2

Utilization Review No Experience Jobs in Raleigh, NC

RN Care Manager - Care Management

Smithfield, NC ยท On-site

$35.87 - $51.57/hr

... case management, utilization review and discharge planning. The Care Manager must be highly ... Identify patients with barriers to discharge based on experience, Communication and Patient ...

Showing results 21-40

Utilization Review No Experience information

See Raleigh, NC salary details

$20

$41

$67

How much do utilization review no experience jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for utilization review no experience 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 utilization review?

Utilization review is a process used in healthcare to assess the necessity, appropriateness, and efficiency of the use of medical services, procedures, and facilities. Many entry-level utilization review positions are available for individuals with clinical backgrounds, such as nurses or social workers, even if they do not have prior experience in utilization review specifically. Employers often provide on-the-job training for candidates who understand medical terminology and have a background in healthcare. If you do not have a clinical license, you may need to seek administrative or support roles in utilization review to gain experience.

What are the key skills and qualifications needed to thrive as a utilization review specialist with no prior experience?

To thrive as a Utilization Review Specialist without prior experience, you generally need a healthcare-related degree, strong analytical skills, and a good understanding of medical terminology. Familiarity with case management software, electronic health records (EHR), and UR-specific platforms is typically required, and some roles may prefer candidates to pursue certification like Certified Utilization Review Specialist (CURA) over time. Attention to detail, effective communication, and strong organizational skills help new professionals excel in assessing medical necessity and collaborating with healthcare teams. These competencies ensure accurate reviews, regulatory compliance, and positive patient outcomes in a complex healthcare environment.

What are common challenges faced by entry-level professionals in utilization review and how can they be addressed?

Entry-level professionals in Utilization Review often face challenges such as learning complex medical terminology, understanding insurance regulations, and adapting to fast-paced review processes. To overcome these, it's helpful to seek mentorship from experienced team members, utilize available training resources, and stay organized with case management tools. Regular communication with clinical staff and supervisors also helps clarify protocols and expectations, making it easier to build confidence and competence in the role.

What is the difference between Utilization Review No Experience vs Utilization Review Coordinator?

AspectUtilization Review No ExperienceUtilization Review Coordinator
Required CredentialsHigh school diploma or equivalent; on-the-job trainingHigh school diploma; certification may be preferred
Work EnvironmentEntry-level, training-focused, healthcare settingsOffice-based, healthcare facilities, insurance companies
Employer & Industry UsageHospitals, insurance companies, healthcare providersInsurance companies, healthcare organizations, managed care
Search & Comparison IntentEntry-level, no experience, trainingCoordination, case management, healthcare review

Utilization Review No Experience roles are entry-level positions requiring minimal credentials and focus on training within healthcare settings. In contrast, Utilization Review Coordinators typically have some experience or certification, handling case management and review tasks in healthcare or insurance environments. Both roles are essential in healthcare utilization management but differ mainly in experience requirements and responsibilities.

Is utilization review a stressful job?

Utilization review can be stressful due to the need to evaluate medical cases accurately and efficiently while meeting strict deadlines. The role often involves high attention to detail, communication with healthcare providers, and managing workload, which can contribute to job-related stress. However, stress levels vary depending on the work environment and individual coping skills.

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:

What job categories do people searching Utilization Review No Experience jobs in Raleigh, NC look for?

The top searched job categories for Utilization Review No Experience jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Utilization Review No Experience jobs?

Cities near Raleigh, NC with the most Utilization Review No Experience job openings:

Infographic showing various Utilization Review No Experience job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, and 4% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.

Travel RN Care Manager Case Management/Utilization Review

AMN Healthcare Revenue Cycle

Chapel Hill, NC โ€ข 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 โ€“ RN Care Manager

POSITION DUTIES โ€“ 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 โ€“

  • 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 โ€“

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

LENGTH OF ASSIGNMENT โ€“ 13 weeks

SHIFT / HOURS PER WEEK โ€“ 8:00/8:30am-5:00pm

SYSTEMS โ€“ Epic

START DATE โ€“ 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 cityโ€™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 salaryโ€”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