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Entry Level Utilization Review Nurse Jobs in Rochester, NY

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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Entry Level Utilization Review Nurse information

See Rochester, NY salary details

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$41

$68

How much do entry level utilization review nurse jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for entry level 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.

What are some common challenges faced by entry level Utilization Review Nurses, and how can they overcome them?

Entry level Utilization Review Nurses often encounter challenges such as adapting to complex insurance policies, learning to review medical records efficiently, and communicating effectively with physicians and case managers. To overcome these challenges, new nurses should seek mentorship from experienced colleagues, participate in ongoing training sessions, and familiarize themselves with the organization's review protocols and documentation systems. Building strong communication skills and staying up to date with regulatory changes will also help in navigating the learning curve and ensuring successful case reviews.

What is the difference between Entry Level Utilization Review Nurse vs Utilization Review Nurse?

AspectEntry Level Utilization Review NurseUtilization Review Nurse
CredentialsRN license, possibly some certificationRN license, often with additional certifications
Work EnvironmentHospitals, insurance companies, healthcare facilitiesInsurance companies, healthcare organizations
Job ResponsibilitiesAssist in reviewing patient cases, gather data, support senior staffEvaluate medical necessity, review patient records, make coverage decisions

The Entry Level Utilization Review Nurse typically supports the more experienced Utilization Review Nurse by gathering information and assisting in case reviews. Both roles require an RN license and work within healthcare or insurance settings, but the entry-level position involves more support tasks, while the Utilization Review Nurse makes critical coverage decisions.

How to make $300,000 as a nurse?

An entry level utilization review nurse can increase earning potential by gaining specialized certifications, such as Certified Case Manager (CCM), and accumulating experience in high-demand settings. Advancing to senior or managerial roles, working overtime, or obtaining additional qualifications can also help reach higher salary levels, though earning $300,000 typically requires significant experience and specialization beyond entry level.

How to get into utilization review as a nurse?

To become an entry-level utilization review nurse, candidates typically need a registered nurse (RN) license and relevant clinical experience. Gaining knowledge of insurance processes, medical coding, and utilization review guidelines, along with completing any required certifications such as Certified Professional in Healthcare Quality (CPHQ), can improve job prospects.

What are the key skills and qualifications needed to thrive as an Entry Level Utilization Review Nurse, and why are they important?

To thrive as an Entry Level Utilization Review Nurse, you need a registered nurse (RN) license, knowledge of clinical guidelines, and an understanding of healthcare regulations. Familiarity with utilization management software, electronic health records (EHR), and relevant certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) are often beneficial. Strong analytical thinking, attention to detail, and effective communication skills help you review cases accurately and collaborate with providers. These skills ensure appropriate care decisions, compliance with payer requirements, and optimal patient outcomes.

Is it hard to be a utilization review nurse?

Being an entry-level utilization review nurse involves reviewing medical records and determining coverage eligibility, which requires attention to detail, strong communication skills, and knowledge of healthcare policies. The role can be demanding due to the need for accuracy and adherence to regulations, but it often offers a structured environment with standard work hours. Certification in case management or utilization review can enhance job prospects and effectiveness.

What is an Entry Level Utilization Review Nurse?

An Entry Level Utilization Review Nurse is a registered nurse (RN) who is new to the field of utilization review. Their main responsibilities include assessing medical records, ensuring that patients receive appropriate and necessary care, and verifying that health services are delivered according to established guidelines and insurance requirements. They typically work for hospitals, insurance companies, or managed care organizations and collaborate with healthcare providers to support quality patient outcomes while managing costs. This role often serves as a stepping stone to more advanced positions in healthcare administration or case management.

How to make an extra 2000 a month as a nurse?

An entry level utilization review nurse can increase income by taking on additional part-time or freelance review assignments, obtaining relevant certifications like the Certified Professional Coder (CPC), or working overtime if available. Developing specialized skills in medical coding, documentation, or telehealth can also open opportunities for higher-paying side work or contract roles.
What are the most commonly searched types of Utilization Review Nurse jobs in Rochester, NY? The most popular types of Utilization Review Nurse jobs in Rochester, NY are:
What are popular job titles related to Entry Level Utilization Review Nurse jobs in Rochester, NY? For Entry Level Utilization Review Nurse jobs in Rochester, NY, the most frequently searched job titles are:
What cities near Rochester, NY are hiring for Entry Level Utilization Review Nurse jobs? Cities near Rochester, NY with the most Entry Level Utilization Review Nurse job openings:
Infographic showing various Entry Level Utilization Review Nurse job openings in Rochester, NY as of July 2026, with employment types broken down into 88% Full Time, and 12% Part Time. Highlights an 88% In-person, and 12% Remote job distribution, with an average salary of $86,774 per year, or $41.7 per hour.

UR Cardiac Care Flex Team - Registered Nurse 2, Inpatient

Rochester

Rochester, NY • On-site

$40.03 - $54.04/hr

Full-time

Re-posted 25 days ago


Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

220 Hutchison Rd, Rochester, New York, United States of America, 14620

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500424 Heart Flex Team/Nrsg-SMH

Work Shift:

Range:

UR URCG 215 H

Compensation Range:

$40.03 - $54.04

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.

Responsibilities:

The Level II Registered Nurse, under the direction of the Nurse Manager, is accountable for provision of competent direct patient care based on established standards. The Level II Registered Nurse contributes to unit activities and supports enhancement of the care delivery system at the unit level. The Level II Registered Nurse supports peers in the delivery of patient care services and assumes an expanded role which may include charge nurse, preceptor, and committee member responsibilities.ScheduleFT, PT and Per Diem positions available. D/E/N weekends and holidays as required. Straight Night and Evening shifts available.ResponsibilitiesUnique offering to explore the rewarding nursing care of cardiac patients throughout our Cardiac Care service line with opportunity for professional growth as well as advanced clinical skill building. Patient populations include the continuum of pre-procedural to post-surgical care of patients with varied cardiovascular and thoracic disease states including advanced heart failure and mechanical circulatory support. Flex team members generally complete an eight week assignment on one of our units. Successful candidates will demonstrate flexibility, critical thinking, excellent communication and organizational skills and willingness to work in variable settings and teams. Orientation to the units and new populations are provided. One year of adult med surg or cardiac experience required. ICU experience is a plus. Opportunities for clinical advancement are supported and encouraged. Ask about the potential options for special scheduling arrangements.QualificationsRequires a Diploma, Associate or Bachelor's degree from an accredited Nursing Program and an active New York State RN license in good standing. Applicants will have a minimum of 6-12 months of RN experience. This position assumes the charge nurse role, actively participates in unit/service activities, supports co-workers, and assesses unit needs.

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status,or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.