organizations. • Accurately ...
Automotive Service Manager
New Bern, NC · On-site
... Utilization, etc. * Must have warranty work completed, submitted & paid in a timely manner ... A minimum of 2 years of experience as a Service Manager is required or 5 years as a Service Advisor
Automotive Service Manager
New Bern, NC · On-site
... Utilization, etc. * Must have warranty work completed, submitted & paid in a timely manner ... A minimum of 2 years of experience as a Service Manager is required or 5 years as a Service Advisor
Automotive Service Manager
New Bern, NC · On-site
... Utilization, etc. * Must have warranty work completed, submitted & paid in a timely manner ... A minimum of 2 years of experience as a Service Manager is required or 5 years as a Service Advisor
Quick apply
Automotive Service Manager
New Bern, NC · On-site
... Utilization, etc. * Must have warranty work completed, submitted & paid in a timely manner ... A minimum of 2 years of experience as a Service Manager is required or 5 years as a Service Advisor
Automotive Service Manager
New Bern, NC · On-site
... Utilization, etc. * Must have warranty work completed, submitted & paid in a timely manner ... A minimum of 2 years of experience as a Service Manager is required or 5 years as a Service Advisor
Automotive Service Manager
New Bern, NC · On-site
... Utilization, etc. * Must have warranty work completed, submitted & paid in a timely manner ... A minimum of 2 years of experience as a Service Manager is required or 5 years as a Service Advisor
Automotive Service Manager
New Bern, NC · On-site
... Utilization, etc. * Must have warranty work completed, submitted & paid in a timely manner ... A minimum of 2 years of experience as a Service Manager is required or 5 years as a Service Advisor
Automotive Service Manager
New Bern, NC · On-site
... Utilization, etc. * Must have warranty work completed, submitted & paid in a timely manner ... A minimum of 2 years of experience as a Service Manager is required or 5 years as a Service Advisor
Monitor labor utilization, direct vs indirect charging practices, and overall cost allocation ... Process and manage weekly program invoicing activities to improve revenue recognition and ...
Monitor labor utilization, direct vs indirect charging practices, and overall cost allocation ... Process and manage weekly program invoicing activities to improve revenue recognition and ...
Authorization and utilization issues * Revenue-impacting operational concerns Develop corrective ... Financial & Resource Management * Monitor staffing utilization and overtime. * Assist leadership ...
Quick apply
Authorization and utilization issues * Revenue-impacting operational concerns Develop corrective ... Financial & Resource Management * Monitor staffing utilization and overtime. * Assist leadership ...
Project Manager - Financial Analyst
Havelock, NC · On-site
$90K - $110K/yr
Project Manager - Financial Analyst Havelock, NC, US TodayRequisition ID: 1695Apply Salary Range ... labor utilization oversight, and program performance reporting across multiple aerospace ...
Project Manager - Financial Analyst
Havelock, NC · On-site
$90K - $110K/yr
Project Manager - Financial Analyst Havelock, NC, US TodayRequisition ID: 1695Apply Salary Range ... labor utilization oversight, and program performance reporting across multiple aerospace ...
Primary Functions: * · Responsible for patient outreach, assessment, disease management, and care coordination to patients with high rates of medical and behavioral health utilization and/or ...
Primary Functions: * · Responsible for patient outreach, assessment, disease management, and care coordination to patients with high rates of medical and behavioral health utilization and/or ...
Utilization Manager information
See Havelock, NC salary details
$34.9K - $45.3K
9% of jobs
$53.1K is the 25th percentile. Wages below this are outliers.
$45.3K - $55.8K
22% of jobs
$55.8K - $66.2K
11% of jobs
The median wage is $72.7K / yr.
$66.2K - $76.7K
14% of jobs
$76.7K - $87.1K
12% of jobs
$93.7K is the 75th percentile. Wages above this are outliers.
$87.1K - $97.6K
13% of jobs
$97.6K - $108K
13% of jobs
$108K - $118.5K
5% of jobs
$118.5K - $129K
2% of jobs
$129K - $139.4K
0% of jobs
$139.4K - $149.9K
0% of jobs
$34.9K
$81.4K
$149.9K
How much do utilization manager jobs pay per year?
