1

Director Of Utilization Review Jobs in Rochester, NY

Support post-campaign reviews to identify learnings and opportunities for improvement * Ensure ... Deep understanding of marketing disciplines and how they work together * Strong cross-functional ...

Work with Executive Director to position the organization to maximize fund development ... For further information, please review the Know Your Rights notice from the Department of Labor. #J ...

Showing results 41-60

Director Of Utilization Review information

See Rochester, NY salary details

$21

$41

$68

How much do director of utilization review jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for director of utilization review in Rochester, NY is $41.72, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

What is a director of utilization review?

A Director of Utilization Review is a healthcare management professional responsible for overseeing the utilization review process in hospitals or healthcare organizations. This role ensures that medical services provided to patients are necessary, appropriate, and efficient, while also complying with regulatory and insurance requirements. The Director supervises a team, manages policies, analyzes data, and collaborates with medical staff to optimize patient care and resource use. They play a key role in balancing quality care with cost-effective practices.

What are the key skills and qualifications needed to thrive as a director of utilization review?

To thrive as a Director of Utilization Review, you need strong clinical expertise, analytical skills, and an advanced degree in nursing or a related healthcare field—often with RN licensure and significant case management experience. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory standards like CMS and Joint Commission are typically required. Leadership, effective communication, and critical thinking are vital soft skills for overseeing teams and collaborating with healthcare providers. These skills and qualifications ensure efficient resource use, regulatory compliance, and optimal patient care outcomes.

What are some common challenges faced by a director of utilization review, and how can they be addressed?

Directors of Utilization Review often encounter challenges such as balancing regulatory compliance with operational efficiency, managing diverse teams, and ensuring consistent application of utilization management criteria. Addressing these challenges typically involves staying up to date with changing healthcare regulations, fostering open communication within multidisciplinary teams, and implementing robust training programs. Leveraging data analytics tools can also help streamline review processes and improve decision-making, which supports both patient care quality and organizational goals.

What is the difference between Director Of Utilization Review vs Utilization Review Nurse?

AspectDirector Of Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a registered nurse (RN) license, often with management experienceRequires an RN license and clinical experience
Work EnvironmentOversees utilization review teams, manages policies, and collaborates with healthcare providersPerforms clinical reviews, assesses patient records, and makes utilization decisions
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, clinics, insurance companies

The main difference is that the Director Of Utilization Review manages teams and policies, focusing on strategic oversight, while the Utilization Review Nurse conducts clinical assessments and reviews patient cases. Both roles require nursing credentials but differ in scope and responsibilities.

Is a director of utilization review a stressful job?

A director of utilization review often faces stress due to managing complex case evaluations, ensuring compliance with healthcare regulations, and meeting organizational goals. The role requires strong decision-making skills, attention to detail, and the ability to handle high workloads, which can contribute to job-related stress.

What degree do I need for a Director Of Utilization Review?

A Director of Utilization Review typically needs a bachelor's degree in healthcare administration, nursing, or a related field, with many employers preferring a master's degree such as an MBA or a master's in healthcare management. Relevant experience in healthcare, strong knowledge of insurance and medical policies, and professional certifications like Certified Professional in Healthcare Quality (CPHQ) can also be important. Leadership skills and familiarity with utilization review tools are essential for this role.

What cities near Rochester, NY are hiring for Director Of Utilization Review jobs?

Cities near Rochester, NY with the most Director Of Utilization Review job openings:

Infographic showing various Director Of Utilization Review job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $86,833 per year, or $41.7 per hour.

Director of Clinical Education ~ WHNP

Nazareth College

Rochester, NY • On-site

$90 - $130/hr

Other

Posted 12 days ago


Job description

The Nazareth University Nursing Department is seeking a Director of Clinical Education at the rank of Clinical Assistant Professor. The Director of Clinical Education will oversee the clinical phase of an innovative hybrid Women's Health Nurse Practitioner Program.

Essential Functions
  • Oversee the ongoing recruitment, support, development, and evaluation of clinical preceptors and rotation sites for supervised clinical practice experiences
  • Ensure ongoing compliance with CCNE accreditation standards and NYSED Nursing Program registration standards related to WHNP clinical education
  • Responsible for the development and oversight of student assessment, to include remediation, for the clinical phase of the program
  • Ensure students have met health screening and immunization requirements of assigned clinical rotation sites
  • Maintain accurate student records and enforce academic policies consistent with the University, College and Program
  • Ensure students are adequately prepared to achieve programmatic benchmarks and obtain NCC WHNP board certification
  • Collaborate with the WHNP Program Director on ongoing assessment of student performance toward attaining the program's Student Learning Outcomes
  • Conduct and manage site visits to preceptors and students during clinical rotations
  • Oversee student academic progression, retention and completion strategies
  • Actively engage with programmatic evaluation
  • Participate in the student recruitment, selection and admissions process
  • Develop and deliver academic courses as assigned, to include curriculum development, teaching and student assessment
  • Assist with curriculum evaluation and improvement
  • Perform student evaluations of objective structured clinical examinations (OSCEs), lab practicals, and clinical skills and procedure sessions during the didactic and clinical phases of the program
  • Provide remedial instruction and reassessment as needed
  • Participate in the academic counseling of students as assigned
  • Serve on departmental, college and university committees as assigned
  • Participate in developing, reviewing and revising the mission statement, program goals and program competencies, as necessary
  • Conduct and disseminate scholarship
  • Other duties as assigned
Required Education, Experience, Technology and Skills
  • Unencumbered WHNP license in New York State
  • Prior higher education teaching experience
  • Prior experience as principal faculty in a WHNP program preferred
  • Effective communication and collaboration skills
  • Skilled in working with a variety of different student learning styles
  • Ability to perform duties autonomously with minimal supervision
  • Ability to manage and prioritize multiple tasks and successfully meet deadlines
Preferred Education, Experience, Technology Applications and Skills
  • Experience in the design, development, implementation and evaluation of clinical WHNP education
  • Experience in the successful recruitment and development of clinical preceptors and rotation sites
  • Experience with CCNE and NYSED standards
Supervisory Responsibilities Physical Requirements Equipment to be used Special Requirements Open Date

Open Date 06/11/2026

Close Date

Open Until Filled Yes

EEO Statement

Join Nazareth University, a leading institution in Rochester, NY, with a vibrant community of approximately 1,900 undergraduate and 500 graduate students. We seek dedicated teacher-scholars who are committed to excellence in teaching, fostering student success, engaging with the community, and championing equity and inclusion. Located just minutes from downtown Rochester, our campus provides a dynamic environment for professional growth, innovation, and collaboration.
At Nazareth, we are committed to equity and inclusion, ensuring equal access to employment opportunities without discrimination. We advocate for an inclusive workplace and welcome applicants from diverse backgrounds, experiences, and perspectives. Our Anti-Discrimination Policy upholds fair treatment based solely on qualifications and merit.
Join us in celebrating diversity, where every individual, regardless of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, veteran status, genetic information, or any other protected status, is valued and respected.

#J-18808-Ljbffr