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Utilization Review Rn Jobs in North Carolina (NOW HIRING)

Voyage Health

Travel RN Utilization Review

Kinston, NC · On-site

$2.3K - $2.4K/wk

Position Details Specialty: RN Utilization Review Location: Kinston, North Carolina Employment Type: Travel/Contract Pay: $2304 - $2425 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13 ...

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... Conducts timely clinical decision review for services requiring prior authorization in a variety of ...

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... Conducts timely clinical decision review for services requiring prior authorization in a variety of ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in North Carolina

Utilization Review Rn information

See North Carolina salary details

$19

$38

$62

How much do utilization review rn jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for utilization review rn in North Carolina is $38.43, according to ZipRecruiter salary data. Most workers in this role earn between $30.38 and $44.13 per hour, depending on experience, location, and employer.

How to get into utilization review as a nurse?

To become a utilization review RN, candidates typically need a valid nursing license and experience in clinical settings. Additional certifications such as Certified Professional in Healthcare Quality (CPHQ) or case management credentials can enhance prospects, and familiarity with electronic health records and insurance policies is beneficial.

How does a Utilization Review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a Utilization Review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

How to make $300,000 as a nurse?

A Utilization Review RN can earn $300,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-paying settings like insurance companies or managed care organizations, and taking on leadership or specialized roles that offer higher compensation. Advanced skills in clinical assessment, documentation, and understanding of healthcare policies can also contribute to higher earnings.

What does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the necessity, appropriateness, and efficiency of healthcare services. They ensure compliance with insurance policies and clinical guidelines, often using electronic health records and requiring knowledge of coding and documentation standards. This role supports cost-effective patient care and involves collaboration with healthcare providers and insurance companies.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

How to make $150,000 as a nurse?

A Utilization Review RN can earn $150,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-demand settings, and possibly taking on leadership or specialized roles. Increasing your workload, working overtime, or pursuing advanced education can also contribute to higher earnings within this field.

What is a Utilization Review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.
What are the most commonly searched types of Utilization Review Rn jobs in North Carolina? The most popular types of Utilization Review Rn jobs in North Carolina are:
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What job categories do people searching Utilization Review Rn jobs in North Carolina look for? The top searched job categories for Utilization Review Rn jobs in North Carolina are:
What cities in North Carolina are hiring for Utilization Review Rn jobs? Cities in North Carolina with the most Utilization Review Rn job openings:
What are popular job titles related to Utilization Review Rn jobs in NC? For Utilization Review Rn jobs in NC, the most frequently searched job titles are:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in North Carolina as of July 2026, with employment types broken down into 64% Full Time, 12% Part Time, and 24% Contract. Highlights an 100% In-person job distribution, with an average salary of $79,926 per year, or $38.4 per hour.
Travel Nurse RN - Utilization Review

Travel Nurse RN - Utilization Review

American Medical Staffing

Marion, NC • On-site

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago

Job description

American Medical Staffing is seeking a travel nurse RN Utilization Review for a travel nursing job in Marion, North Carolina.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

We’re living in the new normal. Lives and careers look different today. So why shouldn’t you have a role that delivers excitement, fewer restrictions, and brings you closer to loved ones? At American Medical Staffing (AMS), we believe in supporting the pioneers who embody the sense of adventure each new placement brings and we’re looking for a Registered Nurse (RN) for a Cardiac Rehab - Stress Lab contract assignment.

Job Title: RN : Cardiac Rehab - Stress Lab
Location: Marion, NC
Setting: Stress Lab / Cardiac Rehab at Mission Hospital McDowell
Pay Range: Discuss with Recruiter
Schedule: 7:00AM-3:30PM (Monday - Friday)
Contract Length: Discuss with Recruiter
Candidate Type: Traveler friendly – travel reimbursement available

Requirements:

  • Qualified applicants MUST have at least 2 years of experience as a RN
  • Qualified applicants MUST have experience with stress testing of all kinds (Stress Echo, Dobutamine Stress, Nuclear Stress Testing)
  • Qualified applicants MUST have knowledge of EKGs with stress testing
  • Valid RN license in North Carolina
  • Be willing to obtain North Carolina licensure

Why Choose American Medical Staffing?

