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Rn Utilization Management Jobs in Rochester, NY (NOW HIRING)

TNAA TotalMed RN

Travel Dialysis RN

Rochester, NY · On-site

Teach patient and significant others how to manage illness. Dialysis Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs ...

TNAA TotalMed RN

Travel Nurse RN - Psychiatric

Rochester, NY · On-site

$1.7K - $2.4K/wk

TNAA TotalMed RN is seeking a travel nurse RN Psychiatric for a travel nursing job in Rochester ... The Psychiatric Nurse also collaborates with clinical and case management staff to coordinate care ...

Rochester Regional Health

Registered Nurse

Rochester, NY · On-site

$38.67 - $51.92/hr

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research ... Registered Nurse license in New York State. * Basic Life Support (BLS) certification. PREFERRED ...

Rochester Regional Health

Registered Nurse

Rochester, NY · On-site

$38.67 - $51.92/hr

Completes at least one clinical research utilization (CRU) form for submission to Nursing Research ... Registered Nurse license in New York State. * Basic Life Support (BLS) certification. PREFERRED ...

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Showing results 21-40

All JobsRn Utilization Management JobsRn Utilization Management Jobs in Rochester, NY

Rn Utilization Management information

See Rochester, NY salary details

$38.5K

$88.3K

$160.8K

How much do rn utilization management jobs pay per year?

As of Aug 16, 2026, the average yearly pay for rn utilization management in Rochester, NY is $88,283.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,600.00 and $103,100.00 per year, depending on experience, location, and employer.

How does an RN Utilization Management typically collaborate with physicians and other healthcare team members?

RN Utilization Management professionals work closely with physicians, case managers, and insurance representatives to ensure patients receive appropriate, high-quality care while managing healthcare costs. They review patient records, communicate clinical findings, and may participate in interdisciplinary meetings to discuss care plans and discharge needs. Building strong relationships and maintaining open lines of communication with the care team is essential for timely authorizations and effective care coordination. This collaborative approach helps optimize patient outcomes and resource utilization.

What skills and qualifications are needed to thrive as an RN Utilization Management?

To thrive as an RN Utilization Management Nurse, you need a current RN license, strong clinical assessment skills, and experience in care coordination or case management. Familiarity with utilization review tools, electronic health records, and knowledge of insurance guidelines or InterQual/MCG criteria are typically required. Exceptional communication, critical thinking, and negotiation skills help facilitate collaboration among providers, payers, and patients. These abilities are crucial for ensuring appropriate resource use, compliance with regulations, and optimal patient outcomes.

How to get into utilization management as an RN?

To become an RN in utilization management, gain experience as a registered nurse, often in case management or clinical roles, and obtain knowledge of insurance policies and healthcare regulations. Certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) can enhance prospects. Strong communication skills and familiarity with electronic health records (EHR) systems are also beneficial.

What is the difference between Rn Utilization Management vs Rn Case Management?

AspectRn Utilization ManagementRn Case Management
CertificationsRN license, possibly certifications in utilization reviewRN license, case management certification often preferred
Work EnvironmentUtilization review departments, insurance companies, hospitalsCommunity clinics, hospitals, insurance companies
Primary FocusReviewing medical necessity and appropriateness of servicesCoordinating patient care and discharge planning

Both roles require an RN license, but Rn Utilization Management focuses on reviewing the necessity of services, while Rn Case Management emphasizes coordinating patient care. Understanding these differences helps professionals choose the right career path and employers.

What does a utilization management registered nurse do?

A utilization management registered nurse reviews patient cases to determine the necessity, appropriateness, and efficiency of healthcare services and treatments. They analyze medical records, collaborate with healthcare providers, and ensure compliance with insurance and regulatory guidelines, often using electronic health records and clinical judgment. Certification in case management or utilization review is commonly required for this role.

What is an RN Utilization Management?

RN Utilization Management nurses are registered nurses who specialize in reviewing healthcare services to ensure patients receive appropriate and cost-effective care. They evaluate the necessity, efficiency, and quality of medical treatments and procedures, often working with insurance companies, hospitals, or healthcare organizations. Their responsibilities include reviewing patient records, coordinating with clinical staff, making coverage recommendations, and ensuring compliance with healthcare regulations. This role helps manage healthcare costs while maintaining high standards of patient care.

What are popular job titles related to Rn Utilization Management jobs in Rochester, NY?

For Rn Utilization Management jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Rn Utilization Management jobs in Rochester, NY look for?

