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Part Time Utilization Review Jobs in Rochester, NY

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Part Time Utilization Review information

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

As of May 31, 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.

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 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.

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 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 most commonly searched types of Utilization Review jobs in Rochester, NY? The most popular types of 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:

Direct Sales Representative Part Time **Immediate Hire**

CROSSMARK1

Rochester, NY • On-site

Part-time

Posted 11 days ago


Job description

Company Description

CROSSMARK is a leading sales and marketing services company in the consumer goods industry that expertly guides our clients along "The Way to Market" by delivering growth solutions with exceptional service. Our expertise spans the grocery, mass, club, drug, convenience store, and home improvement channels among others, and our solutions bolster our clients' capabilities for developing best practices, insight analysis, and customer targeting that always hit the mark.

We do this by excelling in four key areas - headquarter selling, retail merchandising, store level marketing, and streamlining trade practices. In business for more than 100 years, CROSSMARK employs more than 20,000 associates worldwide in offices in the U.S., Canada, Mexico, Australia and New Zealand. Headquartered in Plano, Texas, CROSSMARK is a privately owned corporation.

Equal Opportunity Employer

Job Description

Responsibilities:

  • Influence local and regional decision makers at assigned client locations in an effort to influence local and regional sales and buying strategies.
  • Develop and communicate the client's vision for the category into an action plan for each store that benefits both the client and the customer.
  • Leverage and engage the necessary resources to execute the action plan in order to grow volume through incremental retail activities.
  • Be actively engaged at the store level in order to identify issues that could impact execution, and proactively recommend solutions to close gaps &/or capitalize on opportunities.
  • Partners with store management to sell and ensure appropriate inventory levels for sales activity.
  • Schedules and executes assignments to meet objectives.
  • Accurately reports all completed assignments via the appropriate designated systems on the day the work is performed.
  • Communicates effectively with store personnel regarding assignments, sales activities, promotions, and client/sales plan objectives.
  • Completes required training and certification programs.
  • Daily utilization of CROSSMARK'S communication tools for the purpose of accurately planning, reporting, and reviewing work.
  • Participation in team and client projects.
  • Adheres to company policies, procedures, and position responsibilities.
  • Significant time in a vehicle may be required.
  • You must have access to reliable transportation, and must be able and willing to transport required materials to perform the duties of the job.

This role is not expected to exceed more than 25 hours per week, although the company does maintain the discretion to change the role based on the needs of the business and/or the client.

Note: This job description does not imply that the above functions are the only tasks that may be performed.  Associates will be expected, if possible, to follow any other job-related instructions and perform any other job-related tasks as directed by management.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
 

Education: Bachelor's degree strongly preferred.

Experience: Retail sales and/or customer service experience preferred.

  • Physical Demands:
  • Stand
  • Walk
  • Use hands and fingers to handle or feel
  • Reach with hands and arms (including reaching overhead)
  • Talk and hear
  • Visual ability to read plan-o-grams and other materials to perform duties
  • Stoop
  • Kneel
  • Crouch
  • Climb
  • Balance
  • Regularly lift up to 25 pounds and occasionally lift up to 60 pounds from the floor to waist or chest high
     

Specific Skills: Computer literate and familiar with computer programs, including, but not limited to, Microsoft Office products. Ability to implement retail schematics and merchandising materials as assigned.
 

Working Conditions: Retail store environment with some travel. Some projects may include early mornings (i.e. 4-5am), overnight travel, weekends or nights and holidays.

Language Skills: English is the primary language skill; however, bilingual skills may be required based on business necessity.

Additional Information

All your information will be kept confidential according to EEO guidelines.