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Part Time Utilization Review Jobs in Rochester, NY

DePaul

Residential Assistant

Rochester, NY · On-site

$21 - $21.30/hr

Overview Ridgeview Commons, a DePaul Treatment Apartment Program, is now hiring a part-time ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

DePaul

Residential Assistant

Rochester, NY · On-site

$21 - $21.30/hr

Ridgeview Commons, a DePaul Treatment Apartment Program, is now hiring a part-time Residential ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

All JobsUtilization Review JobsPart Time Utilization Review JobsPart Time Utilization Review Jobs in Rochester, NY

Part Time Utilization Review information

See Rochester, NY salary details

$21

$41

$68

How much do part time utilization review jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for part time 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.

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

A part time utilization review nurse can increase income by taking on additional shifts, working overtime, or handling cases outside regular hours. Developing specialized skills or certifications, such as in case management or insurance review, can also qualify for higher-paying opportunities or freelance work, helping to reach the extra income goal.

How to get a utilization review job?

To obtain a utilization review position, candidates typically need a background in healthcare, such as nursing, health administration, or related fields, along with knowledge of insurance and medical billing. Relevant certifications like the Certified Professional Utilization Review (CPUR) or Certified Case Manager (CCM) can improve job prospects, and strong analytical and communication skills are essential. Experience with medical records and utilization review software is also beneficial.

What is a Part Time Utilization Review job?

A Part Time Utilization Review job involves evaluating healthcare services provided to patients in order to ensure they are medically necessary and cost-effective. Professionals in this role review patient records, treatment plans, and insurance information to make recommendations about the appropriateness of care. Working part-time, they may collaborate with healthcare providers, insurance companies, and patients to optimize healthcare outcomes while managing costs. This position is often found in hospitals, insurance companies, or healthcare management organizations, and typically requires a background in nursing or healthcare administration.

What are some common challenges faced in a part-time utilization review role and how can I effectively manage them?

Part-time utilization review professionals often face challenges such as managing fluctuating caseloads within limited hours and staying up-to-date with rapidly changing healthcare regulations. Balancing efficiency and thoroughness is crucial, especially when reviewing complex cases or communicating with providers on tight timelines. Effective time management, strong organizational skills, and clear communication with your team are key to overcoming these challenges. Many employers provide flexible schedules and supportive technology platforms, which can help streamline your workflow and maintain high-quality reviews.

Is utilization review a stressful job?

Utilization review is a role that involves evaluating healthcare services for appropriateness and coverage, which can be stressful due to strict deadlines, high accuracy requirements, and the need to handle complex cases. The level of stress varies depending on the work environment, workload, and individual coping skills, but it generally requires attention to detail and strong communication skills. Some professionals find the job manageable with proper time management and support systems in place.

What is the difference between Part Time Utilization Review vs Part Time Case Management?

AspectPart Time Utilization ReviewPart Time Case Management
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials)Often requires social work, nursing, or healthcare certifications, with some overlap
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsHospitals, insurance companies, or community health agencies
Employer & Industry UsageUsed mainly in insurance and healthcare to evaluate medical necessityUsed in healthcare to coordinate patient care and services

Part Time Utilization Review focuses on assessing the medical necessity of services, while Part Time Case Management involves coordinating patient care and services. Both roles require healthcare credentials and are common in insurance and healthcare settings, but they serve different functions within patient care and resource management.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Review Nurse, and why are they important?

To thrive as a Part Time Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management systems, InterQual or MCG guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, attention to detail, and effective communication help in collaborating with healthcare providers and payers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes in a part-time capacity.

What jobs pay 4000 a week without a degree?

Part Time Utilization Review roles typically do not pay $4,000 a week; such high earnings usually require full-time positions or specialized skills. Jobs that can reach this level without a degree often include sales, real estate, or certain freelance consulting roles, but they generally demand experience, certifications, or a strong network. Most high-paying roles without a degree involve sales, entrepreneurship, or skilled trades with commission or performance-based pay structures.
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 Part Time Utilization Review jobs in Rochester, NY? For Part Time Utilization Review jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Rochester, NY look for? The top searched job categories for Part Time Utilization Review jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Part Time Utilization Review jobs? Cities near Rochester, NY with the most Part Time Utilization Review job openings:
Part Time Utilization Review jobs near you

