ZipRecruiter

Log In

1

Online Utilization Review Jobs in Rochester, NY (NOW HIRING)

next page

Showing results 1-20

All JobsOnline Utilization Review JobsOnline Utilization Review Jobs in Rochester, NY

Online Utilization Review information

See Rochester, NY salary details

$21

$41

$68

How much do online utilization review jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for online 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 an online utilization review?

An Online Utilization Review is a process in which healthcare professionals evaluate the necessity, efficiency, and appropriateness of medical services, procedures, or hospital admissions using digital platforms. This review is typically conducted remotely, using electronic health records and online communication tools to assess patient care. The goal is to ensure that patients receive the most effective care while avoiding unnecessary treatments and controlling healthcare costs. Online Utilization Review professionals may work for hospitals, insurance companies, or third-party administrators to maintain quality standards and compliance with regulations.

What are the key skills and qualifications needed to thrive as an online utilization review specialist?

To thrive as an Online Utilization Review Specialist, you need a solid background in nursing or healthcare, with credentials such as an RN or LPN license and experience in clinical review processes. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines and medical necessity criteria are typically required. Strong analytical thinking, attention to detail, and clear written communication help you effectively assess cases and interact with healthcare providers. These skills ensure accurate case reviews, compliance with regulations, and optimal patient care while controlling healthcare costs.

What are some common challenges faced by professionals in online utilization review, and how can they be addressed?

One common challenge in Online Utilization Review is staying up-to-date with changing regulations and payer requirements, which can impact approval criteria and documentation standards. Another challenge is effectively managing a high volume of cases while maintaining accuracy and meeting turnaround times. Building strong communication skills for collaborating with providers and interdisciplinary teams is also crucial. To address these challenges, professionals often participate in ongoing training, utilize clinical decision support tools, and foster open communication with team members and stakeholders.

What is the difference between Online Utilization Review vs Utilization Review Coordinator?

AspectOnline Utilization ReviewUtilization Review Coordinator
CredentialsTypically requires healthcare or insurance certifications, such as RN, CPC, or CCMOften requires similar certifications, with additional administrative or coordination training
Work EnvironmentRemote or office-based, reviewing patient records and insurance claims onlineOffice setting, coordinating reviews and communicating with providers and patients
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare facilities, third-party review agencies

Online Utilization Review involves assessing medical necessity and coverage remotely using digital records, while Utilization Review Coordinator manages the review process, coordinating between providers and insurers. Both roles require similar credentials and are integral to healthcare and insurance industries, but Online Utilization Review is more focused on remote case assessments, whereas the Coordinator handles administrative oversight.

How do I get into an online utilization review?

To become an online utilization review specialist, you typically need a healthcare-related degree such as nursing, health administration, or a related field, along with knowledge of insurance policies and medical terminology. Certification in utilization review or case management, like the Certified Professional in Healthcare Quality (CPHQ), can improve job prospects. Relevant skills include strong analytical abilities, attention to detail, and familiarity with electronic health records and review software.

What are the most commonly searched types of Utilization Review jobs in Rochester, NY?

The most popular types of Utilization Review jobs in Rochester, NY are:

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

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

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

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

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

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

Online Utilization Review jobs near you
Infographic showing various Online Utilization Review job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 18% Part Time, 6% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $86,774 per year, or $41.7 per hour.

Travel Home Health Utilization Review

Uniti Med

Webster, NY • On-site

Contractor

Medical, Dental, Vision

Re-posted 18 days ago

Job description

Uniti Med is seeking a travel Home Health Utilization Review for a travel job in Webster, New York.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: Therapy
  • Start Date: 09/14/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, nights
  • Employment Type: Travel

Benefits: 

  • Day 1 Insurance 
  • Cigna medical, MetLife dental and vision insurance 
  • License reimbursement for new licenses needed for each assignment 
  • Discounts with hotels and rental cars 
  • A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience 
  • Referral bonus up to $700 

About the Company: 

Finding the right role is about more than just matching skills to a job—it’s about aligning with your goals, values, and the way you want to work.

As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we’re here to help you move forward with confidence.

UnitiMed Job ID #846252. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Home Health Aide

About Uniti Med

Uniti Med meticulously matches your talents to our open needs to ensure the ultimate travel experience. Tell us where you want to go and let our experienced staff lead the way!

Benefits
  • Referral bonus
  • Benefits start day 1
  • Employee assistance programs
Uniti Med logo

About Uniti Med

Sourced by ZipRecruiter

A great workplace is created when core values are exhibited by employees on a daily basis. At Uniti Med, our values are more than just aspirations, they are embedded in our decision-making processes and how we work with one another. We are always looking for good humans who understand this is exactly where they are supposed to be to change people’s lives for the better. If these values speak to you, Uniti is your home.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Omaha, NE, US

View All Uniti Med Jobs

Apply