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Free Utilization Review Training Jobs in Rome, NY

Lthc

Pharmacy Outreach Coordinator

Utica, NY

$19.25 - $25/hr

Lead training efforts for new coordinators on program goals, program policy and procedure, and ... Awareness of prescription and medical benefits as it applies to the utilization review process and ...

Lthc

Pharmacy Outreach Coordinator

Utica, NY · On-site

$19.25 - $25/hr

Lead training efforts for new coordinators on program goals, program policy and procedure, and ... Awareness of prescription and medical benefits as it applies to the utilization review process and ...

Lthc

Pharmacy Outreach Coordinator

Utica, NY · On-site

$19.25 - $25/hr

Lead training efforts for new coordinators on program goals, program policy and procedure, and ... Awareness of prescription and medical benefits as it applies to the utilization review process and ...

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How much do free utilization review training jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for free utilization review training in Rome, NY is $40.03, according to ZipRecruiter salary data. Most workers in this role earn between $31.63 and $45.96 per hour, depending on experience, location, and employer.

What is free utilization review training?

Free utilization review training refers to educational programs or courses that teach individuals the fundamentals of utilization review without requiring payment. Utilization review is a process used in healthcare to assess the necessity, efficiency, and appropriateness of medical services, procedures, or admissions. These free training options are often available online and can help nurses, case managers, or other healthcare professionals gain the skills needed to pursue roles in utilization management. Training typically covers topics such as clinical guidelines, insurance protocols, and regulatory compliance. Completing such training can enhance career opportunities in healthcare case management and insurance settings.

What are the key skills and qualifications needed to thrive as a utilization review nurse, and why are they important?

To thrive as a Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and knowledge of insurance and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and possibly certifications like Certified Utilization Review Nurse (CURN) are typically expected. Excellent communication, analytical thinking, and attention to detail are standout soft skills in this position. These abilities are crucial for ensuring appropriate patient care, compliance, and cost-effective healthcare delivery.

What are some common challenges faced by professionals during utilization review training, and how can they be overcome?

During utilization review training, professionals often encounter challenges such as adapting to complex healthcare regulations, learning to interpret medical records efficiently, and effectively applying clinical guidelines to decision-making. Overcoming these challenges requires strong attention to detail, ongoing engagement with training modules, and seeking mentorship from experienced utilization review nurses or case managers. Actively participating in case discussions and staying updated with industry standards can also help trainees build confidence and competence for a successful career in utilization review.

What is the difference between Free Utilization Review Training vs Utilization Review Nurse?

AspectFree Utilization Review TrainingUtilization Review Nurse
CredentialsTypically no formal credentials required; focus on training programsRegistered Nurse (RN) license required, with possible certifications like CCM or UR-specific credentials
Work EnvironmentTraining sessions, online courses, workshopsHospitals, insurance companies, healthcare facilities
Employer & Industry UsageUsed for skill development and certification prepPerforming reviews, making coverage decisions, ensuring appropriate care

Free Utilization Review Training provides foundational knowledge and skills for those interested in entering or advancing in utilization review roles. In contrast, a Utilization Review Nurse is a licensed healthcare professional actively performing review duties in clinical settings. The training is often a prerequisite or supplement to the nurse's practical work, which requires licensure and clinical experience.

How to become a free utilization review training?

To pursue free utilization review training, individuals can seek online courses, webinars, or workshops offered by healthcare organizations or professional associations. Gaining knowledge of medical terminology, insurance processes, and review protocols is essential, and some programs may require prior healthcare experience or certification in related fields.

What are popular job titles related to Free Utilization Review Training jobs in Rome, NY?

For Free Utilization Review Training jobs in Rome, NY, the most frequently searched job titles are:

What cities near Rome, NY are hiring for Free Utilization Review Training jobs?

Cities near Rome, NY with the most Free Utilization Review Training job openings:

Free Utilization Review Training jobs near you

Registered Nurse - VNA - Full Time - Days

Utica, NY • On-site

Mohawk Valley Health Systems
See more jobs at Mohawk Valley Health Systemsexternal

$38.55 - $44.33/hr

Full-time

Re-posted 21 days ago

Job description

Job Summary
The Community Health Nurse is responsible for providing skilled professional nursing care to the patients assigned to him/her in a comprehensive manner promoting quality, continuity and safety.
Core Job Responsibilities
  • Provides professional nursing care within the team concept utilizing all elements of the nursing process to ensure a high quality of professional service and adhering to VNA standards and policies.
  • Strives for a safe environment for the patient; adheres to standard precautions.
  • Initiates and carries out continuous assessment of physical, emotional, social, cultural, economic and environmental needs of the patient and their families.
  • Observes the patient for changes in condition and reports to the nursing supervisor and the physician.
  • Plans and provides for comprehensive home health care services to patient through formulation and revision of the nursing care plan, making appropriate service referrals within and outside the agency.
  • Plans for patient discharge from services.
  • Supervises supportive care staff and delegates responsibilities appropriately.
  • Promotes good health practices helping the patient in accepting and assuming responsibility for attaining the highest level of independent functioning possible.
  • Implements orders for medications and treatments as prescribed by the physician, submitting and maintaining appropriate medical orders.
  • Instructs patient and the family in self-care techniques, diet, medications, and other aspects of care as outlined in the physician's orders.
  • Completes, maintains and submits accurate, legible and relevant nursing paperwork regarding the patient's condition and all care and treatment given.
  • Monitors patient expectations and satisfaction.
  • Accepts assignments and performs duties within the limits of preparation and experience, seeking and obtaining sufficient information necessary to function effectively in the home health care setting.
  • Participates in appropriate agency meetings and the quality improvement and utilization review activities of the organization.
  • Assumes responsibility to maintain and upgrade professional knowledge and skills through attendance and participation in continuing education, in-service programs, professional conferences and community and agency.
  • Supports the Agency's Compliance Program, ensuring that all information is kept confidential and is respectful of the Patient's Bill of Rights.
  • Strives for a safe environment by adhering to the Agency Safety Program.
  • Responsible for compliance with HIPAA regulations, to include attendance at regular and updated HIPAA and privacy training.
  • Perform other duties as required.

Education/Experience Requirements
REQUIRED:
  • BSN from an accredited -nursing program.
  • At least one year of experience working as a registered nurse in the acute care setting preferably just prior to application.

Licensure/Certification Requirements
REQUIRED:
  • License and current registration to practice as a registered professional nurse in New York State.

Disclaimer
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.
Job Details
Req Id 96738
Department NURSING - VNA
Shift Days
Shift Hours Worked 7.50
FTE 0.94
Work Schedule VISITING NURSE
Employee Status A1 - Full-Time
Union 4137 - NYSUT
Pay Range $38.55 - $44.33 Per Hour

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