Location & Practice Overview

The position is listed for Durham, North Carolina, and is coordinated through a national staffing partner supporting a public diagnostics company. That client organization maintains its Quality operations base in Memphis, Tennessee, and has indicated willingness to assist with relocation.

Listed Location Durham, North Carolina
Client Organization Base Memphis, Tennessee
Organizational Context Quality team expansion at a growing diagnostics company
Position Structure Individual contributor with no direct reports

Responsibilities

  • Evaluate treatment information against established medical criteria and care-management policies to support utilization decisions.
  • Interpret clinical documentation and produce clear summaries that inform level-of-care determinations.
  • Communicate review outcomes and related information to providers, members, employers, and internal plan staff.
  • Exercise independent clinical judgment while participating as a member of an interdisciplinary team.
  • Uphold confidentiality, conflict-of-interest, and code-of-conduct requirements in all work activities.

The day-to-day emphasis is on accurate, timely review activity and professional communication that supports consistent utilization decisions.

Qualifications & Requirements

Active North Carolina nursing licensure is required, together with demonstrated experience in utilization management processes. A Bachelor of Science in Nursing is strongly preferred.

Licensure
Valid North Carolina RN or LPN license
Professional Experience
Experience with Utilization Management processes
Preferred Education
BSN strongly preferred
Software Proficiency
Microsoft Windows operating system and Microsoft Office applications
Domain Knowledge
Medical care patterns, regulatory rules, and care-management criteria and policies

Compensation & Benefits

The posted compensation range is $70,000–$95,000 per year. Relocation assistance is also listed as available through the client organization.

  • Compensation: $70,000–$95,000 per year
  • Relocation assistance available through the client organization

Schedule & Work Environment

Employment Type Full-time
Team Interaction Regular collaboration with an interdisciplinary team
Work Style Independent clinical decision-making with minimal supervision
Change Orientation Ability to accept and adapt to evolving processes

Patient Population & Clinical Setting

Work occurs in a non-bedside utilization environment. Activity centers on review of treatment information associated with covered members and the providers who serve them.

Primary Activity Setting Utilization and care-management review
Key Contacts Providers, members, employers, and plan staff
Organizational Setting Quality function supporting a diagnostics company

Clinical Focus & Key Services

The professional core of the role is the consistent application of medical necessity standards and care-management policies to support appropriate utilization decisions.

Core Discipline Utilization management decision support
Standards Applied Medical necessity criteria and related plan policies
Information Handling Clinical documentation review and treatment summarization
Compliance Framework Regulatory and governmental requirements governing care management

Role Highlights

Several features distinguish this posting from standard utilization management nursing roles.

  • Individual-contributor position carrying no supervisory responsibility
  • Placement supporting Quality team growth at a public diagnostics company
  • Relocation assistance offered by the client
  • Staffing partner notes an immediate interview process for available candidates

About Integrated Resources, Inc

Integrated Resources, Inc is a professional staffing firm established in 1996. The organization focuses on placements in Information Technology, Clinical Research, Rehabilitation Therapy, and Nursing and maintains a national presence that includes an office in Raleigh, North Carolina.

Company Type Specialty staffing firm
Year Established 1996
Primary Practice Areas IT, Clinical Research, Rehabilitation Therapy, Nursing
Headquarters Area Edison, New Jersey

Frequently Asked Questions

Is the work location Durham or Memphis?
The posting identifies Durham, North Carolina, as the location and requires a valid North Carolina license. The client organization is expanding its Quality team in Memphis, Tennessee, and has stated it will assist with relocation.
Does this role include direct bedside care?
No. Duties center on utilization management review, application of medical criteria, and communication of determinations rather than hands-on patient care.
Can an LPN apply, or is RN licensure required?
Both RN and LPN candidates holding a valid North Carolina license meet the stated licensure requirement. A BSN is strongly preferred.
Will I supervise other staff?
The position has no direct reports.
How should interested candidates proceed?
The staffing firm asks for an updated Word copy of the resume and indicates that interviews can begin promptly for available applicants.

RN/LPN Utilization Management in Durham, NC

North Carolina-licensed RNs and LPNs with utilization management experience will find a full-time individual-contributor role listed for Durham that supports Quality operations at a public diagnostics company. The client base is in Memphis and relocation assistance is available. Day-to-day work involves applying medical criteria to treatment information, preparing clear clinical summaries, and communicating decisions to providers and plan partners while functioning with substantial autonomy inside an interdisciplinary environment. A BSN is strongly preferred. Compensation is set at $70,000–$95,000 per year. The opportunity is presented by Integrated Resources, Inc, a staffing firm founded in 1996 that places nurses and other healthcare professionals. Candidates who can interview immediately are invited to submit an updated resume for prompt consideration.

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