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Remote Utilization Management Nurse Jobs in Rochester, NY

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Remote Utilization Management Nurse information

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How much do remote utilization management nurse jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote utilization management 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 a remote utilization management nurse?

A Remote Utilization Management Nurse is a registered nurse who works from a remote location, such as their home, to review patient medical records and determine the necessity, appropriateness, and efficiency of healthcare services. They collaborate with healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. Their main responsibilities include reviewing clinical documentation, conducting pre-authorization reviews, and ensuring compliance with healthcare regulations and insurance guidelines.

What does a remote utilization management nurse do?

As a remote utilization management nurse, you work from home to perform a variety of duties and responsibilities, such as corresponding with and interviewing physicians, modifying patient treatment plans, analyzing investigation information, and auditing patient records. As a UM nurse, you may also deal with other clinical tasks, referrals, authorizations, and reviews. You usually work for insurance companies and healthcare providers to help to determine if patients should receive authorization for needed treatments or for those that they already receive. In some cases, you may monitor processes to ensure that hospital patients are getting what they need during their stay.

What are the key skills and qualifications needed to thrive as a remote utilization management nurse?

To thrive as a Remote Utilization Management Nurse, you need a valid RN license, clinical experience (often in acute care), and a solid understanding of utilization review and healthcare regulations. Familiarity with case management software, electronic medical records (EMRs), and tools like InterQual or Milliman Care Guidelines is typically required. Strong analytical skills, attention to detail, and effective written and verbal communication are essential soft skills for successful remote collaboration and decision-making. These skills ensure accurate assessments, compliance with standards, and the delivery of cost-effective, quality patient care from a remote setting.

What are some common challenges faced by remote utilization management nurses, and how can they be addressed?

Remote Utilization Management Nurses often face challenges such as maintaining effective communication with interdisciplinary teams, staying updated on changing insurance guidelines, and managing a high volume of case reviews. To address these issues, it's helpful to establish regular virtual check-ins with team members, utilize digital tools for efficient documentation, and participate in ongoing training on payer requirements. Developing strong organizational skills and proactively seeking clarification on complex cases can also contribute to success in this role.

What is the difference between Remote Utilization Management Nurse vs Remote Case Manager?

AspectRemote Utilization Management NurseRemote Case Manager
CredentialsRN license, certifications like CCM or ANCCRN license, certifications like CCM or similar
Work EnvironmentHealthcare organizations, insurance companies, telehealthInsurance companies, healthcare providers, telehealth
Job FocusReviewing medical necessity, authorizations, and utilizationCoordinating patient care, discharge planning, resource management

Both roles require RN licensure and similar certifications, often working remotely within healthcare or insurance settings. The main difference lies in focus: Utilization Management Nurses primarily review medical necessity and authorization requests, while Case Managers coordinate patient care and discharge planning. Understanding these distinctions helps job seekers identify the role that best matches their skills and career goals.

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

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

What cities near Rochester, NY are hiring for Remote Utilization Management Nurse jobs?

Cities near Rochester, NY with the most Remote Utilization Management Nurse job openings:

Infographic showing various Remote Utilization Management Nurse job openings in Rochester, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $86,774 per year, or $41.7 per hour.

Licensed Mental Health Counselor - Remote Telehealth Specialist

Citrus Psychotherapy Center

Rochester, NY โ€ข Remote

Full-time

Medical, Retirement, PTO

Posted 15 days ago


Job description

Position Overview

We are seeking a dedicated and licensed Mental Health Counselor to join our team at Citrus Psychotherapy Center. This full-time remote position offers you the flexibility to work from home while making a meaningful impact on the lives of individuals, couples, and families. As a vital member of our telehealth practice, you will assess clients' mental health needs, create tailored treatment plans, and facilitate therapy sessions. Your expertise will provide our clients with essential support as they navigate mental health challenges.

About the Organization

Citrus Psychotherapy Center is a pioneering mental health service provider committed to delivering high-quality care through innovative telehealth solutions. Based in Rochester, New York, we pride ourselves on fostering a collaborative and compassionate community for both our clients and our team members. Our goal is to enrich the lives of those we serve by leveraging technology to ensure accessibility to mental health services irrespective of geographical barriers. We are focused on nurturing an environment where every team member has the opportunity to thrive professionally and personally.

