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Nurse Reviewer Jobs in Rochester, NY (NOW HIRING)

RN Unit Manager

Rochester, NY ยท On-site

$39.25 - $51.75/hr

A skilled nursing facility is hiring a Registered Nurse (RN) Unit Manager in Rochester, NY. Duties ... Review Resident records & quality of care * Monitor overall care & review individual Residents ...

RN Unit Manager

Rochester, NY ยท On-site

$39.25 - $51.75/hr

A skilled nursing facility is hiring a Registered Nurse (RN) Unit Manager in Rochester, NY. Duties ... Review Resident records & quality of care * Monitor overall care & review individual Residents ...

RN Unit Manager

Rochester, NY ยท On-site

$39.25 - $51.75/hr

A skilled nursing facility is hiring a Registered Nurse (RN) Unit Manager in Rochester, NY. Duties ... Review Resident records & quality of care * Monitor overall care & review individual Residents ...

RN Unit Manager

Rochester, NY ยท On-site

$39.25 - $51.75/hr

A skilled nursing facility is hiring a Registered Nurse (RN) Unit Manager in Rochester, NY. Duties ... Review Resident records & quality of care * Monitor overall care & review individual Residents ...

RN Unit Manager

Rochester, NY ยท On-site

$90K - $95K/yr

A skilled nursing facility is hiring a Registered Nurse (RN) Unit Manager in Rochester, NY. Duties ... Review Resident records & quality of care * Monitor overall care & review individual Residents ...

RN Unit Manager

Rochester, NY ยท On-site

$90K - $95K/yr

A skilled nursing facility is hiring a Registered Nurse (RN) Unit Manager in Rochester, NY. Duties ... Review Resident records & quality of care * Monitor overall care & review individual Residents ...

RN Unit Manager

Rochester, NY ยท On-site

$39.25 - $51.75/hr

A skilled nursing facility is hiring a Registered Nurse (RN) Unit Manager in Rochester, NY. Duties ... Review Resident records & quality of care * Monitor overall care & review individual Residents ...

RN Unit Manager

Rochester, NY ยท On-site

$39.25 - $51.75/hr

A skilled nursing facility is hiring a Registered Nurse (RN) Unit Manager in Rochester, NY. Duties ... Review Resident records & quality of care * Monitor overall care & review individual Residents ...

Graduate Nurse

Rochester, NY ยท On-site

$38.66 - $51.91/hr

ATI NCLEX Review (virtual asynchronous): Access to ATI NCLEX Review as a supplement to the NCLEX Bootcamp. * Nurse Residency Program : Participation in our Nurse Residency Program RESPONSIBILITIES:

Graduate Nurse

Irondequoit, NY ยท On-site

$38.66 - $51.91/hr

ATI NCLEX Review (virtual asynchronous): Access to ATI NCLEX Review as a supplement to the NCLEX Bootcamp. * Nurse Residency Program : Participation in our Nurse Residency Program RESPONSIBILITIES:

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Nurse Reviewer information

See Rochester, NY salary details

$27

$36

$42

How much do nurse reviewer jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for nurse reviewer in Rochester, NY is $36.54, according to ZipRecruiter salary data. Most workers in this role earn between $33.70 and $40.82 per hour, depending on experience, location, and employer.

What is a nurse reviewer?

A Nurse Reviewer is a registered nurse who evaluates medical records, claims, and treatment plans to ensure that healthcare services are medically necessary, appropriate, and compliant with policies or regulations. They often work for insurance companies, government agencies, or healthcare organizations, reviewing clinical documentation and making recommendations about coverage or care. Nurse Reviewers play a vital role in utilization management, quality assurance, and preventing healthcare fraud. Their assessments help manage costs while ensuring patients receive proper care.

What are the key skills and qualifications needed to thrive as a nurse reviewer?

To thrive as a Nurse Reviewer, you need a strong clinical background, analytical skills, and an active RN license, often complemented by experience in utilization review or case management. Familiarity with medical coding systems (such as ICD-10 and CPT), electronic health records (EHRs), and utilization management software is typically required. Excellent written communication, critical thinking, and attention to detail are vital soft skills that contribute to effective documentation and fair assessment of cases. These abilities ensure accurate and efficient review of medical records, compliance with policies, and optimal patient outcomes.

What are some typical challenges nurse reviewers face when coordinating with healthcare providers and insurance companies?

Nurse Reviewers often encounter challenges such as balancing the need to advocate for patient care with adhering to insurance guidelines and policies. They must communicate complex medical information clearly to both healthcare providers and insurance representatives, sometimes dealing with time-sensitive cases or incomplete documentation. Effectively managing these interactions requires strong organizational skills, attention to detail, and the ability to navigate differing priorities while maintaining professionalism and empathy.

What is the difference between Nurse Reviewer vs Nurse Auditor?

AspectNurse ReviewerNurse Auditor
CredentialsRegistered Nurse (RN) license, often with clinical experienceRegistered Nurse (RN) license, with additional auditing or compliance training
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsInsurance companies, healthcare organizations, or consulting firms
Primary ResponsibilitiesReview patient records for medical necessity and quality of careAudit claims and documentation for billing accuracy and compliance

While both Nurse Reviewers and Nurse Auditors have clinical backgrounds and work in healthcare settings, Nurse Reviewers primarily evaluate patient records for quality and necessity, whereas Nurse Auditors focus on financial and billing compliance. The roles often overlap but serve different aspects of healthcare quality and financial integrity.

How to become a nurse reviewer?

To become a nurse reviewer, you typically need a valid registered nurse (RN) license and several years of clinical nursing experience. Strong attention to detail, excellent communication skills, and familiarity with medical documentation are essential, and some roles may require knowledge of medical coding or review software.

What are the most commonly searched types of Nurse Reviewer jobs in Rochester, NY?

The most popular types of Nurse Reviewer jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Nurse Reviewer jobs?

Cities near Rochester, NY with the most Nurse Reviewer job openings:

Infographic showing various Nurse Reviewer job openings in Rochester, NY as of August 2026, with employment types broken down into 70% Full Time, 20% Part Time, and 10% Contract. Highlights an 90% In-person, 1% Hybrid, and 9% Remote job distribution, with an average salary of $76,007 per year, or $36.5 per hour.

$39.25 - $51.75/hr

Full-time

This job post hasย expired 3 days ago.ย Applications are no longer accepted.


Job description

A skilled nursing facility is hiring a Registered Nurse (RN) Unit Manager in Rochester, NY.

 

Duties:

  • Handle all supervisory duties for assigned unit

  • Help establish and implement employee policies and procedures

  • Mentor less experienced nurses, offering clinical & career advice

  • Maintain the standards of care for the unit

  • Review Resident records & quality of care

  • Monitor overall care & review individual Residentsโ€™ cases

  • Address questions or complaints brought forward by Residents or their families

  • Represent the unit's interests with the upper-level management

Requirements:

  • Must hold valid State RN License

  • 3 years Long Term Care Experience preferred

  • 2 years Charge Nurse experience preferred

  • Strong computer skills

  • Excellent communication skills

 #LI-DNI