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Utilization Manager Jobs in Raleigh, NC (NOW HIRING)

The Emily Program

Admissions Manager

Durham, NC · On-site

$80K - $90K/yr

This role partners closely with other leaders across the organization including clinical, operational, and utilization management teams. Success in this role requires strong leadership, operational ...

Duke Health

Case Manager- Float

Durham, NC · On-site

This role supports optimal patient outcomes, effective resource utilization, and compliance with CMS and other regulatory agencies. The Case Manager collaborates closely with interdisciplinary teams ...

Duke University

Case Manager Float

Durham, NC · On-site

This role supports optimal patient outcomes, effective resource utilization, and compliance with CMS and other regulatory agencies. The Case Manager collaborates closely with interdisciplinary teams ...

Duke University

Case Manager Float

Durham, NC · On-site

This role supports optimal patient outcomes, effective resource utilization, and compliance with CMS and other regulatory agencies. The Case Manager collaborates closely with interdisciplinary teams ...

Duke Health

Case Manager- Float

Durham, NC · On-site

This role supports optimal patient outcomes, effective resource utilization, and compliance with CMS and other regulatory agencies. The Case Manager collaborates closely with interdisciplinary teams ...

Duke University

Case Manager- Float

Durham, NC · On-site

This role supports optimal patient outcomes, effective resource utilization, and compliance with CMS and other regulatory agencies. The Case Manager collaborates closely with interdisciplinary teams ...

Duke University

Case Manager- Float

Durham, NC · On-site

This role supports optimal patient outcomes, effective resource utilization, and compliance with CMS and other regulatory agencies. The Case Manager collaborates closely with interdisciplinary teams ...

Duke Health

Case Manager PRN

Durham, NC

Ensure optimum utilization of the patient's and the Health System's resources and perform these ... Work with Utilization Management partners to provide information and feedback that will enhance ...

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Showing results 41-60

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Raleigh, NC

Utilization Manager information

See Raleigh, NC salary details

$37.9K

$88.5K

$162.8K

How much do utilization manager jobs pay per year?

As of Sep 3, 2026, the average yearly pay for utilization manager in Raleigh, NC is $88,465.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,800.00 and $106,400.00 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?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound 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 are the most commonly searched types of Utilization jobs in Raleigh, NC?

The most popular types of Utilization jobs in Raleigh, NC are:

What are popular job titles related to Utilization Manager jobs in Raleigh, NC?

For Utilization Manager jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Utilization Manager jobs in Raleigh, NC look for?

The top searched job categories for Utilization Manager jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Utilization Manager jobs?

Cities near Raleigh, NC with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $88,470 per year, or $42.5 per hour.

Travel RN Care Manager Case Management/Utilization Review

AMN Healthcare Revenue Cycle

Chapel Hill, NC • On-site

$1.8K - $2.5K/wk

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 3 days ago

Job description

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Management for a travel nursing job in Chapel Hill, North Carolina.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: 09/14/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

Job Description & Requirements
RN Care Manager
StartDate: 9/14/2026 Pay Rate: $1800.00 - $2500.00

POSITION SUMMARY – RN Care Manager

POSITION DUTIES – Provide ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. Highly organized professional with great attention to detail, adaptable to frequent change, and compliant with regulatory and departmental guidelines and policies.

MINIMUM REQUIRED QUALIFICATIONS –

  • Nursing Diploma or ADN / ASN from an accredited school of Nursing
  • NC/compact RN license
  • 2 years acute care hospital case management experience
  • Care manager / discharge planning experience

PREFERRED QUALIFICATIONS –

  • EPIC experience
  • Experience with educational/teaching hospital
  • BSN or MSN from an accredited school of Nursing

LENGTH OF ASSIGNMENT – 13 weeks

SHIFT / HOURS PER WEEK – 8:00/8:30am-5:00pm

SYSTEMS – Epic

START DATE – ASAP


Facility Location
Home to the University of North Carolina at Chapel Hill and part of the prestigious Research Triangle, Chapel Hill offers travelers an exciting mix of career building opportunities and leisure activities. Visit one of the city’s unique eateries for distinctive home cooking, or explore the campus of Chapel Hill for some beautiful natural scenery and an eclectic arts and music scene.
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:
  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

AMN Healthcare Revenue Cycle Job ID #3552313. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Care Manager

About AMN Healthcare Revenue Cycle

AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

Benefits
  • Medical benefits
  • Dental benefits
  • Company provided housing options
  • Continuing Education

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