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Entry Level Rn Utilization Review Nurse Jobs in Rochester, NY

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As of Jun 11, 2026, the average hourly pay for entry level rn utilization review nurse 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.
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Infographic showing various Entry Level Rn Utilization Review Nurse job openings in Rochester, NY as of June 2026, with employment types broken down into 88% Full Time, 2% Part Time, and 10% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $86,774 per year, or $41.7 per hour.

RN - Utilization Review - Syracuse, NY - RN26-06292

NavitasPartners

Rochester, NY • On-site

Other

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

Job Title: RN - Utilization Review
Location: Syracuse, NY
Type: Contract | 14 Weeks
Shift & Schedule: Day Shift | Full-Time | Monday-Friday

Position Overview:
Navitas Healthcare, LLC is seeking RN - Utilization Review for an exciting Travel or Local job in Syracuse, NY.

Responsibilities

  • Conduct utilization review activities for inpatient admissions and continued stays
  • Review medical records to determine medical necessity and appropriate level of care using established screening criteria
  • Ensure compliance with CMS regulations, payer requirements, and hospital policies
  • Collaborate with physicians, case managers, nursing staff, and payers regarding authorization and care coordination
  • Interface with healthcare payers and regulatory agencies regarding patient status and reimbursement requirements
  • Monitor admission status, discharge planning, and length of stay management
  • Maintain accurate and timely documentation within the electronic medical record system
  • Participate in quality improvement and performance initiatives related to utilization management
  • Identify and escalate cases requiring physician advisor review or additional clinical documentation
  • Support denial prevention and appeal processes when necessary

Requirements

  • Current New York State RN License required
  • Current BLS Certification required
  • Minimum 1.5 years of recent acute care hospital experience within the last 2 years required
  • Strong clinical assessment, critical thinking, and analytical skills
  • Excellent verbal and written communication skills
  • Ability to work independently and collaboratively in a fast-paced healthcare environment

Preferred Qualifications

  • Utilization Review, Utilization Management, or Case Management experience preferred
  • Experience with MCG or InterQual screening tools preferred
  • Knowledge of CMS regulations related to hospital admissions and utilization review preferred
  • Experience interfacing with healthcare payers and regulatory agencies preferred
  • EPIC EMR experience preferred
  • Experience with payer authorization processes and denial management preferred
  • Trauma center or large hospital experience preferred

For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.