As of Aug 30, 2026, the average yearly pay for utilization manager in Havelock, NC is $81,423.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,200.00 and $98,000.00 per year, depending on experience, location, and employer.
What is a utilization manager?
A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.
What are the key skills and qualifications needed to thrive as a utilization manager?
To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.
What are some common challenges faced by utilization managers, and how can they be addressed?
Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.
What is the difference between Utilization Manager vs Utilization Coordinator?
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found in similar settings, often working under Utilization Managers |
In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.
More about Utilization Manager jobs
What job categories do people searching Utilization Manager jobs in Havelock, NC look for?
The top searched job categories for Utilization Manager jobs in Havelock, NC are:
What cities near Havelock, NC are hiring for Utilization Manager jobs?
Cities near Havelock, NC with the most Utilization Manager job openings:
Carteret Health Care rating
6.8
Based on 18 frontline employees who took The Breakroom Quiz
601st of 1,064 rated hospitals
Job description
- JOB RELATIONSHIPS
This position reports to the Director of Research & Innovation. Works closely with and directly supports the Utilization Review Specialist (RN), Care Management staff, physicians, Vice President of Medical Affairs, CDI, Revenue Cycle, Patient Access, and the Business Office. This role serves as the clinical support bridge between the non-clinical UR administrative function and the licensed RN UR Specialist, operating under the supervision of licensed nursing staff for all clinically related tasks.
- DEFINITION OF POSITION
The Utilization Review Clinical Associate (URCA) provides clinically informed support to the inpatient Utilization Review (UR) team at Carteret Health Care. This role is distinguished from the non-clinical Utilization Review Support Specialist (URSPEC) by requiring an active clinical license or credential and by performing functions that require clinical knowledge and judgment at a support level, under the supervision and direction of the RN UR Specialist. The URCA assists with concurrent review activities, functional and discharge readiness assessment support, clinical documentation coordination, level-of-care data collection, and payer communication support. The URCA does not independently perform medical necessity determinations or make inpatient/observation status decisions; those functions remain with the RN UR Specialist and Physician Advisor. The URCA enhances team capacity by bridging clinical and administrative UR functions, reducing burden on licensed UR nursing staff, and contributing clinical perspective to care transitions and discharge planning coordination.
- QUALIFICATIONS
- Professional
- Active clinical license or credential required. Qualifying credentials include: Licensed Practical Nurse (LPN), Physical Therapist (PT), Occupational Therapist (OT), Physical Therapist Assistant (PTA), Certified Occupational Therapy Assistant (COTA), Speech-Language Pathologist (SLP), Respiratory Therapist (RT), Medical Assistant (CMA/RMA), or equivalent clinically credentialed healthcare professional. Credential must be in good standing with the applicable state licensing board.
- Preferred (2) years of clinical experience in an acute care hospital, rehabilitation, skilled nursing, or related inpatient/post-acute setting preferred.
- Working knowledge of medical terminology, clinical documentation, and patient care workflows in an inpatient environment.
- Familiarity with insurance terminology, prior authorization processes, and payer-specific concurrent review requirements preferred.
- Familiarity with CMS rules relevant to inpatient care (e.g., Two-Midnight Rule, inpatient vs. observation status, Important Message from Medicare, MOON notice) preferred; training will be provided.
- Proficiency with Microsoft Office (Outlook, Word, Excel) and ability to learn hospital information systems (Meditech, Midas, Providerlink, payer portals).
- A certification such as Certified Case Manager (CCM), Certified Utilization Review Professional (CURP), or Certified Revenue Cycle Specialist (CRCS) is a plus but not required.
What Carteret Health Care employees say
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About Carteret Health Care
Sourced by ZipRecruiter
Welcome to Carteret Health Care in Morehead City on the Crystal Coast of North Carolina. Come for the lifestyle, stay for the rewarding career. Imagine being able to live, work and play at the beach. Enjoying a wonderful quality of life, great recreational activities and excellent schools. As part of our mission to promote wellness and service to our community through exceptional quality and compassionate care, our employees are committed to our 'Navigating to Excellence' performance improvement initiative. We offer competitive employee benefits and salaries. Please consider joining our dedicated team — and make a difference every day.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Morehead City, NC, US
Year founded
1967