REGISTERED NURSE

Catholic Charities Family and Community Services

Rochester, NY • On-site

$35 - $38/hr

Part-time

Retirement

Re-posted 29 days ago

Job description

Job Type
Part-time
Description
We are Hiring!
Job Posting: REGISTERED NURSE
Location: 146 Hobart St
Department: Nursing
Employment Type: Limited Part-Time
Schedule: Weekend Saturday and Sunday
Salary: $35 - $38/hr
General Description
Under general supervision, provides comprehensive health services and supervision for LPN and/or Medical Liaison staff if applicable. Works collaboratively with other providers to facilitate client wellness. Maintains all applicable confidentiality and ethical standards of relevant governing bodies. Effectively supports ongoing and collaborative communication amongst all program staff and is responsible for ensuring a trauma informed care environment.
Essential Duties and Responsibilities
  • Provides a comprehensive health assessment of clients.
  • Identifies immediate and long-term health care needs.
  • Makes appropriate referrals and recommendations based on findings of the health assessments.
  • Assists clients in identifying local resources.
  • Communicates and collaborates with appropriate Agency staff, Primary Health care provider, community justice agencies, and related community organizations to assure coordination of client care and services.
  • Completes required paperwork related to the health assessment process.
  • Provide oversight and supervision of any assigned LPN and/or Medical Liaison Staff:
  • Required supervision of tasks performed by LPN and/or Medical Liaison staff may include medication monitoring or administration, monitoring of vital signs, reporting of signs or symptoms of potential health concerns, basic emergency medical treatment or interventions.
  • Direct, coach, collaborate with and delegate tasks appropriately.
  • Build and sustains cooperative working relationships among program staff.
  • Assist in the initiation and implementation of staff development and training programs to maximize professional practice.
  • Accesses employees' skills and program needs and appropriately assign staff to meet program needs.
  • Participates in selection, hiring, and orientation of Staff.
  • Coordinates employee schedules to ensure day-to-day coverage of the Programs.
  • Reviews and approves timesheets.
  • Evaluates program effectiveness and recommends alternatives as required.
  • Assists Prescribers
  • Provide health monitoring for clients
  • Administers Injectable medications as prescribed
  • Responsible for case load records
  • Completes required case record documentation in accordance with regulations and other record keeping as necessary for program accountability
  • Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed.
  • Coordinates discharge planning for clients
  • Provides education to clients on health and wellness issues.
  • Participates in staff meetings and clinical supervision as directed
  • Actively pursues development of professional competencies related to job role performance through reading, supervision, in-service training and attendance at conferences and workshops.
  • Awareness and active support of the Agency's Mission, Vision, Values and Strategic Plan. Including, but not limited to, supporting the Agency's Core Competency initiatives of being Collaborative and Community Focused, Innovative and Entrepreneurial, and Culturally Competent and Diverse

Note: The above description is illustrative of tasks and responsibilities. It is not meant to be all inclusive. Employees are required to follow appropriate supervisory direction and perform other related duties as required.
Requirements
Qualifications
Education: Minimum of an Associate's Degree in Nursing required. Bachelor's or Master's Degree in Nursing preferred.
Credentials: Valid and clean NYS Driver's License. Valid Registered Professional Nurse (RN) License required
Experience: At least two years of experience related to nursing services to individuals with mental health, chemical dependency, substance use disorder, or intellectual/developmental disabilities-related services strongly preferred. Bi-lingual in Spanish also preferred.
Physical Demands/Work Environment: The physical demands/work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, talk, hear, stand, walk, use hands to type and/or perform light lifting. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The noise level in the work environment is usually quiet.
Compliance: Adheres to all applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing, and documentation standards. All duties must be performed in accordance with CCFCS's corporate compliance & ethics program. Any offer of employment will be contingent upon successful completion of a background check. CCDOR considers all background check information in accordance with applicable law.
Additional Requirements:
  • Ability to prioritize assignments, plan, and complete work projects with minimal direction,
  • An ability to work efficiently and effectively and meet deadlines,
  • An ability to work under pressure,
  • Excellent verbal/written skills,
  • Ability to maintain confidentiality,
  • Ability to demonstrate behaviors and attitudes which support agency mission, philosophy, and policies.
  • Willingness and ability to foster agency and program wide cooperation and teamwork through use of positive/constructive communication techniques,
  • Possession of a valid NYS Driver's license and use of a registered and reliable vehicle.

Top Benefits and Perks:
  • Competitive salary and 403b retirement plan
  • Generous time off package and work-life balance
  • Comprehensive benefits package
  • Supportive and collaborative environment
  • Opportunities for growth and development
  • Intrinsic reward of truly making a difference in people's lives

Join us and help make a positive impact in our community!
***Catholic Charities is committed to leveraging the talent of a diverse workforce to create great opportunities for our agency and our people. EOE/AA Disability/Vet
Salary Description
$35 to $38

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