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

Volunteers of America National Services

Medical Director

Durham, NC · On-site

$248K - $298K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Salary: $248,000-$298,000 (Based on years of Experience) Location: 5400 S Miami Boulevard, Suite ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...

Volunteers of America National Services

Medical Director

Durham, NC · On-site

$248K - $298K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Salary: $248,000-$298,000 (Based on years of Experience) Location: 5400 S Miami Boulevard, Suite ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...

VOANS, Senior Community Care of NC

Medical Director

Durham, NC · On-site

$248K - $298K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Salary: $248,000-$298,000 (Based on years of Experience) Location: 5400 S Miami Boulevard, Suite ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...

VOANS, Senior Community Care of NC

Medical Director

Durham, NC · On-site

$248K - $298K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Salary: $248,000-$298,000 (Based on years of Experience) Location: 5400 S Miami Boulevard, Suite ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...

VOANS, Senior Community Care of NC

Medical Director

Durham, NC · On-site

$248K - $298K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Salary: $248,000-$298,000 (Based on years of Experience) Location: 5400 S Miami Boulevard, Suite ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...

VOANS, Senior Community Care of NC

Medical Director

Durham, NC

$248K - $298K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Salary: $248,000-$298,000 (Based on years of Experience) Location: 5400 S Miami Boulevard, Suite ... Participates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF ...

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Showing results 21-40

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 18, 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 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 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 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.

Is utilization review a good job?

Utilization review is a healthcare role that involves evaluating the necessity and appropriateness of medical services for insurance or healthcare providers. It typically offers stable employment, requires attention to detail, and may involve certifications such as the Certified Professional Coder (CPC) or Certified Utilization Review Professional (CURP). The job can provide a predictable schedule and opportunities for advancement in healthcare administration.

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 registered nurse (RN) license or relevant certifications, such as the Certified Professional in Healthcare Quality (CPHQ). Having strong clinical knowledge and familiarity with medical records and insurance processes is also important.

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 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.

Clinical Psychologist - NC Surgery Bariatrics

UNC Health Careers

Raleigh, NC • Hybrid

$44.56 - $64.06/hr

Full-time

Posted 16 days ago

Job description

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.

Employment Type:

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