ZipRecruiter

Log In

1

Utilization Review Rn Jobs in Winston Salem, NC (NOW HIRING)

ScionHealth

Case Manager II- FT Days

Greensboro, NC · On-site

... utilization of resources, service delivery and compliance with external review agencies. Provides ... Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as ...

Quadrant

Registered Nurse

Winston Salem, NC · On-site

$38/hr

Registered Nurse Winston-Salem NC Pay From: $38Per Hour MUST: The Pre-Op/PACU Registered Nurse ... Initiate and administer IV's Review paperwork with patients Monitor patients post operatively ...

thrivespc

Registered Nurse

Greensboro, NC · On-site

Registered Nurse (RN) administers skilled nursing care to patients (0-45 years) requiring ... This assessment will include a complete systems review, safety assessment, nutritional evaluation ...

thrivespc

Registered Nurse

Greensboro, NC · On-site

Registered Nurse (RN) administers skilled nursing care to patients (0-45 years) requiring ... This assessment will include a complete systems review, safety assessment, nutritional evaluation ...

next page

Showing results 1-20

All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Winston-Salem, NC

Utilization Review Rn information

See Winston Salem, NC salary details

$19

$39

$63

How much do utilization review rn jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for utilization review rn in Winston-Salem, NC is $39.01, according to ZipRecruiter salary data. Most workers in this role earn between $30.82 and $44.81 per hour, depending on experience, location, and employer.

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.

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.

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 get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

What are the most commonly searched types of Utilization Review Rn jobs in Winston-Salem, NC?

The most popular types of Utilization Review Rn jobs in Winston-Salem, NC are:

What are popular job titles related to Utilization Review Rn jobs in Winston-Salem, NC?

For Utilization Review Rn jobs in Winston-Salem, NC, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Winston-Salem, NC look for?

The top searched job categories for Utilization Review Rn jobs in Winston-Salem, NC are:

What cities near Winston-Salem, NC are hiring for Utilization Review Rn jobs?

Cities near Winston-Salem, NC with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Winston-Salem, NC as of August 2026, with employment types broken down into 72% Full Time, 14% Part Time, 3% Temporary, and 11% Contract. Highlights an 93% In-person, 2% Hybrid, and 5% Remote job distribution, with an average salary of $81,143 per year, or $39 per hour.

Travel Nurse RN - Case Management

HonorVet Technologies

Greensboro, NC • On-site

Contractor

Medical, Dental, Vision

Posted 25 days ago

Job description

HonorVet Technologies is seeking a travel nurse RN Case Management for a travel nursing job in Greensboro, North Carolina.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: 08/24/2026
  • Duration: 12 weeks
  • 40 hours per week
  • Shift: 8 hours, evenings
  • Employment Type: Travel

🩺 Registered Nurse – Case Manager (RN Case Management / Utilization Review)
📍 Greensboro, NC
⏳ 13 Weeks Contract (Extension Possible)
🚀 Start: 08/24/2026

Shift: Evenings – 5x8 Hour Shifts

• Monday through Friday
• Acute care hospital-based Case Management role
• EPIC documentation system utilized

🏥 Position Details

• RN Case Management & Utilization Review
• Acute care hospital setting
• Coordination of discharge planning and transition of care services

📋 Requirements

• Active RN License
• Minimum 2 years of Case Management experience required
• Acute care hospital experience required
• Experience with ICU, Medical-Surgical, PICU, Stepdown, PCU, IMC, and Observation patient populations required
• Previous Charge Nurse experience required
• EPIC experience required
• No first-time travelers

⭐ Preferred

• Strong interdisciplinary care coordination experience
• Utilization review and regulatory compliance experience

🩺 Required Skills

• Case management and utilization review
• Discharge planning
• Needs assessment and care coordination
• Durable Medical Equipment (DME) ordering
• Plan of care development and management
• Transition of care planning
• EPIC documentation proficiency
• Collaboration with physicians, nursing, therapy, and social work teams

Regulatory Experience

• CMS (Centers for Medicare & Medicaid Services) regulations and compliance
• Utilization management principles and documentation standards

🩺 Responsibilities

• Coordinate discharge planning for hospitalized patients across multiple specialties
• Perform comprehensive needs assessments and identify discharge barriers
• Arrange post-acute services, home care, rehabilitation, and DME as appropriate
• Conduct utilization review activities to support appropriate level of care and regulatory compliance
• Develop and update individualized plans of care
• Communicate with physicians, nurses, therapists, social workers, patients, and families regarding discharge plans and resource needs
• Maintain accurate and timely documentation in EPIC
• Support safe transitions of care and reduction of avoidable readmissions

HonorVet Technologies Job ID #32797200. 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: Registered Nurse/Case Manager

About HonorVet Technologies

HonorVet Technologies: Pioneering Purpose, Empowering Heroes

Founded in 2015, HonorVet Technologies stands as a Service-Disabled Veteran-Owned Small Business (SDVOSB), proudly certified by NaVOBA and the U.S. Department of Veterans Affairs. Our mission goes beyond staffing—we are committed to transforming lives by addressing the critical unemployment challenges faced by veterans.

As a Joint Commission-certified clinical staffing agency, we deliver unmatched expertise in placing top-tier healthcare professionals—RNs, LPNs/LVNs, CNAs/CMAs, and NPs—across diverse facilities, including hospitals, clinics, rehabilitation centers, old-age homes, schools, correctional facilities, and more.

At HonorVet, we don't just fill roles; we bridge gaps, uplift communities, and honor the ones who served.


Benefits
  • Vision benefits
  • License and certification reimbursement
  • Continuing Education
  • Medical benefits
  • Wellness and fitness programs
  • Dental benefits
  • Guaranteed Hours
  • Mileage reimbursement
  • Referral bonus
  • Bereavement
  • Holiday Pay
  • Sick pay
  • Retention bonus
HonorVet Technologies logo

About HonorVet Technologies

Sourced by ZipRecruiter

HonorVet Technologies, located in Fairfield, NJ, US, is a technology-driven company with a unique dimension - enhancing veteran engagement in the workforce. Founded with the goal of supporting and preserving professional veterans while satisfying the IT and professional needs of businesses, HonorVet Technologies brings a particular focus to diversity and veteran hiring, making it a standout player in the IT and Staffing industries. Functioning as a veteran-driven community entity, the firm offers IT staffing, bespoke development, and consulting services, with the aim of connecting talents with IT-related job opportunities.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Fairfield , NJ, US

Year founded

2015

View All HonorVet Technologies Jobs

Apply