ZipRecruiter

Log In

2

Full Time Weekend Utilization Review Jobs in Rochester, NY

Adecco

Pharmacist

Rochester, NY · On-site

$70 - $74/hr

Day Shift | 10-hour shifts Schedule: Full-time | Weekend rotation required (up to every other ... · Review medication orders for proper indication, dose, route, frequency, allergies, and ...

next page

Showing results 1-20

All JobsUtilization Review JobsFull Time Weekend Utilization Review JobsFull Time Weekend Utilization Review Jobs in Rochester, NY

Full Time Weekend Utilization Review information

See Rochester, NY salary details

$21

$41

$68

How much do full time weekend utilization review jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for full time weekend 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 the least stressful RN job?

Registered Nurse roles such as school nurses, telehealth nurses, or outpatient clinic nurses are often considered less stressful due to predictable schedules, limited emergency situations, and a focus on routine patient care. These positions typically involve regular hours, a controlled environment, and less high-pressure decision-making compared to acute care or emergency settings.

What's a good side hustle for nurses?

Nurses can pursue side hustles such as telehealth consulting, freelance writing for healthcare topics, or health coaching, leveraging their clinical knowledge and communication skills. These options often offer flexible hours and can be done remotely, making them suitable for nurses with busy schedules.

What jobs pay $4000 a week without a degree?

Full Time Weekend Utilization Review roles typically do not pay $4000 weekly without a degree, as they often require healthcare or administrative certifications. High-paying jobs that can reach this level without a degree include certain sales positions, real estate brokers, or specialized trades like commercial pilots or skilled trades with experience, but these often require specific skills, licenses, or extensive experience. Most jobs paying this amount without a degree are in sales, entrepreneurship, or highly skilled trades.

What is the difference between Full Time Weekend Utilization Review vs Full Time Weekday Utilization Review?

AspectFull Time Weekend Utilization ReviewFull Time Weekday Utilization Review
Work SchedulePrimarily weekends and possibly some eveningsPrimarily weekdays, Monday to Friday
CertificationsTypically requires medical or insurance-related certificationsSame certifications as weekend roles, often the same qualifications
Work EnvironmentRemote or office-based, with flexible hours on weekendsStandard office hours during weekdays
Employer & IndustryHealthcare insurance companies, utilization review organizationsSame industry, different scheduling focus

Full Time Weekend Utilization Review roles focus on reviewing cases during weekends, offering flexibility for those who prefer weekend work. Full Time Weekday Utilization Review positions operate during standard business hours on weekdays. Both roles require similar certifications and work in the same industry, but differ mainly in scheduling and work hours.

How to make $100,000 as a RN?

To earn $100,000 as a Full Time Weekend Utilization Review RN, gaining experience in utilization review and obtaining certifications like Certified Professional Utilization Review (CPUR) can help. Working in high-demand healthcare settings, negotiating pay, and possibly taking on additional responsibilities or overtime can also increase earnings. Scheduling flexibility and specialized skills contribute to higher compensation in this role.
What are popular job titles related to Full Time Weekend Utilization Review jobs in Rochester, NY? For Full Time Weekend Utilization Review jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Full Time Weekend Utilization Review jobs in Rochester, NY look for? The top searched job categories for Full Time Weekend Utilization Review jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Full Time Weekend Utilization Review jobs? Cities near Rochester, NY with the most Full Time Weekend Utilization Review job openings:
Full Time Weekend Utilization Review jobs near you

Utilization Management RN

UR Medicine Thompson Health

Canandaigua, NY • On-site

$35 - $47/hr

Full-time

Re-posted 10 days ago

Job description

Schedule: Full-time days- Monday through Friday with shared rotating weekends.
Fully in person position
Do you want to work in a culture where interdisciplinary teams come together to improve care, where your suggestions are welcomed and your ideas are part of the solution? Explore the Thompson difference and apply today!
UR Medicine's Thompson Health is the premier healthcare provider in the Finger Lakes region. You will enjoy a competitive salary and generous benefits, free onsite parking, an excellent staffing model and a modern, caring, high-tech environment.
Internal Title: Utilization Management / CDS Nurse ( RN )
UM/CDS Nurse Responsibilities:
  • Perform extensive record review in accordance with state regulations, ensuring compliance with changes affecting Utilization Management and Clinical Documentation Improvement.
  • Assess the appropriateness and medical necessity of treatment requests on a prospective, concurrent, and retrospective basis.
  • Collaborate with providers to determine appropriate admission status and potential changes using critical thinking skills and recognized criteria.
  • Interact frequently with providers, HIM professionals, Social Workers, nursing staff, patients/patients' caregivers, and insurance companies.
  • Review medical records to improve clinical documentation, representing the severity of illness, risk of mortality, and patient complexity.

