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Utilization Review No Experience Jobs in Raleigh, NC

The Emily Program

Admissions Manager

Durham, NC · On-site

$80K - $90K/yr

Collaborate cross-functionally with clinical, medical, utilization review, and operational teams to ... Experience in behavioral health, eating disorder treatment, healthcare sales, or high-volume ...

Lifepoint Health

Office Coordinator

Raleigh, NC · On-site

$15.50 - $20.50/hr

Work with the business office and the utilization review department to ensure payment for services ... Must have experience with clerical duties. Education: High School Diploma/GED preferred.

Lifepoint Health

Office Coordinator

Raleigh, NC · On-site

$15.50 - $20.50/hr

Work with the business office and the utilization review department to ensure payment for services ... Must have experience with clerical duties. Education: High School Diploma/GED preferred.

Lifepoint Health

Office Coordinator

Raleigh, NC · On-site

$15.50 - $20.50/hr

Work with the business office and the utilization review department to ensure payment for services ... Must have experience with clerical duties. Education: High School Diploma/GED preferred.

Lifepoint Health

Office Coordinator

Raleigh, NC · On-site

$15.50 - $20.50/hr

Work with the business office and the utilization review department to ensure payment for services ... Must have experience with clerical duties. Education: High School Diploma/GED preferred.

Advocate Aurora Health

Case Manager NEX

Wake Forest, NC · On-site

$38.20 - $57.30/hr

No Hou rs Per Week: 12 Schedule Details/Additional Information: First Shift Pay Range: $38.20 - $57 ... Utilization Review staff of necessary changes 9. Utilizes principles of quality improvement in ...

MOTORSPORTS OF DURHAM LLC

Service Advisor

Durham, NC · On-site

... current resource utilization. * Review work-in-progress to ensure quality and timeliness ... Knowledge and experience with servicing of Harley-Davidson motorcycles, and other products sold by ...

Actalent

Telehealth Nurse

Cary, NC · On-site

$30.75 - $40.75/hr

Experience in telehealth, triage, or utilization management in a clinical setting. * Oncology ... reviewed using AI tools.

Actalent

Telehealth Nurse

Cary, NC · On-site

$29.75 - $39.25/hr

Experience in telehealth, triage, or utilization management in a clinical setting. * Oncology ... reviewed using AI tools.

Professional Healthcare LLC

Case Manager

Raleigh, NC · On-site

$70 - $85/hr

Participate in clinical record/utilization review of medical records and quality assurance and ... Education, Experience, Licenses & Certifications Graduate of an approved nursing school and ...

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Utilization Review No Experience information

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$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 are popular job titles related to Utilization Review No Experience jobs in Raleigh, NC?

For Utilization Review No Experience jobs in Raleigh, NC, the most frequently searched job titles 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:

Utilization Review No Experience jobs near you
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.

Clinical Psychologist - NC Surgery Bariatrics

UNC HEALTH

Raleigh, NC • On-site

$44.56 - $64.06/hr

Full-time

Re-posted 5 days ago

UNC Health rating

7.0

Company rating: 7.0 out of 10

Based on 321 frontline employees who took The Breakroom Quiz

423rd of 898 rated healthcare providers

Job description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary:
Provides comprehensive psychology services to patients and their families with duties to include evaluations, outpatient and inpatient clinical consultation, patient and family counseling (e.g., understanding of medical/clinical procedures, emotional adaptation to chronic illness, adjustment to procedures, adherence to medical regimen), and collaboration during team meetings, multi-disciplinary conferences, regarding listing decisions and patient management strategies.
Responsibilities:
1. Collaboration - Act as a team member with the medical staff, nursing, and other ancillary support services. Supervision of pre-doctoral interns, practicum students, and post-doctoral fellows. Participation in multidisciplinary selection conferences, support groups, and other departmental activities/meetings.
2. Continuous Quality Improvement - Participate in quality assurance, utilization review, and performance improvement programs.
3. Education - Provide professional guidance and input during the development of new policies, formulation of new protocols, procedures, and programs. Provide professional consultation and participation in all aspects of accreditation, licensure and certification requirements.
4. Patient Care - Provide psychological evaluations and follow up consultation for patients and their families. Provide follow up services as needed.
Other Information
Other information:
Education Requirements:
• Doctoral degree in Clinical Psychology.
Licensure/Certification Requirements:
• Currently licensed as a Psychologist and eligible to practice in the state of North Carolina or within three months of start date.
Professional Experience Requirements:
• Previous experience highly preferred but not required.
Knowledge/Skills/and Abilities Requirements:
Job Details
Legal Employer: NCHEALTH
Entity: UNC Health MG Group Practices
Organization Unit: NC Surgery Bariatrics
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $44.56 - $64.06 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Raleigh
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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