  • Flexible Benefits: Medical, dental, and vision plans that work for you.
  • Wellness PTO: Build 1 or 2 weeks of paid time off into your contract.
  • Hotel Discounts: Save up to 60% on hotel bookings with access to 700,000+ discounted properties.
  • Loyalty Program: Earn financial incentives automatically based on hours worked and assignment type.
  • Referral Program: $500 for you and $500 for each referral after 450 hours—no limits.
  • Working Advantage: Access exclusive discounts on retail, entertainment, and travel.
  • Scrub Discount: 20% off all scrubs through our customized AMS store.
  • Retirement Plans: 401(k) options to help you plan for the future.
  • Compliance & Credentialing Support: Let us handle the logistics so you can focus on patient care.

Responsibilities:
As a healthcare professional in a stress lab and cardiac rehab setting, you will:

  • Perform stress testing procedures, including Stress Echo, Dobutamine Stress, and Nuclear Stress Testing.
  • Monitor and interpret EKGs during stress tests to ensure patient safety and accurate diagnostics.
  • Operate and maintain stress testing equipment, including Case System, NuSteps, and treadmills.

Apply now to take the next step in your journey. American Medical Staffing is an Equal Employment Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, national origin, sexual orientation, gender identity, disability, age, or any other non-merit factor.

American Medical Staffing Job ID #102975. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Utilization Review RN - Registered Nurse

About American Medical Staffing

American Medical Staffing is a staffing agency headquartered in Baltimore, MD. Our goal is to CREATE an extraordinary experience for our health care professionals. Our roots are nurse owned and operated so we know what clinicians want - lots of options, a smooth and informed placement process, competitive and accurate pay, great customer service and responsiveness to requests, and advocacy when there is an issue. When AMS was founded in 2001, we started our company with a mission to be a better agency than our competitors. We have always put a heavy emphasis into what is best for our employees, not necessarily just our clients or our company. You are not an expense as you may be to a hospital; you are an asset. We take employee advocacy seriously; you are not just a number to us. The end result is that you don`t work for us; we work for you. Since starting in Baltimore, MD, we continue to grow throughout the country. Check out our industry leading reviews on Google and Indeed to see how much our clinicians enjoy working with us!


· Benefits:

AMS offers an array of benefits for any employee working 30 hours or more! Those eligible employees who choose to participate will pay the premiums with deductions from their pre-tax earnings.

We offer a complete benefits package including Health Insurance, 401K with up to 2% match, Life, Vision, and Dental.

From health and wellness support, financial or legal needs, or help with life's everyday challenges, our Employee Assistance Program provides you with resources, services and discounts to help you manage your unique concerns and save time, energy and money.

We also offer additional Employee Perks that you can enjoy as an AMS employee:

  • Scrubin – Uniform Discounts
  • Working Advantage – unlimited access to thousands of exclusive discounts and special offers nationwide for theme parks, shows, tours, attractions, sports, concerts, hotels, rental cars, retail gift cards, movie tickets and much more
  • Hotel Engine - Save up to 60% when booking hotel rooms, with access to more than 700,000 deeply discounted hotels worldwide.
  • Discounted Pet Insurance
  • Wellness Program, including fitness, nutrition and financial wellness
  • Betterhelp - 1 month of free therapy, followed by a discounted rate for our Healthcare Professionals and their family members.
  • Win Win Referral Bonus - $500 for you, and $500 for them!
Benefits
  • 401k retirement plan
  • Life insurance
  • Medical benefits
  • Dental benefits
  • Vision benefits
American Medical Staffing logo

About American Medical Staffing

Sourced by ZipRecruiter

American Medical Staffing is a staffing agency headquartered in Baltimore, MD. Our goal is to CREATE an extraordinary experience for our health care professionals. Our roots are nurse owned and operated so we know what clinicians want - lots of options, a smooth and informed placement process, competitive and accurate pay, great customer service and responsiveness to requests, and advocacy when there is an issue. When AMS was founded in 2001, we started our company with a mission to be a better agency than our competitors. We have always put a heavy emphasis into what is best for our employees, not necessarily just our clients or our company. You are not an expense as you may be to a hospital; you are an asset. We take employee advocacy seriously; you are not just a number to us. The end result is that you don`t work for us; we work for you. Since starting in Baltimore, MD, we continue to grow throughout the country. Check out our industry leading reviews to see how much our clinicians enjoy working with us!

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Hunt Valley, MD, US

Year founded

2001

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