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Apprentice Utilization Management Nurse Jobs in Rochester, NY

Highland Hospital

RN Case Manager (Hospital)

Rochester, NY · On-site

$77K - $93K/yr

... utilization management, proactive patient management, care facilitation and treatment planning functions. The Clinical Care Coordinator/Care Manager coordinates care along with unit staff (Nursing ...

Highland Hospital

RN Case Manager PC/FM

Rochester, NY · On-site

$37 - $45/hr

... utilization management, proactive patient management, care facilitation and treatment planning functions. The RN Care Manager manages clinical aspects of patient centered medical home, working with ...

Rochester Regional Health

Care Manager-RN

Irondequoit, NY · On-site

$82K - $113K/yr

Three (3) years of acute hospital care, case management or utilization management experience ... Registered Nurse license in New York State. * Basic Life Support (BLS) certification. PREFERRED ...

New

Rochester Regional Health

Care Manager-RN

Rochester, NY · On-site

$82K - $113K/yr

Three (3) years of acute hospital care, case management or utilization management experience ... Registered Nurse license in New York State. * Basic Life Support (BLS) certification. PREFERRED ...

Highland Hospital

NURSE MANAGER - SE6

Rochester, NY

$105K - $137K/yr

... resource management, assessment and monitoring of resource needs and utilization, staff ... The Nurse Manager represents the unit and service on committees at all levels within the ...

Voyage Health

Travel RN House Supervisor

Rochester, NY · On-site

$2.6K - $2.7K/wk

Position Details Specialty: RN Utilization Review Location: Rochester, New York Employment Type: Travel/Contract Pay: $2647 - $2786 per week Shift: 5x8 Flex Start Date: ASAP Contract Length: 13-week ...

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All JobsApprentice Utilization Management Nurse JobsApprentice Utilization Management Nurse Jobs in Rochester, NY

Apprentice Utilization Management Nurse information

See Rochester, NY salary details

$38.5K

$88.3K

$160.8K

How much do apprentice utilization management nurse jobs pay per year?

As of Aug 9, 2026, the average yearly pay for apprentice utilization management nurse in Rochester, NY is $88,290.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,600.00 and $103,100.00 per year, depending on experience, location, and employer.

What is the difference between Apprentice Utilization Management Nurse vs Utilization Management Nurse?

AspectApprentice Utilization Management NurseUtilization Management Nurse
CredentialsLicensed RN, in training or early certification stageLicensed RN with certification in utilization review
Work EnvironmentSupervised training setting, often in healthcare or insurance companiesIndependent review in healthcare or insurance organizations
Job ResponsibilitiesAssisting with case reviews, learning utilization review processesConducting case assessments, making coverage decisions

The Apprentice Utilization Management Nurse is in training, focusing on learning review procedures under supervision, while the Utilization Management Nurse is fully qualified, responsible for independent case evaluations and decision-making. The apprentice role is a stepping stone toward becoming a licensed Utilization Management Nurse.

What are the key skills and qualifications needed to thrive as an apprentice utilization management nurse, and why are they important?

To thrive as an Apprentice Utilization Management Nurse, you need a foundational understanding of nursing principles, strong analytical skills, and typically an RN license or progression toward one. Familiarity with utilization management software, electronic health records (EHR), and knowledge of insurance guidelines such as Medicare or Medicaid are often required. Attention to detail, critical thinking, and effective communication are essential soft skills for collaborating with healthcare teams and conveying clinical information. These competencies ensure accurate patient care reviews, compliance with regulations, and effective support in healthcare cost management.

What are some common challenges faced by apprentice utilization management nurses, and how can they be addressed?

Apprentice Utilization Management Nurses often encounter challenges such as learning to interpret complex medical records, understanding insurance policies, and adhering to strict regulatory guidelines. Balancing patient advocacy with cost-effective care decisions can also be demanding. These challenges can be addressed by actively participating in mentorship programs, seeking regular feedback from experienced colleagues, and utilizing ongoing training resources provided by employers. Developing strong communication and organizational skills will also help manage the workload and foster effective collaboration with physicians, case managers, and insurance representatives.

What is an apprentice utilization management nurse?

An Apprentice Utilization Management Nurse is a nursing professional in training who assists with the review and evaluation of healthcare services to ensure they are medically necessary and cost-effective. They work under the supervision of experienced utilization management nurses and follow established guidelines to assess patient care plans, medical records, and insurance policies. Their role is crucial in helping healthcare organizations maintain quality care while managing costs, and they may interact with physicians, patients, and insurance companies to clarify or justify treatment decisions. As apprentices, they are gaining hands-on experience to develop their skills and knowledge in utilization management.
What are the most commonly searched types of Utilization Management Nurse jobs in Rochester, NY? The most popular types of Utilization Management Nurse jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Apprentice Utilization Management Nurse jobs? Cities near Rochester, NY with the most Apprentice Utilization Management Nurse job openings:
Apprentice Utilization Management Nurse jobs near you

RN Case Manager (Hospital)

Highland Hospital

Rochester, NY • On-site

$77K - $93K/yr

Other

Re-posted yesterday

Highland Hospital (New York) rating

7.7

Company rating: 7.7 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

220th of 1,055 rated hospitals

Job description

18562BR

Title:

RN Case Manager (Hospital)

Department/Cost Center:

771 - Social Work Service

Job Description:

Highland Hospital is seeking a part-time Case Manager to join the team. Hours will be Monday-Friday from 8am-4:30pm.

Under general direction, the Clinical Care Coordinator/Case Manager’s role is to coordinate interdisciplinary care planning to achieve timely and safe discharge and/or to coordinate access and utilization management, proactive patient management, care facilitation and treatment planning functions. The Clinical Care Coordinator/Care Manager coordinates care along with unit staff (Nursing, Providers, Consulting Services, Social Work) and providers caring for the patient at discharge to assist in facilitating a patient focused plan of care aimed at ensuring a safe transition from hospital to home for adult acute care patients.

Essential functions include, but are not limited to:

  •     Identify patient discharge needs and potential barriers

  •     Assists with closing gaps in medical care upon discharge by utilizing community resources

  •     Communication with in-network PCP offices to ensure a transition of care to the community setting

  •     Identify resources for patient self-management planning and discharge

  •     Assist in developing and implementing care plans for medically complex patients

  •     Prepares patient for discharge by referring for home care services (skilled nursing, PT, OT, SLP) and DME

  •     Complete the Patient Review Instrument

  •     Other duties as assigned

Salary Range:

$77,220.15- $93,600

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations

Auto req ID:

18562BR

Job Requirements:

  1. Fulfilled the educational requirements to be a licensed RN in NYS; BSN preferred. 3-5 years professional nursing experience. Progressive clinical experience including community health, care management, and/or disease management is preferred.

  2. Experience working as a member of a multi-disciplinary team is required. Experience in data analysis and chronic illness management preferred.

  3. Current and valid license to practice as an RN in New York State required. PRI certification preferred but not required.

Employment Status:

Part-Time

Hours/Week:

20 hours/week

Posting Title:

RN Care Coordinator

City:

Rochester

Work Shift:

Days

Area of Interest:

Nurses

The Hospital is committed to equal opportunity for all persons regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status protected by law.

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