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Remote Rn Utilization Review Nurse Jobs in Rochester, NY

Varsity Tutors

NCLEX-PN Tutor

Rochester, NY · Remote

$40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

Varsity Tutors

NCLEX Tutor

Rochester, NY · Remote

$40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

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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:
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What job categories do people searching Remote Rn Utilization Review Nurse jobs in Rochester, NY look for? The top searched job categories for Remote Rn Utilization Review Nurse jobs in Rochester, NY 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:
Remote Rn Utilization Review Nurse jobs near you

Virtual Care Coordinator - VCCSS0

NavitasPartners

Newark, NY • Remote

$21/hr

Full-time, Part-time, Other

Posted 2 days ago

Job description

Virtual Care Coordinator

Location: New York, NY 10017
Pay Rate: $21-$25/hour
Shift: Night Shift
Schedule: Part-Time | 3 Days per Week | 21 Hours per Week
Requirement: Every Weekend Required (Non-Negotiable)

Position Overview

We are seeking an experienced Virtual Care Coordinator to support telehealth, remote patient monitoring, and virtual patient care operations. This role plays a critical part in ensuring patient safety, supporting telemedicine services, and coordinating virtual care workflows in a fast-paced healthcare environment.

Responsibilities

  • Monitor patients remotely for safety concerns, behavioral changes, and clinical status updates

  • Support telemedicine consultations, virtual visits, and remote patient monitoring programs

  • Triage and assign patients for virtual observation and monitoring services

  • Collaborate with physicians, nurses, and interdisciplinary teams to coordinate patient care

  • Escalate changes in patient condition, safety concerns, and behavioral issues to appropriate clinical staff

  • Monitor telehealth consult orders, scheduled appointments, and follow-up visits through EPIC and telehealth platforms

  • Provide real-time support and troubleshooting for telehealth and remote monitoring technologies

  • Document patient observations, interventions, escalations, and safety events accurately

  • Assist with quality assurance initiatives and telehealth workflow improvements

  • Analyze utilization reports and support performance improvement efforts

  • Maintain HIPAA compliance and protect patient confidentiality

  • Participate in staff meetings, training sessions, and telehealth program development initiatives

Requirements

  • Minimum 2 Years of Telehealth Experience

  • Direct Patient Care Experience

  • Experience with Remote Patient Monitoring and Virtual Care Technologies

  • Experience using EMR/EHR systems, preferably EPIC

  • Strong communication, documentation, and problem-solving skills

  • Ability to work independently in a virtual healthcare environment

  • Availability to work every weekend (required)

Preferred

  • Associate's or Bachelor's Degree in a Health-Related Field

  • Experience with quality improvement, data collection, and telehealth program management

  • Experience collaborating with multidisciplinary healthcare teams

  • Knowledge of telehealth workflows, regulations, and best practices

For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC

It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.