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Discharge Planner Utilization Review Jobs in Rochester, NY

Acacia Network

Program Director

Rochester, NY · On-site

$85K/yr

Participate in agency management and planning activities. * Ensure client substance abuse and other ... Perform utilization reviews, monitoring case records, ensuring compliance with all contract ...

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All JobsDischarge Planner Utilization Review JobsDischarge Planner Utilization Review Jobs in Rochester, NY

Discharge Planner Utilization Review information

See Rochester, NY salary details

$14

$32

$58

How much do discharge planner utilization review jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for discharge planner utilization review in Rochester, NY is $32.19, according to ZipRecruiter salary data. Most workers in this role earn between $22.79 and $38.65 per hour, depending on experience, location, and employer.

How does a Discharge Planner Utilization Review professional collaborate with interdisciplinary teams to ensure effective patient transitions?

Discharge Planner Utilization Review professionals work closely with physicians, nurses, social workers, and insurance representatives to coordinate safe and timely patient discharges. They facilitate communication between team members, assess patients' post-hospital needs, and help secure appropriate resources such as home health care or rehabilitation services. Their role is vital in preventing readmissions by ensuring that all aspects of a patient's care plan are addressed and that transitions occur smoothly. Regular interdisciplinary meetings and case conferences are common practices to align on patient care goals.

What are the key skills and qualifications needed to thrive as a Discharge Planner Utilization Review, and why are they important?

To thrive as a Discharge Planner Utilization Review professional, you generally need a clinical background such as RN or social worker licensure, strong knowledge of discharge planning protocols, and familiarity with healthcare regulations. Proficiency with electronic health records (EHRs), case management software, and utilization review tools is typically required. Excellent communication, problem-solving, and organizational skills help in coordinating care and advocating for patient needs. These competencies ensure safe, efficient patient transitions and compliance with healthcare policies, ultimately optimizing patient outcomes and resource use.

What are Discharge Planner Utilization Review professionals?

Discharge Planner Utilization Review professionals are healthcare workers who coordinate patient discharges from hospitals or medical facilities while ensuring appropriate utilization of healthcare services. They assess patients' continuing care needs, develop safe discharge plans, and review the necessity and efficiency of the care provided. Their role bridges clinical care and administrative requirements, helping to prevent unnecessary hospital stays and ensuring patients transition smoothly to home or other care settings. These professionals often work closely with physicians, nurses, social workers, and insurance companies to promote optimal patient outcomes and cost-effective healthcare.

What is the difference between Discharge Planner Utilization Review vs Discharge Planner?

AspectDischarge Planner Utilization ReviewDischarge Planner
Primary RoleEvaluates medical necessity and appropriateness of patient discharges for insurance and healthcare complianceCoordinates patient discharges, ensures proper placement, and communicates with healthcare teams
CredentialsTypically requires a social work, nursing, or healthcare background with certification in utilization reviewUsually requires social work or nursing credentials, with focus on discharge planning
Work EnvironmentHospitals, insurance companies, or healthcare facilities involved in utilization reviewHospitals, rehab centers, or skilled nursing facilities

While both roles involve discharge processes, Discharge Planner Utilization Review focuses on assessing medical necessity for insurance purposes, whereas Discharge Planner manages patient discharge logistics and coordination. Understanding these differences helps clarify career paths and employer expectations in healthcare settings.

What are popular job titles related to Discharge Planner Utilization Review jobs in Rochester, NY? For Discharge Planner Utilization Review jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Discharge Planner Utilization Review jobs in Rochester, NY look for? The top searched job categories for Discharge Planner Utilization Review jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Discharge Planner Utilization Review jobs? Cities near Rochester, NY with the most Discharge Planner Utilization Review job openings:
Discharge Planner Utilization Review jobs near you
Infographic showing various Discharge Planner Utilization Review job openings in Rochester, NY as of July 2026, with employment types broken down into 3% As Needed, 70% Full Time, 20% Part Time, and 7% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $66,948 per year, or $32.2 per hour.
Director, Care Management & Social Work - UH, UMMC, NWCH, CSHC

Director, Care Management & Social Work - UH, UMMC, NWCH, CSHC

Rochester Regional Health

Rochester, NY • On-site

$85K - $135K/yr

Full-time

Posted 25 days ago

Rochester Regional Health rating

7.3

Company rating: 7.3 out of 10

Based on 218 frontline employees who took The Breakroom Quiz

305th of 890 rated healthcare providers

Job description

Director, Care Management & Social Work
Unity Hospital, United Memorial Medical Center, Newark Wayne Community Hospital and Clifton Springs Hospital and Clinic
SUMMARY:
The Director is primarily responsible for managing utilization review and discharge planning activities, as well as addressing psychosocial needs to appropriately transition patients through the continuum of care. Working collaboratively with the MD Advisor for Care Management, the Director also is responsible for building coalitions with all members of the care team as well as hospital and health system leadership to implement changes to improve patient flow, the patient experience, and staff and physician satisfaction, as well as increase reimbursement and reduce denials.
RESPONSIBILITIES:
  • Lead the development, implementation, and evaluation of strategic department plans to optimize length of stay, discharge planning, patient flow, and resource utilization across the hospital.
  • Oversee utilization and denial management programs, ensuring appropriate levels of care, strong payer relationships, adherence to regulations, and proactive strategies to reduce denials and prevent readmissions.
  • Build and maintain effective internal and external partnerships to drive process improvement, monitor performance metrics, and support optimal clinical, operational, financial, and patient satisfaction outcomes.
  • Manage departmental operations including staffing, budgeting, role development, performance evaluations, regulatory compliance, and quality review processes.
  • Serve as a consultant and liaison for long-term care facilities and state agencies, ensuring regulatory alignment, supporting complex psychosocial needs, and guiding policy, risk management, and patient experience initiatives.
  • Perform other related duties as assigned.

REQUIRED QUALIFICATIONS:
  • BSN or Master's Degree in Social Work
  • RN or LMSW license
  • Minimum of five years in Health Care setting, three years in supervisory capacity

PREFERRED QUALIFICATIONS:
  • Case management/utilization review/discharge planning experience

EDUCATION:
MS: Social Work (Required)
LICENSES / CERTIFICATIONS:
BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), LCSW - Licensed Clinical Social Worker - New York State Education Department (NYSED)New York State Education Department (NYSED)New York State Education Department (NYSED)
PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$85,000.00 - $135,000.00
CITY:
Rochester
POSTAL CODE:
14617
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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