Work Environment

This position is entirely remote and takes full advantage of telehealth methodologies, allowing counselors to deliver care to clients from the comfort and safety of their homes. Our virtual platform is designed to create seamless interactions, ensuring counselors have all necessary tools at their fingertips to provide effective treatment. With a flexible schedule, you will manage your day-to-day activities while contributing to our mission of making mental health support accessible to everyone, regardless of their location.

Key Responsibilities
  • Conduct comprehensive mental health evaluations through telehealth to assess clients' emotional, behavioral, and psychological conditions.
  • Document client interactions meticulously from initial consultations through ongoing assessments and treatment follow-ups.
  • Develop personalized treatment plans in collaboration with clients, utilizing evidence-based practices to address unique needs.
  • Facilitate both individual and group therapy sessions using virtual platforms, ensuring a safe and supportive atmosphere.
  • Monitor client progress regularly, adjusting treatment plans as necessary to achieve optimal outcomes.
  • Collaborate effectively with a multidisciplinary team of healthcare professionals, including psychiatrists, social workers, and nurses, to develop comprehensive intervention strategies.
  • Provide essential support to family members and primary caregivers, equipping them with tools to manage the mental health challenges of their loved ones.
  • Stay informed on the latest advancements in mental health treatment, ensuring the delivery of the most effective therapeutic interventions.
Patient Population / Client Focus

Your work will primarily focus on a diverse range of clients experiencing various mental health challenges, including anxiety, depression, trauma, and relationship issues. You will provide culturally sensitive care to individuals of all ages, including children, adolescents, and adults. Your compassion and skill will be instrumental in helping clients build resilience, improve relationships, and enhance their overall well-being.

Qualifications
  • A Bachelorโ€™s degree in Social Work, Marriage and Family Therapy, Mental Health Counseling, Psychology, or a related field from an accredited institution.
  • Current and valid licensure as an LMFT, LMHC, LCSW, or LCSW-R in New York State.
  • Pass score on the National Counselor Examination (NCE) and/or the National Clinical Mental Health Counseling Examination (NCMHCE).
  • Strong proficiency in using electronic health record (EHR) systems, such as AVATAR, to document and manage client information.
  • Demonstrated knowledge of addiction disorders and co-occurring conditions, as well as familiarity with the best practices established by the American Mental Health Counselors Association (AMHCA).
  • Exceptional written and verbal communication skills, alongside a collaborative and empathetic approach to counseling.
Preferred Experience
  • Previous experience working as a mental health counselor in a clinical setting.
  • A solid understanding of psychopharmacology and the effects of medications prescribed for mental health conditions.
  • Experience working in a telehealth environment is highly regarded.
Compensation and Benefits

This position offers a competitive salary ranging from USD 80,000 to 100,000 annually, commensurate with experience, along with a sign-on bonus. Our comprehensive benefits package includes healthcare coverage, retirement savings plans with employer contributions, generous paid time off (PTO), holiday pay, and continuing education support to help you grow in your career.

Career Growth Opportunities

Citrus Psychotherapy Center values professional development and offers various opportunities for career advancement within our organization. We encourage counselors to pursue additional certifications and specializations and actively support continuing education initiatives to ensure our team members stay at the forefront of mental health practices.

Why Join Our Team

If you are passionate about making a difference in individuals' lives through mental health care, Citrus Psychotherapy Center offers an enriching environment where your skills will be nurtured, and your contributions appreciated. As part of our supportive team, youโ€™ll have the opportunity to be involved in cutting-edge mental health treatment in a format that prioritizes client care and team collaboration.

Application Information

We invite ambitious, compassionate, and skilled Mental Health Counselors to apply for this outstanding opportunity at Citrus Psychotherapy Center. If you are ready to contribute to a team that prioritizes the mental well-being of clients and fosters professional growth, please submit your application, including your resume and cover letter, today.