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Remote Utilization Review Nurse Practitioner Jobs in Rochester, NY

While this is a remote position, candidates must reside in or be willing to relocate to one of the ... Engage in the Utilization Review process for assigned cases every month * Respond to clinical ...

Collaborate within our vetted in-house network of health coaches, therapists, nurse practitioners ... Telehealth or remote experience * Self-motivated with strong independent work skills and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Pharmacovigilance Expert

Rochester, NY ยท Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Oncologist

Pavilion, NY ยท On-site +1

$188.75/hr

Actively participate in the maintenance of quality improvement initiatives, peer review processes ... Work effectively within a multi-disciplinary care team, including nursing, allied health, and ...

Remote Utilization Review Nurse Practitioner information

See Rochester, NY salary details

$70.1K

$132.6K

$207.7K

How much do remote utilization review nurse practitioner jobs pay per year?

As of Aug 18, 2026, the average yearly pay for remote utilization review nurse practitioner in Rochester, NY is $132,578.00, according to ZipRecruiter salary data. Most workers in this role earn between $109,500.00 and $150,500.00 per year, depending on experience, location, and employer.

What is a remote utilization review nurse practitioner?

A Remote Utilization Review Nurse Practitioner is a licensed advanced practice nurse who evaluates the necessity, efficiency, and appropriateness of healthcare services, treatments, and hospital admissions, typically from a remote or home-based setting. They review patient medical records to ensure care meets established guidelines and insurance requirements, helping to control costs and ensure quality care. Their role often involves collaborating with physicians, insurance companies, and healthcare facilities to determine coverage and recommend alternative treatments when necessary. Working remotely, they rely heavily on electronic health records and telecommunication tools to perform their duties.

How does a remote utilization review nurse practitioner typically collaborate with healthcare teams while working offsite?

Remote Utilization Review Nurse Practitioners frequently collaborate with interdisciplinary teams through virtual meetings, secure messaging platforms, and electronic health record (EHR) systems. They work closely with physicians, case managers, and insurance representatives to review patient care plans, ensure medical necessity, and support appropriate resource utilization. Despite working remotely, maintaining clear communication and timely documentation is essential for seamless coordination and decision-making. Many organizations provide robust digital tools and regular team check-ins to facilitate collaboration and support remote staff.

What are the key skills and qualifications needed to thrive as a remote utilization review nurse practitioner, and why are they important?

To thrive as a Remote Utilization Review Nurse Practitioner, you need an advanced nursing degree (NP), active state licensure, and strong knowledge of clinical guidelines and insurance criteria. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications such as CCM (Certified Case Manager) are often required. Critical thinking, strong communication, and a detail-oriented approach set top performers apart in this remote role. These skills ensure accurate, compliant, and efficient review of patient care while supporting healthcare cost management and patient advocacy.

What is the difference between Remote Utilization Review Nurse Practitioner vs Telehealth Nurse Practitioner?

AspectRemote Utilization Review Nurse PractitionerTelehealth Nurse Practitioner
CertificationsNP license, possibly certification in utilization reviewNP license, general telehealth certifications
Work EnvironmentReviewing medical records, insurance data remotelyProviding patient care via telehealth platforms
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, telehealth companies

The main difference is that Remote Utilization Review Nurse Practitioners focus on reviewing medical necessity and insurance claims remotely, while Telehealth Nurse Practitioners provide direct patient care via telehealth platforms. Both roles require NP licensure, but their daily tasks and work environments differ significantly.

What job categories do people searching Remote Utilization Review Nurse Practitioner jobs in Rochester, NY look for?

The top searched job categories for Remote Utilization Review Nurse Practitioner jobs in Rochester, NY are:

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

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

Infographic showing various Remote Utilization Review Nurse Practitioner job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $132,578 per year, or $63.7 per hour.

Psychiatric Mental Health Nurse Practitioner

PAIGE COOL NP IN PSYCHIATRY PLLC

Rochester, NY โ€ข Remote

$110K - $150K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 20 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