2

Remote Utilization Review Nurse Jobs in Rochester, NY

Workforce Planner

Farmington, NY · 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 · 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 · 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 · 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 21-34

Remote Utilization Review Nurse information

See Rochester, NY salary details

$21

$41

$68

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

As of Aug 21, 2026, the average hourly pay for remote 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 a remote utilization review nurse?

A Remote Utilization Review Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments, typically from a remote location such as their home. They review patient medical records, apply clinical guidelines, and collaborate with providers and insurance companies to ensure patients receive appropriate care while managing healthcare costs. This role often involves making coverage determinations, conducting pre-authorizations, and participating in appeals processes. Remote Utilization Review Nurses play a critical role in improving patient outcomes and resource allocation within the healthcare system.

What does a remote utilization review nurse do?

As a remote utilization nurse, your duties are to work from home or a remote location to review patient medical records and prepare a range of paperwork for different types of actions a hospital or health care provider can take. Your responsibilities are to determine patient coverage, carry out denial of service authorizations, and negotiate different treatment options and hospital stay length for patients. You rely on your knowledge of treatment options and diseases to determine the level of appropriate care for a patient. Because you telecommute, you also need good technical skills.

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

To thrive as a Remote Utilization Review Nurse, you need a current RN license, clinical experience, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, EHR systems, and certifications like CCM or URAC are highly valued. Strong analytical thinking, attention to detail, and effective communication skills enable success in evaluating clinical documentation and collaborating with providers remotely. These skills and qualifications are essential to ensure efficient, compliant care decisions that optimize patient outcomes and resource use.

How does a remote utilization review nurse collaborate with physicians and other healthcare team members while working remotely?

As a Remote Utilization Review Nurse, collaboration with physicians, case managers, and other healthcare professionals is primarily conducted through secure digital platforms such as email, video conferencing, and electronic health record systems. Effective communication is essential to discuss patient care plans, clarify medical necessity, and ensure compliance with utilization policies. Nurses in this role often participate in virtual meetings or case conferences to present findings and recommendations. Building strong working relationships remotely requires proactive communication, responsiveness, and familiarity with digital collaboration tools.

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

AspectRemote Utilization Review NurseRemote Case Manager
CertificationsRN license, possibly CCM or UR certificationsRN license, CCM or case management certifications
Work EnvironmentHealthcare facilities, insurance companies, telehealthInsurance companies, healthcare organizations, telehealth
Job FocusReview medical necessity, approve or deny servicesCoordinate patient care, arrange services, discharge planning

Remote Utilization Review Nurses primarily evaluate medical necessity for services, while Remote Case Managers coordinate patient care and discharge planning. Both roles require nursing credentials and work in healthcare or insurance settings, but their core responsibilities differ. Understanding these distinctions helps job seekers find the best fit for their skills and career goals.

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

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

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

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

Infographic showing various Remote Utilization Review Nurse 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 $86,774 per year, or $41.7 per hour.

Workforce Planner

Delaware North

Farmington, NY • On-site, Remote

$62K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago


Delaware North rating

6.2

Company rating: 6.2 out of 10

Delaware North

Based on 159 frontline employees who took The Breakroom Quiz

6.1

Company rating compared to similar companies: 6.1 out of 10

Caterers average

Based on 2,711 frontline employees who took The Breakroom Quiz

The best things about working at Delaware North

  • 77%

    77% say their health insurance is affordable

    say their health insurance is affordable

  • 77%

    77% say they have respectful managers

    say they have respectful managers

  • 73%

    73% say they enjoy their job

    say they enjoy their job

Featured by Delaware North, based on 159 Breakroom Quiz responses from their frontline employees


Job description

The opportunity

Delaware North is hiring a Workforce Planner to join our team. As a Workforce Planner, you will be responsible for overseeing the weekly labor planning & scheduling functions within UKG Dimensions and Virtual Roster, and maintaining daily scheduling edits and team member attendance records. If you are detail-oriented, have strong organizational skills, and are passionate about optimizing workforce efficiency, apply now to join our team!

Pay

Minimum – Anticipated Maximum Base Salary: $62,354 - $62,354 / year

In addition to base salary, we offer an annual bonus plan based on company and individual performance, or a role-based, uncapped sales incentive plan. The advertised pay range represents what we believe at the time of this job posting, that we would be willing to pay for this position. Only in special circumstances, where a candidate has education, training, or experience that far exceeds the requirements for the position, would we consider paying higher than the stated range. Information on our comprehensive benefits package can be found at https://careers.delawarenorth.com/benefits/.

