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Senior Rn Utilization Review Nurse Jobs in Rochester, NY

Voyage Health

Travel RN House Supervisor

Rochester, NY · On-site

$2.6K - $2.7K/wk

Position Details Specialty: RN Utilization Review Location: Rochester, New York Employment Type: Travel/Contract Pay: $2647 - $2786 per week Shift: 5x8 Flex Start Date: ASAP Contract Length: 13-week ...

Hilton East

UAS certified ALP RN

Hilton, NY · On-site

$35 - $45/hr

Description: The UAS Registered Nurse is responsible for ensuring that ALP residents receive ... Review nurse notes daily and follow up on any concerns, changes in condition, or care issues.

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Senior Rn Utilization Review Nurse information

See Rochester, NY salary details

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$41

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How much do senior rn utilization review nurse jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for senior rn 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 the difference between Senior Rn Utilization Review Nurse vs Rn Case Manager?

AspectSenior Rn Utilization Review NurseRn Case Manager
CertificationsRN license, possibly UR or case management certificationRN license, often case management certification
Work EnvironmentHospitals, insurance companies, healthcare organizationsHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and utilization of servicesCoordinating patient care and discharge planning
Common UsageUsed in insurance and healthcare review settingsUsed in patient care coordination and discharge planning

The Senior Rn Utilization Review Nurse primarily focuses on evaluating the necessity and appropriateness of healthcare services, often working within insurance companies or healthcare organizations. In contrast, Rn Case Managers concentrate on coordinating patient care, discharge planning, and ensuring smooth healthcare delivery. Both roles require RN licensure and relevant certifications, but their daily responsibilities and work environments differ slightly.

What does a Senior RN Utilization Review Nurse do?

A Senior RN Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, apply clinical guidelines, and collaborate with healthcare providers to ensure that treatments are cost-effective and meet established standards of care. Additionally, they often mentor junior staff, participate in policy development, and help optimize resource utilization within healthcare organizations. Their work supports quality patient care while managing healthcare costs.

What are some typical challenges faced by a Senior RN Utilization Review Nurse when coordinating with multidisciplinary teams?

Senior RN Utilization Review Nurses often collaborate with physicians, case managers, and insurance representatives to ensure patients receive appropriate, cost-effective care. A common challenge is balancing clinical guidelines with payer requirements, which can sometimes lead to differing opinions on the necessity of certain treatments or services. Effective communication, strong negotiation skills, and up-to-date knowledge of regulatory standards are essential to navigate these situations successfully. Being proactive and maintaining strong professional relationships helps facilitate smoother approvals and promotes patient-centered care.

What are the key skills and qualifications needed to thrive as a Senior RN Utilization Review Nurse, and why are they important?

To thrive as a Senior RN Utilization Review Nurse, you need a strong clinical nursing background, active RN licensure, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and certifications like CCM (Certified Case Manager) or URAC are highly beneficial. Exceptional critical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These skills ensure accurate case evaluations, compliance with regulations, and optimized patient care while controlling healthcare costs.
What are the most commonly searched types of Rn Utilization Review Nurse jobs in Rochester, NY? The most popular types of Rn Utilization Review Nurse jobs in Rochester, NY are:
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Senior Rn Utilization Review Nurse jobs near you

Travel RN House Supervisor

Voyage Health

Rochester, NY • On-site

$2.6K - $2.7K/wk

Full-time

Re-posted 8 days ago

Job description

Position Details


Specialty: RN Utilization Review

Location: Rochester, New York

Employment Type: Travel/Contract

Pay: $2647 - $2786 per week

Shift: 5x8 Flex

Start Date: ASAP

Contract Length: 13-week


Position: RN Utilization Review (Travel/Contract)


We're hiring experienced RN Utilization Review for a 13-week contract in Rochester, New York — earn up to ($2647 - $2786 per week) while providing essential care at a leading facility. Most candidates will need to have at least 2 years of recent experience in the specialty.


Looking to level up your career and boost your income? At Voyage Healthcare, we help connect nurses, therapists, and allied health pros with high-paying travel jobs at top-rated facilities across the U.S. With thousands of openings nationwide, you can earn up to $3,500+ per week (depending on your specialty, location, housing, and benefits)—all while making a real impact on the communities that need you most. Let your next adventure start with us!


Apply & Call us today at 800-798-6035 for details on this opportunity.