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Contract Rn Case Review Jobs in Rochester, NY (NOW HIRING)

Level 2 Registered Nurse Case Manager Job Title: Level 2 Registered Nurse Case Manager Profession ... Participates in peer review and quality assessment and performance improvement as assigned.

RN Case Manager

Rochester, NY ยท On-site

$75K - $90K/yr

Role and Responsibilities The RN Case Manager will administer skilled nursing care to patients requiring professional nursing service. Teach and supervise the family and other members of the nursing ...

RN - Case Manager

Webster, NY ยท On-site

$2.5K/wk

Details Client Name URMHC URMHC Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 18821008 Job Title RN - Case Manager Weekly Pay $2504.0 Shift Details Shift 5x8 Days ...

Travel RN Case Manager Genie Healthcare is looking for an RN to work in Case Manager for a 12.71 weeks travel assignment located in Webster, NY for the shift (5x8 Days - Please verify shift details ...

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Contract Rn Case Review information

See Rochester, NY salary details

$18

$46

$78

How much do contract rn case review jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for contract rn case review in Rochester, NY is $46.90, according to ZipRecruiter salary data. Most workers in this role earn between $34.86 and $56.68 per hour, depending on experience, location, and employer.

How does a Contract RN Case Review professional typically collaborate with other healthcare team members?

As a Contract RN Case Review professional, you'll frequently coordinate with physicians, social workers, and other nursing staff to ensure comprehensive patient care. Collaboration often involves reviewing patient charts, discussing care plans, and providing recommendations for discharge planning or ongoing management. Effective communication is key, as you'll need to relay findings and updates to both internal teams and external case managers. This role often requires balancing independent, detailed review work with regular interdisciplinary meetings to drive optimal outcomes for patients.

What are the key skills and qualifications needed to thrive as a Contract RN Case Review, and why are they important?

To thrive as a Contract RN Case Review, you need a valid RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical coding systems (such as ICD-10, CPT), case management software, and knowledge of regulatory guidelines like Medicare and Medicaid are typically required. Excellent analytical thinking, attention to detail, and effective communication skills are crucial soft skills for this role. These competencies ensure accurate case assessments, compliance with healthcare regulations, and effective collaboration with providers and payers.

What is the difference between Contract Rn Case Review vs Contract Rn Case Management?

AspectContract Rn Case ReviewContract Rn Case Management
CertificationsRN license, case review certificationsRN license, case management certifications (e.g., CCM)
Work EnvironmentReviewing medical records, assessing casesCoordinating patient care, managing cases
Employer & IndustryInsurance companies, healthcare agenciesHealthcare providers, insurance companies
Search & Comparison IntentUnderstanding case review roles, job differencesExploring case management careers, job duties

Contract Rn Case Review focuses on evaluating medical records and determining coverage or compliance, while Contract Rn Case Management involves coordinating patient care and managing cases throughout treatment. Both roles require RN licensure, but they differ in daily tasks and responsibilities within the healthcare and insurance industries.

What is a Contract RN Case Review nurse?

A Contract RN Case Review nurse is a registered nurse who is hired on a contractual basis to evaluate patient cases, often for insurance companies, hospitals, or healthcare organizations. Their main duties include reviewing medical records, ensuring compliance with clinical guidelines, and providing recommendations for patient care or coverage decisions. These nurses typically work remotely or in office settings and may be responsible for communicating findings to healthcare providers or insurance adjusters. This role requires strong clinical knowledge, attention to detail, and excellent communication skills.
What are the most commonly searched types of Rn Case Review jobs in Rochester, NY? The most popular types of Rn Case Review jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Contract Rn Case Review jobs? Cities near Rochester, NY with the most Contract Rn Case Review job openings:

RN - Case Manager

Cynet Health

Webster, NY โ€ข On-site

Other

Re-posted 23 days ago


Job description

Level 2 Registered Nurse Case Manager

Job Title: Level 2 Registered Nurse Case Manager

Profession: Registered Nurse

Specialty: Case Manager

Duration: 13 weeks

Shift: Monday to Friday, 8 hours per shift

Experience: Minimum one year of experience as a clinical nurse in a hospital required, and 9 months experience in home care preferred

License: Valid RN License (NY License ONLY)

Certifications: BLS, OASIS, Telemetry, Certified Home Health Care

Must-Have: Critical thinking skills, ability to follow standards and procedures, and make appropriate clinical judgments to provide safe and effective client care; strong interviewing, clinical assessment, and communication skills; ability to exercise initiative and independent judgment; ability to build and maintain professional relationships; current NYS driver's license; ability to work independently with minimal supervision, adapt to change, and manage a variety of assignments

Description: Develops and revises plan of treatments and discharge plan in conjunction with patients, families, physicians, care delivery teams, and third-party payors including obtaining medical orders and approval of medical services. Completes and submits assessments, reassessments, transfers, resumptions of care, discharges, and significant changes in condition in accordance with defined time frames. Processes orders and notifies physicians of patient needs and changes in condition. Provides an environment that promotes respect for patients, their privacy, confidentiality, and property. Initiates appropriate preventive and rehabilitative strategies. Provides services requiring substantial specialized nursing skills. Consults with and educates patients, families, and other team members regarding disease processes, self-care techniques, and preventive strategies. Supervises LPN to ensure patient health, safety, and compliance with the plan of care. Directs, coordinates, evaluates, and supervises the quality of patient care services. Interacts with patients, physicians, referral sources, and others in a manner conducive to continued positive relationships. Supports care management philosophy, including collaborative customer-focused planning and case management designed to meet individual health and service needs, and promote quality and cost-effective outcomes. Ensures the completion of all appropriate clinical records needed for compliance with state and federal legislation. Maintains current knowledge of available community-based services. Demonstrates flexibility and willingness to visit patients based on need. Ensures problem resolution at the point of contact. Ensures authorization and release of information form has been signed by the patient or responsible party. Attends patient care conferences on patients assigned to care. Monitors results, progress, and takes corrective action on quality indicators, including the level of customer satisfaction with the nursing function. Understands the importance of the nursing role and its impact on patients, care providers, readmission, productivity, utilization, revenue, and expense. Pursues efforts to reduce or eliminate avoidable costs and errors. Responds to findings of various quality reviews and ensures resolution of potential problem areas. Participates in peer review and quality assessment and performance improvement as assigned. Maintains productivity requirements. Ensures that appropriate visit authorizations are in place and that visit documentation reflects the medical necessity for care in the home setting. Promotes a work environment of professional growth, learning, trust, and mutual respect. Participates in education including orientation and in-service training programs as needed. Demonstrates commitment to professional growth and competency. Responsible for the key performance indicators established by the manager. Performs other duties as requested.


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About Cynet Health

Sourced by ZipRecruiter

Cynet Health is a TJC certified MBE and one of the fastest-growing healthcare staffing firms in the US providing Health Med and Health IT staffing and consulting services to countless hospitals, SNFs, clinics, labs, CROs, health & wellness centers, pharmacies, and other medical facilities across the United States. Headquartered in Sterling, Virginia, we are a certified Minority-Owned Business Enterprise and a recognized Diversity Supplier. Vision Our Vision is to be the most trusted and reliable provider for healthcare companies and medical facilities across the United States. Mission Our mission is to serve our healthcare customers with excellence and make a meaningful difference in the lives of patients and our communities.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Sterling, VA, US

Year founded

2015