Description:
  • Perform utilization review in accordance with state regulations, ensuring compliance with changes affecting Utilization Management
  • Collaborate with providers to determine appropriate admission status and potential changes.
  • Assess the appropriateness and medical necessity of treatment requests for utilization review on a prospective, concurrent, and retrospective basis.
  • Review patient records and evaluate progress, obtaining necessary medical reports and treatment plan requests.
  • Review medical records to improve the quality of clinical documentation, representing the severity of illness, risk of mortality, and patient complexity.
  • Provide review information to payers as requested.
  • Perform retroactive reviews for assigned denials and monitor steps throughout the denial process.
  • Write effective appeal letters and inform appropriate departments of outcomes.
  • Work with Medical Staff, Case Management/Social Work, Clinical Quality, and interdisciplinary care team to ensure quality patient outcomes through appropriate utilization of hospital resources.
  • Collect, analyze, and maintain data on the utilization of medical services and resources to identify trends and opportunities for improvement.
  • Serve as primary contact for Utilization Management related issues, both internally and externally.
  • Assess quality and clinical risk issues on a concurrent basis, reporting quality of care issues as identified.
  • Provide education to medical staff, department leaders, medical offices, and associates on Utilization Management principles, including the use of InterQual & Milliman criteria and CMS regulations.
  • Actively participate in committees and workgroups related to Utilization Management, Length of Stay Management, Readmissions and Observation services.
  • Collaborate and assist the manager in executing a Quality and Safety model, integrating regulatory mandates, and providing training for JC readiness.
  • Participate in team meetings and staff education in the Utilization Management process and Clinical Documentation Improvement Program.

Required Competencies:
  • Demonstrated Knowledge or willingness to learn: Utilization Management principles including knowledge of various regulatory and payer specific requirements.
  • Clinical Knowledge: Proficiency in clinical criteria and understanding of medical treatments and interventions.
  • Critical Thinking: Ability to assess the appropriateness and medical necessity of treatment requests.
  • Regulatory Awareness: Knowledge of state and federal regulations guiding the authorization, denial, and appeal processes.
  • Communication Skills: Effective interaction with providers, HIM professionals, Social Workers, nursing staff, patients, caregivers, and insurance companies.
  • Documentation Skills: Accurate and thorough documentation to support clinical decisions and ensure compliance.
  • Analytical Skills: Ability to collect, analyze, and maintain data on the utilization of medical services and resources.
  • Demonstrate attention to detail in all aspects of documentation and review processes.
  • Prioritize tasks effectively to manage multiple responsibilities and deadlines.
  • Adapt to changing situations and regulatory requirements in the healthcare environment.
  • Patient Advocacy: Ensuring patients receive appropriate and cost-effective healthcare services.
  • Collaboration: Working effectively with interdisciplinary teams to ensure quality patient outcomes.
  • Adaptability: Staying up to date with changes in healthcare regulations and best practices.
  • Lives the CARES values at all times.

Requirements:
Registered Nurse in NYS
Education:
  • A.A.S. in Nursing
  • B.S. in Nursing or other Health related field or willingness to get one within 5 years of employment.

Experience:
  • Minimum 5 years of acute nursing experience.
  • Prefer Utilization Review or Clinical Documentation Specialist experience.
  • Experience working with physicians in a collaborative supportive manner.
  • Knowledgeable in the use of nationally recognized criteria or willingness to learn.
  • Knowledgeable in reimbursement methodologies & interpretation of payer contracts or willingness to learn.
  • Experience with computer applications including Microsoft Office.
  • Preferred experience with Epic.
  • Preferred experience in writing effective appeal letters.

Complexity of Duties:
  • Performs a variety of duties requiring independent judgment and decision-making and adjusting priorities as needed.
  • Keeps abreast of complex and changing regulatory environment.
  • Handle difficult situations with providers, patients and caregivers, using strong communication skills to diffuse situations and reach resolution.
  • Effectively manage denials / appeals with attention to detail and follow-up.
  • Competently issues Notices of Status Change, MOONs and HINNs/ABNs when appropriate.

*** Shared weekends
Position Pay Range: $35.00-47.00/hour
Starting Pay: Based on experience
Thompson Health is an EOE encouraging individuals with disabilities and veterans to apply
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

Apply