ZipRecruiter

Log In

1

Utilization Review Salary Jobs in Raleigh, NC (NOW HIRING)

WCPSS

Administrator - Salary Quality Control

Cary, NC · Hybrid

Reviews audit results, offers recommendations for improvement, and coordinates with the Audit ... Considerable knowledge of the Budget Utilization Development (BUD) system; * Considerable knowledge ...

WCPSS

Administrator - Salary Quality Control

Cary, NC · Hybrid

Reviews audit results, offers recommendations for improvement, and coordinates with the Audit ... Considerable knowledge of the Budget Utilization Development (BUD) system; Considerable knowledge ...

next page

Showing results 1-20

All JobsUtilization Review Salary JobsUtilization Review Salary Jobs in Raleigh, NC

Utilization Review Salary information

See Raleigh, NC salary details

$20

$41

$67

How much do utilization review salary jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for utilization review salary 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 are the key skills and qualifications needed to thrive as a utilization review nurse, and why are they important?

To thrive as a Utilization Review Nurse, you need a valid RN license, clinical experience, and strong knowledge of medical coding and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically required. Excellent analytical thinking, attention to detail, and effective communication skills help professionals excel in this role. These capabilities are crucial for making accurate coverage decisions, ensuring compliance, and facilitating high-quality, cost-effective patient care.

What is the average salary for a utilization review nurse?

The average salary for a Utilization Review Nurse in the United States typically ranges from $65,000 to $85,000 per year, depending on factors such as experience, education, location, and employer. Major metropolitan areas and hospitals may offer higher compensation, while remote or rural locations might pay less. In addition to base salary, some positions may offer benefits like health insurance, retirement plans, and bonuses. It's important to research the specific employer and geographic region for the most accurate salary information.

What are some common challenges utilization review professionals face in balancing patient advocacy with cost management?

Utilization Review professionals often navigate the delicate balance between ensuring patients receive appropriate care and managing healthcare costs for providers and insurers. One common challenge is interpreting complex medical records to make fair, evidence-based decisions while also adhering to strict guidelines and insurance policies. Additionally, communicating denial decisions to providers or patients requires tact and empathy. Staying current with constantly evolving regulations and medical standards is also essential to perform the role effectively.

What degree do I need for utilization review?

Utilization review professionals typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Many employers prefer candidates with a background in nursing or healthcare management, and some roles may require licensure or certification such as the Certified Professional in Healthcare Quality (CPHQ).

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

AspectUtilization Review SalaryCase Manager Salary
Required CredentialsRN, LPN, or other healthcare certificationsRN, social work, or healthcare-related certifications
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Employer & Industry UsageUsed mainly in insurance and healthcare review settingsUsed across healthcare, social services, and insurance sectors

Utilization Review Salary and Case Manager Salary share similar credentials and work environments, often within healthcare and insurance industries. While utilization review focuses on evaluating medical necessity and appropriateness of care, case managers coordinate patient care and support. Both roles require healthcare or social work certifications, but their primary functions differ, with utilization review emphasizing review processes and case management emphasizing patient advocacy and coordination.

What are popular job titles related to Utilization Review Salary jobs in Raleigh, NC? For Utilization Review Salary jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Utilization Review Salary jobs in Raleigh, NC look for? The top searched job categories for Utilization Review Salary jobs in Raleigh, NC are:
Utilization Review Salary jobs near you
Infographic showing various Utilization Review Salary job openings in Raleigh, NC as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.

Travel Nurse RN - Case Manager, Utilization Review

AMN Healthcare Revenue Cycle

Chapel Hill, NC • On-site

$1.8K - $2.7K/wk

Contractor

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

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

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 08/24/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

Job Description & Requirements
RN Care Manager
StartDate: 8/24/2026 Pay Rate: $1800.00 - $2700.00

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 – 8:00am-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

Apply