What we offer

At Delaware North, we care about our team members' personal and professional journeys. These are just some of the benefits we offer: 

  • Medical, dental, and vision insurance
  • 401(k) with up to 4% company match 
  • Annual performance bonus based on level, as well as individual, company, and location performance
  • Paid vacation days and holidays
  • Paid parental bonding leave
  • Tuition and/or professional certification reimbursement
  • Generous friends-and-family discounts at many of our hotels and resorts
What will you do?
  • Create and configure weekly schedules in UKG Dimensions and Virtual Roster, ensuring standards-based and efficient staffing 
  • Monitor scheduled hours versus forecast and manage labor costs by tracking vacation, sick time, and potential overtime 
  • Partner with operations to maximize the utilization of UKG Dimensions and VR, adhering to best practices for scheduling, timecard approvals, and system updates 
  • Review and update weekly volume forecasts for key KPIs, aligning with productivity standards, and set performance targets 
  • Coordinate and provide training for system users, facilitate annual trainings, and maintain strong partnerships with operations to advise on scheduling decisions based on business patterns and labor rule
More about you
  • Degree in accounting, human resources, or business preferred 
  • Minimum of 1-2 years of experience in scheduling, scheduling operations, labor planning, or schedule planning
  • Experience 
  • Experience using UKG Dimensions and Virtual Roster preferred
  • Knowledge in Excel, WorkDay, and any other comparable timekeeping and scheduling systems   
  • Understanding of P&Ls and budgets 
  • Excellent organizational skills and relationship management skills.
Physical requirements
  • This position offers flexibility to work fully remote (EST time zone preferred) or in a hybrid capacity from one of our office locations at Finger Lakes (NY), Wheeling Island (WV), Gates City (NH), or Mardi Gras (WV) casinos. 
Shift details

Days

Who we are

Our business is all about people, and that includes you. At Delaware North, you’re not just part of a team — you’re part of a global legacy: a family-owned company with 100+ years of history behind it. Our operations span the world, offering you unique paths to growth and success.

Who says you can’t love where you work? With jobs in iconic sports arenas, stunning national parks, exciting casinos, and more, we pride ourselves on giving the world great times in great places. And whether you’re interested in restaurants, hotels, sports, gaming, operations, or retail, part-time or full-time, we’re invested in helping you achieve your career goals.

Together, we’re shaping the future of hospitality — come grow with us!

Delaware North, along with its subsidiaries, is an equal opportunity employer, showcasing job opportunities and considering applicants for all positions without regard to race, color, religion, sex, gender identity, national origin, age, disability, protected veteran status, sexual orientation, or any other legally protected status.


$62,354 - $62,354 / year

Working at Delaware North

Perks for frontline workers

From Delaware North, via Breakroom

  • Flexible work schedules for all team members

  • Weekly pay for hourly team members

  • Referral bonuses for eligible roles

  • Training and development for all team members

  • Employee assistance program for eligible team members

  • Health, vision and dental insurance for eligible team members

  • 401(k) with up to 4% company match for eligible team members

  • Paid time off and holidays for eligible team members

  • Performance bonuses for eligible team members

  • Paid parental bonding leave for eligible team members

  • Employee discounts (varies by location) for eligible team members

What to expect from working at Delaware North

From Delaware North

About Delaware North, in their own words

From Delaware North

Delaware North is a global leader in the hospitality and entertainment industry. We annually serve more than a half-billion guests across three continents, including at high-profile sports venues, national parks, restaurants, resorts, and casinos. Building on more than a century of partnerships and a commitment to local communities and sustainability, our vision is to delight guests by creating the world’s best experiences today, while reimagining tomorrow.

Delaware North team members are the heart and soul of our business, creating unforgettable guest experiences every day — from the first tee as the official catering partner of the PGA of America Championships and domestic Ryder Cup, to a first-class meal at a dream Disney® location. We proudly offer countless growth and learning opportunities, guided by top-tier hospitality mentors.

Find connection, purpose, and growth at Delaware North.

Company values

From Delaware North

  • Lean Forward: we are innovative creators who continually reimagine what’s next
  • Come Together: we work collaboratively with each other and believe in the power of partnership
  • Stand Up: we lead by example, own our decisions and take initiative
  • Do Right: we value integrity and always do the right thing, especially when no one is looking
  • Think Guest: the guest experience is at the heart of everything we do

What Delaware North employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Delaware North logo

About Delaware North

Sourced by ZipRecruiter

At Delaware North, you'll love where you work, who you work with, and how your day unfolds. Whether it's in sporting venues, casinos, airports, national parks, iconic hotels, or premier restaurants, there's no telling where your career can ultimately take you. We empower you to do great work in a company with 100 years of success, stability and growth. If you have drive and enjoy the thrill of making things happen - share our vision and grow with us.

Industry

Hospitality services

Company size

10,000+ Employees

Headquarters location

Buffalo, NY, US

Social media