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Internship Rn Utilization Review Nurse Jobs in Rochester, NY

Mvphealthcare

Concurrent Review - RN

Rochester, NY · Remote

$69K - $92K/yr

Ideal for experienced RNs looking to expand into utilization management, this position provides ... Reviews inpatient medical records against established criteria and standards to determine medical ...

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How much do internship rn utilization review nurse jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for internship 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.

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

To thrive as an Internship RN Utilization Review Nurse, you need a solid foundation in nursing principles, clinical assessment, and case management, typically supported by an RN license and current enrollment in a nursing program. Familiarity with medical coding systems (like ICD-10 or CPT), electronic health records (EHRs), and utilization review software is often required. Strong analytical thinking, communication skills, and attention to detail set candidates apart in this role. These competencies are crucial for ensuring appropriate patient care, regulatory compliance, and effective resource utilization within healthcare organizations.

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

An internship RN utilization review nurse can increase income by taking on overtime shifts, working part-time in related roles such as case management, or obtaining certifications like CCM to qualify for higher-paying positions. Developing specialized skills and leveraging flexible schedules can also help earn additional income beyond regular hours.

What types of tasks and learning experiences can I expect as an Internship RN Utilization Review Nurse?

As an Internship RN Utilization Review Nurse, you will typically assist experienced utilization review nurses in evaluating patient records, verifying the necessity of medical procedures, and ensuring compliance with insurance or regulatory guidelines. You'll gain exposure to interdisciplinary communication by collaborating with physicians, case managers, and insurance representatives. This role provides valuable insight into how clinical decisions impact both patient outcomes and healthcare costs, helping you develop analytical and communication skills essential for future advancement. Expect to participate in chart reviews, learn about medical necessity criteria, and attend case discussions as part of your hands-on learning.

What is an Internship RN Utilization Review Nurse?

An Internship RN Utilization Review Nurse is a registered nurse who is in a training or internship phase to learn how to evaluate the necessity, appropriateness, and efficiency of healthcare services provided to patients. This role involves reviewing patient records, coordinating with healthcare providers, and ensuring that treatments meet established guidelines and insurance requirements. The internship provides hands-on experience in the field of utilization review, helping nurses transition from direct patient care to a more administrative or case management-focused role. It is an entry-level opportunity for RNs interested in healthcare quality and cost management.

How to get into utilization review as a nurse?

To become a utilization review nurse, you typically need to be a registered nurse with clinical experience and obtain knowledge of insurance policies and medical necessity criteria. Many employers prefer candidates with certifications such as the Certified Professional in Healthcare Quality (CPHQ) or relevant training in utilization review. Gaining experience in case management or health insurance can also improve your chances of entering this field.

How to make 150,000 as a nurse?

An Internship Rn Utilization Review Nurse can increase earning potential by gaining specialized certifications, such as in case management or utilization review, and accumulating extensive experience. Working in high-demand healthcare settings, pursuing advanced roles, or obtaining a master's degree can also help reach a salary of $150,000 or more.

How to make $300,000 a year as a nurse?

To earn $300,000 annually as an internship RN in utilization review, gaining specialized certifications, such as Certified Case Manager (CCM), and accumulating extensive experience can increase earning potential. Working in high-demand settings, taking on leadership roles, or pursuing advanced positions like nurse manager or director can also help reach higher salary levels.

What is the difference between Internship Rn Utilization Review Nurse vs Utilization Review Nurse?

AspectInternship Rn Utilization Review NurseUtilization Review Nurse
CredentialsRN license, internship or training programRN license, certification in utilization review often preferred
Work EnvironmentTraining setting, supervised, learning-focusedClinical or office setting, independent review tasks
Job ResponsibilitiesAssisting in review processes, gaining experiencePerforming utilization reviews, making coverage decisions

Internship Rn Utilization Review Nurse is a training role for nursing students or new graduates gaining experience, while Utilization Review Nurse is a full-time professional responsible for evaluating medical necessity and coverage. The internship role focuses on learning, whereas the utilization review nurse performs independent assessments in healthcare settings.

What are the most commonly searched types of Rn Utilization Review Nurse jobs in Rochester, NY? The most popular types of Rn Utilization Review Nurse jobs in Rochester, NY are:
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Internship Rn Utilization Review Nurse jobs near you

RN - Utilization Review - Syracuse, NY - RNDS

NavitasPartners

Rochester, NY • On-site

$56.21 - $65/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

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

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

Responsibilities

  • Perform utilization review and utilization management activities to ensure appropriate patient admissions and continued stays
  • Apply MCG and InterQual screening criteria to evaluate medical necessity and level of care
  • Review and analyze patient records to support appropriate hospital admissions and discharge planning
  • Collaborate with healthcare providers, payers, and regulatory agencies to ensure compliance with CMS guidelines and hospital policies
  • Communicate effectively with physicians, case management teams, and insurance companies regarding patient status and care decisions
  • Ensure proper documentation and compliance with hospital, state, and federal regulations
  • Identify and report cases of overutilization or underutilization of healthcare services
  • Support care coordination and assist in reducing avoidable hospital readmissions
  • Maintain confidentiality and adhere to professional nursing standards

Requirements

  • Active 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 understanding of Utilization Review, Utilization Management, or Case Management
  • Knowledge of CMS regulations and hospital admission criteria
  • Excellent communication and interpersonal skills

Preferred Qualifications

  • Experience with MCG or InterQual screening tools preferred
  • EPIC EMR experience preferred
  • Experience working with insurance payers and regulatory agencies preferred
  • Experience in large acute care hospitals or trauma centers 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.

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