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Remote Utilization Review Nurse Practitioner Jobs in Rochester, NY

Workforce Planner

Farmington, NY ยท On-site +1

$62K/yr

Partner with operations to maximize the utilization of UKG Dimensions and VR, adhering to best ... Review and update weekly volume forecasts for key KPIs, aligning with productivity standards, and ...

Workforce Planner

Farmington, NY ยท On-site +1

$62K/yr

Partner with operations to maximize the utilization of UKG Dimensions and VR, adhering to best ... Review and update weekly volume forecasts for key KPIs, aligning with productivity standards, and ...

Workforce Planner

Farmington, NY ยท On-site +1

$62K/yr

Partner with operations to maximize the utilization of UKG Dimensions and VR, adhering to best ... Review and update weekly volume forecasts for key KPIs, aligning with productivity standards, 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 ...

Showing results 41-52

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 22, 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.

Licensed Clinical Social Worker (LCSW) - Remote Opportunities at Hospice Center in Henrietta, NY

Company Confidential

Henrietta, NY โ€ข On-site, Remote

Full-time

Medical, Dental, Vision, Life

Posted 4 days ago


Job description

Position Overview

Gotham Enterprises Ltd is seeking a skilled and compassionate Licensed Clinical Social Worker (LCSW) to join our team as a full-time remote professional. This crucial role focuses on delivering specialized mental health services to individuals within our hospice center, where your expertise will directly impact the quality of life for clients facing complex emotional challenges during critical times.

About the Organization

At Gotham Enterprises Ltd, we pride ourselves on being a leading mental health provider in Henrietta, New York. Our mission is to offer holistic care that promotes emotional wellbeing and enhances the quality of life for our community. We are dedicated to fostering a supportive and inclusive environment where professionals can thrive and make meaningful contributions to our clientsโ€™ journeys.

Work Environment

This position allows for a flexible, remote work setting, promoting an ideal work-life balance. Our hospice center embraces a team-oriented culture, ensuring that you collaborate with fellow healthcare professionals to provide comprehensive care. The facility is equipped with advanced teletherapy technology, allowing us to dynamically reach and support our patients regardless of their location.

Key Responsibilities
  • Conduct comprehensive clinical assessments to develop personalized treatment plans tailored to each client's unique needs.
  • Utilize evidence-based solution-focused interventions to address mental health challenges, providing ongoing therapy and support.
  • Maintain accurate and timely clinical documentation while adhering to organizational policies and regulatory requirements.
  • Collaborate with a multidisciplinary team, including nurses and physicians, to create coordinated and effective care strategies.
  • Engage in regular case consultations and peer review meetings to share insights and improve care delivery.
  • Provide education and resources to patients and their families about mental health, coping strategies, and available community resources.
  • Stay updated on the latest research and developments in clinical social work and hospice care to ensure the highest standards of service.
Patient Population / Client Focus

Our hospice center serves a diverse range of clients facing terminal illnesses and their families. As an LCSW at Gotham Enterprises Ltd, you will work closely with patients who may experience profound grief, anxiety, and emotional distress. Your role will be pivotal in providing support that not only addresses their mental health needs but also helps facilitate open communication within families during difficult times.

Qualifications
  • A Masterโ€™s degree in Social Work from an accredited institution.
  • A valid LCSW license in New York State.
  • At least three years of clinical experience in psychotherapy, particularly within hospice or end-of-life care settings.
  • Demonstrated proficiency in solution-focused therapy and the ability to tailor interventions for individual client needs.
  • Exceptional communication skills, with strong problem-solving abilities and a collaborative approach to care.
Preferred Experience
  • Experience working with hospice clients and their families, handling sensitive issues related to end-of-life care.
  • Knowledge of community resources and support systems that aid in holistic patient care.
  • Familiarity with electronic health record (EHR) systems to facilitate efficient documentation and patient management.
Compensation and Benefits
  • Competitive salary ranging from USD 80,000 to 100,000 yearly, commensurate with experience.
  • Comprehensive medical, dental, and vision insurance plans.
  • Life and disability insurance to ensure peace of mind.
  • Professional malpractice insurance coverage.
  • Employee assistance program providing mental health support for staff members.
  • Unlimited referrals for clients, helping maintain a fulfilling and manageable caseload.
  • Streamlined administrative processes to minimize paperwork, allowing you to focus more on your clients.
Career Growth Opportunities

At Gotham Enterprises Ltd, we are committed to your professional development. We offer opportunities for ongoing training, certifications, and leadership roles within our organization. You will also have access to mentorship programs pairing you with seasoned professionals in the field who can guide your growth.

Why Join Our Team

If you are searching for an engaging and impactful career in social work, this is the opportunity for you. Joining Gotham Enterprises Ltd means becoming part of a compassionate team devoted to making a difference in the lives of those we serve. You'll be equipped with resources and support to excel in your role while fostering deep connections with your clients and contributing to their healing journeys.

Application Information

If you are ready to take on a fulfilling role as a Licensed Clinical Social Worker in our hospice center, we invite you to apply today. Please submit your resume and a cover letter detailing your relevant experience and motivation for joining our team. Together, letโ€™s create positive change in our community and support individuals during some of lifeโ€™s most challenging moments.