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Nursing Utilization Review Jobs in Rochester, NY

Voyage Health

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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How much do nursing utilization review jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for nursing 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 are the key skills and qualifications needed to thrive as a nursing utilization review nurse?

To thrive as a Nursing Utilization Review Nurse, you need strong clinical knowledge, critical thinking, and a current RN license, often complemented by experience in case management or utilization review. Familiarity with healthcare coding systems (ICD-10, CPT), utilization management software, and regulatory compliance tools is typical. Excellent communication, attention to detail, and negotiation skills make someone stand out in this position. These skills ensure accurate assessment of medical necessity, optimize resource use, and support patient care quality within regulatory guidelines.

What is nursing utilization review?

Nursing Utilization Review is a process where nurses evaluate the necessity, efficiency, and appropriateness of healthcare services provided to patients. These nurses review medical records, treatment plans, and patient progress to ensure that care meets established guidelines and is cost-effective. They play a key role in helping healthcare organizations maintain quality care while controlling costs and ensuring regulatory compliance. Utilization review nurses often work for hospitals, insurance companies, or government agencies.

What are some common challenges faced by nurses working in utilization review, and how can they be managed?

Nurses in utilization review often face challenges such as balancing the need for cost-effective care with advocating for patients' clinical needs and navigating complex insurance guidelines. They must critically review medical records while ensuring compliance with evolving regulatory standards. Effective time management and strong communication skills are essential for liaising between healthcare providers, insurance companies, and patients. Ongoing education and collaboration with interdisciplinary teams can help address these challenges and ensure high-quality, patient-centered care.

What is the difference between Nursing Utilization Review vs Nursing Case Management?

AspectNursing Utilization ReviewNursing Case Management
Primary FocusAssessing medical necessity and appropriateness of care for insurance or healthcare providersCoordinating patient care plans and ensuring optimal health outcomes
Work EnvironmentInsurance companies, healthcare facilities, utilization review organizationsHospitals, clinics, community health settings
CredentialsRN license, often with certifications in utilization review or case managementRN license, case management certification often preferred

While both roles involve nursing expertise, Nursing Utilization Review primarily focuses on evaluating the necessity of care for insurance purposes, whereas Nursing Case Management emphasizes coordinating patient care to improve health outcomes. Both roles require RN licensure and related certifications, but their daily tasks and work environments differ.

What are popular job titles related to Nursing Utilization Review jobs in Rochester, NY?

For Nursing Utilization Review jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Nursing Utilization Review jobs in Rochester, NY look for?

The top searched job categories for Nursing Utilization Review jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Nursing Utilization Review jobs?

Cities near Rochester, NY with the most Nursing Utilization Review job openings:

Nursing Utilization Review jobs near you
Infographic showing various Nursing Utilization Review job openings in Rochester, NY as of August 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $86,774 per year, or $41.7 per hour.

Travel RN House Supervisor

Voyage Health

Rochester, NY • On-site

$2.6K - $2.7K/wk

Full-time

Re-posted 14 days ago

Job description

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


Position: RN Utilization Review (Travel/Contract)


We're hiring experienced RN Utilization Review for a 13-week contract in Rochester, New York — earn up to ($2647 - $2786 per week) while providing essential care at a leading facility. Most candidates will need to have at least 2 years of recent experience in the specialty.


Looking to level up your career and boost your income? At Voyage Healthcare, we help connect nurses, therapists, and allied health pros with high-paying travel jobs at top-rated facilities across the U.S. With thousands of openings nationwide, you can earn up to $3,500+ per week (depending on your specialty, location, housing, and benefits)—all while making a real impact on the communities that need you most. Let your next adventure start with us!


Apply & Call us today at 800-798-6035 for details on this opportunity.