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Remote Rn Utilization Review Nurse Jobs in Rochester, NY

Nurse Practitioner

Rochester, NY · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Patient Service Representative

Rochester, NY · Remote

$17.25 - $22/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

Nurse Care Manager

Rochester, NY · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

LVN

Rochester, NY · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

LPN

Rochester, NY · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

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Remote Rn Utilization Review Nurse information

See Rochester, NY salary details

$21

$41

$68

How much do remote rn utilization review nurse jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for remote rn utilization review nurse 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 the difference between Remote Rn Utilization Review Nurse vs Remote Rn Case Manager?

AspectRemote Rn Utilization Review NurseRemote Rn Case Manager
CertificationsRN license, possibly UR or CCM certificationRN license, CCM or other case management certification
Work EnvironmentReviewing medical records, insurance guidelines, and authorizationsCoordinating patient care, discharge planning, and resource management
Employer & Industry UsageHealth insurance companies, third-party administratorsHospitals, health plans, healthcare providers

Remote Rn Utilization Review Nurses primarily evaluate medical necessity for insurance approvals, focusing on documentation and guidelines. In contrast, Remote Rn Case Managers coordinate patient care, discharge planning, and resource allocation. Both roles require RN licensure and related certifications but differ in daily tasks and work focus.

What is a Remote RN Utilization Review Nurse?

A Remote RN Utilization Review Nurse is a registered nurse who evaluates medical records and healthcare services from a remote location to ensure that patients receive appropriate, necessary, and cost-effective care. They review treatment plans, check for compliance with insurance and healthcare guidelines, and often work with healthcare providers, insurance companies, and patients to coordinate care. This role typically involves assessing the medical necessity of procedures, authorizing services, and helping prevent unnecessary treatments or hospitalizations.

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

To thrive as a Remote RN Utilization Review Nurse, you need an active RN license, strong clinical knowledge, and experience in case management or utilization review. Proficiency with healthcare review software, electronic health records (EHRs), and familiarity with insurance guidelines or regulatory requirements is vital. Excellent communication, critical thinking, and time management skills distinguish top performers in remote settings. These skills enable nurses to make accurate, timely decisions about patient care while ensuring compliance and efficient resource utilization.

What are some common challenges faced by Remote RN Utilization Review Nurses, and how can they be addressed?

Remote RN Utilization Review Nurses often encounter challenges such as managing large caseloads, maintaining effective communication with interdisciplinary teams, and staying updated with ever-changing insurance guidelines. Balancing productivity expectations while ensuring thorough case reviews can be demanding. To address these challenges, nurses can utilize robust organizational tools, participate in ongoing training sessions, and leverage regular virtual meetings to stay connected with colleagues and supervisors, ensuring both efficiency and high-quality patient care.
What are the most commonly searched types of Rn Utilization Review Nurse jobs in Rochester, NY? The most popular types of Rn Utilization Review Nurse jobs in Rochester, NY are:
What are popular job titles related to Remote Rn Utilization Review Nurse jobs in Rochester, NY? For Remote Rn Utilization Review Nurse jobs in Rochester, NY, the most frequently searched job titles are:
What cities near Rochester, NY are hiring for Remote Rn Utilization Review Nurse jobs? Cities near Rochester, NY with the most Remote Rn Utilization Review Nurse job openings:

Psychiatric Mental Health Nurse Practitioner

PAIGE COOL NP IN PSYCHIATRY PLLC

Rochester, NY • Remote

$110K - $150K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago


Job description

Board Certified Psychiatric Mental Health Nurse Practitioner

PIC Mental Health provides behavioral health services to clients across the lifespan. PIC Mental Health is looking for a compassionate Board Certified Psychiatric Mental Health Nurse Practitioner who is licensed in New York State. We are a small privately owned business looking for a provider who is passionate and committed to excellent mental health care. Our goal is to provide patient centered and evidence-based care to patients throughout New York.

Come and join PIC Mental Health and experience:

- A schedule that takes work/ balance into account

- Focusing solely on patient care – we take care of setting up your caseload, credentialing, billing, authorizations, and insurance

- Support from our team while also maintaining your clinical autonomy

- A streamlined documentation system and having time to spend with your patients

- The opportunity to learn and group as a clinician

- A growing referral network

Pay:

$110,000 - $150,000 / yr

Job Types:

Currently considering Full time or Part time availability

Job Description:

- Conduct intake and follow up appointment for medication management and therapy practices to individuals with varying diagnoses

- Conduct mental health evaluations and implement treatment plans which providing a therapeutic, environment and using evidence-based practice

Your Qualifications and Requirements

- Board Certified by the ANCC as a PMHNP who is able to work independently in New York State

- Current and valid Psychiatric Mental Health Nurse Practitioner license in the state of New York

- Ability to obtain and maintain active and unrestricted license and DEA number

- Two years of experience as a board certified psychiatric mental health nurse practitioner providing patient care and treatment in a clinical setting

- Safe, secure remote work location from which telehealth appointments can be conducted privately, securely, and confidentially

- Consistent and reliable internet connectivity

- Reliable laptop or personal computer device

You must also demonstrate:

- Passion for high quality care, excellent clinical knowledge and communication skills while documenting proficiently

- Openness to continue to grow clinical knowledge through continued education

- Independence, good judgment, reliability, and professionalism

- Good verbal and written communication skills, including with patients and team members

Current Benefits - PIC Mental Health offers competitive benefits to eligible employees including

- Health Insurance

- Eligibility of Flexible Schedule

- Paid Time off

Work Location – Mostly remote with office in Rochester, NY

PIC Mental Health is an equal employment opportunity employer and is committed to providing equal opportunity to all qualified applicants and employees. PIC Mental Health does not discriminate on the basis of race, age, disability, pregnancy (including childbirth, related medical conditions, or lactation accommodations), age, marital status, familial status, veteran or military status, gender identity or gender expression, sexual orientation, genetic information or predisposing genetic characteristics, religion, creed, color, ethnicity, national origin, immigration or citizenship status, reproductive health decision making, status asa victim of domestic violence, prior arrest or criminal conviction (except PIC Mental Health may consider pending arrests or prior convictions in a manner consistent with the NYS Human Rights Law and Article 23-A of the Corrections Law), known association with another person of a protected class, or any other protected class recognized by federal, state, or local law. Employment decisions are made based upon merit, qualifications, and legitimate business needs.

Job Types: Full-time, Part-time

Benefits:

  • 401(k)
  • Flexible schedule
  • Health insurance
  • Paid time off

Work Location: Remote