The top searched job categories for Rn Utilization Management jobs in Rochester, NY are:

Rn Utilization Management jobs near you
Infographic showing various Rn Utilization Management job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $88,283 per year, or $42.4 per hour.

Travel Nurse RN - Rehabilitation

TNAA TotalMed RN

Rochester, NY • On-site

$1.8K - $2.3K/wk

Contractor

Medical, Dental, Vision, Retirement

Posted 3 days ago

New

Job description

TNAA TotalMed RN is seeking a travel nurse RN Rehabilitation for a travel nursing job in Rochester, New York.

Job Description & Requirements
  • Specialty: Rehabilitation
  • Discipline: RN
  • Start Date: 09/14/2026
  • Duration: 17 weeks
  • 36 hours per week
  • Shift: 12 hours, rotating
  • Employment Type: Travel

We're looking for Registered Nurses (RN) for an immediate travel opening in Rochester, NY at our Rehabilitation Hospital.

The right RN should have at least 1 year of experience in rehabilitation setting. Read below for more details.

As an RN in a Rehabilitation Hospital, you will provide specialized care to patients recovering from serious illnesses, injuries, or surgeries. You'll work closely with a multidisciplinary team to create and implement individualized care plans, ensuring that patients regain as much function and independence as possible.

As an RN in a Rehabilitation Hospital, you should be prepared to perform the following tasks:

  • Patient Care: Provide direct care to patients with neurological, orthopedic, or other rehabilitation needs, including stroke recovery, spinal cord injuries, joint replacements, or brain injuries
  • Care Planning: Collaborate with physicians, physical therapists, occupational therapists, and other members of the rehab team to develop and implement personalized care plans that support patient recovery goals
  • Monitoring & Assessment: Regularly assess patients' physical and mental condition, monitor vital signs, neurological function, and progress in therapy. Adjust care plans as necessary based on patient response.
  • Medication Administration: Administer medications as prescribed, monitor for side effects, and ensure proper dosage and timely delivery. Assist with pain management strategies to promote patient comfort during rehabilitation
  • Patient Education: Educate patients and families about recovery goals, rehabilitation techniques, safety precautions, and strategies to promote independence in daily activities
  • Emergency Response: Respond to medical emergencies, including sudden changes in condition, respiratory distress, or cardiac issues, and act quickly to stabilize patients when needed.
  • Documentation: Maintain accurate and up-to-date patient records, documenting assessments, treatments, and progress toward rehabilitation goals in the electronic health record (EHR)
  • Discharge Planning: Assist with discharge planning, ensuring patients and families are prepared for post discharge care, including home modifications, continued therapies, and follow-up appointments
  • Collaboration: Work closely with interdisciplinary teams, including physicians, physical therapists, occupational therapists, case managers, and social workers, to provide comprehensive care tailored to each patient's needs

The ideal candidate must have at least one year of experience as an RN in a rehabilitation setting. Current BLS certification is required. Additional certifications may be required. Must be eligible for state licensure.

Rehabilitation Nurses should be able to stand or walk for long periods and must be able to bend, stoop, and lift with proper body mechanics. They should have excellent communication and organizational skills, as well as the ability to manage complex care needs. They must be compassionate, patient, and skilled in promoting recovery and independence for patients recovering from serious injuries or illnesses.


Requirements*: BLS, PALS, 2 Years
* Additional certifications may be required before beginning an assignment.

TotalMed Travel Job ID #1479396. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Rehab - Rehab RN - Travel Nurse

About TNAA TotalMed RN

TotalMed is a Top Ten, travel nursing and healthcare staffing agency with the mission of igniting purpose in healthcare. The organization staffs nurses, therapists, pharmacists, and other clinicians of all specialties in all 50 states. They offer local and travel jobs and match caregivers with the right organization to assist both facilities and patients. As an organization, they focus on putting highly-skilled staff into facilities to ensure adequate staffing for a better patient experience.


TotalMed specializes in recruiting and placing healthcare professionals in travel, PRN, and permanent positions across the country in Nursing and Allied Health. Throughout 2020, the organization filled roles at even the most short-staffed facilities during the most challenging time in healthcare. By matching the right travel healthcare professional with the right organization, TotalMed continues to offer a lifeline to facilities and their patients.

Benefits
  • Weekly pay
  • Guaranteed Hours
  • Continuing Education
  • 401k retirement plan
  • Sick pay
  • Wellness and fitness programs
  • Referral bonus
  • Employee assistance programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Benefits start day 1

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