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Utilization Management Care Coordinator Jobs in Rochester, NY

Highland Hospital

RN Case Manager (Hospital)

Rochester, NY · On-site

$77K - $93K/yr

... and utilization management, proactive patient management, care facilitation and treatment planning functions. The Clinical Care Coordinator/Care Manager coordinates care along with unit staff ...

pcscco

Care Coordinator

Newark, NY

$19.25 - $26/hr

Comprehensive Care Management * Care Coordination and Health Promotion * Comprehensive Transitional Care * Individual and Family Support * Referral to Community and Social Support Services * Use of ...

Person Centered Services

Care Coordinator

Newark, NY · On-site

$24/hr

Comprehensive Care Management * Care Coordination and Health Promotion * Comprehensive Transitional Care * Individual and Family Support * Referral to Community and Social Support Services * Use of ...

Person Centered Services

Care Coordinator

Newark, NY · On-site

$19.25 - $26/hr

Comprehensive Care Management * Care Coordination and Health Promotion * Comprehensive Transitional Care * Individual and Family Support * Referral to Community and Social Support Services * Use of ...

Highland Hospital

RN Case Manager PC/FM

Rochester, NY

$37 - $45/hr

... coordinates access and utilization management, proactive patient management, care facilitation and treatment planning functions. The RN Care Manager manages clinical aspects of patient centered ...

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Utilization Management Care Coordinator information

See Rochester, NY salary details

$15

$29

$46

How much do utilization management care coordinator jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for utilization management care coordinator in Rochester, NY is $29.21, according to ZipRecruiter salary data. Most workers in this role earn between $21.11 and $34.13 per hour, depending on experience, location, and employer.

What is the difference between Utilization Management Care Coordinator vs Utilization Review Nurse?

AspectUtilization Management Care CoordinatorUtilization Review Nurse
CredentialsRN or licensed healthcare professionalRN, with licensing required
Work EnvironmentInsurance companies, healthcare organizations, utilization review teamsHospitals, insurance companies, outpatient facilities
Primary FocusCoordinate care, review medical necessity, facilitate approvalsAssess medical records, review appropriateness of care, make determinations

Both roles involve reviewing medical cases, but the Utilization Management Care Coordinator focuses on coordinating care and facilitating approvals, while the Utilization Review Nurse primarily assesses medical records to determine the necessity of services. They often work together within healthcare and insurance settings to ensure appropriate patient care and resource utilization.

Is utilization management care coordination a stressful job?

Utilization management care coordinators often work in fast-paced healthcare environments, managing multiple cases and ensuring appropriate resource use, which can be stressful at times. The role requires strong organizational skills, attention to detail, and the ability to handle complex cases under deadlines, but stress levels vary depending on workload and support systems.

What does a utilization management care coordinator do?

A utilization management care coordinator reviews and authorizes healthcare services to ensure they are medically necessary and appropriate, often working with insurance companies and healthcare providers. They analyze patient records, coordinate approvals, and ensure compliance with policies, typically using healthcare management software and requiring knowledge of insurance and medical guidelines.

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

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

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

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

What cities near Rochester, NY are hiring for Utilization Management Care Coordinator jobs?

Cities near Rochester, NY with the most Utilization Management Care Coordinator job openings:

Utilization Management Care Coordinator jobs near you

RN Care Coordinator

Highland Hospital of Rochester

Rochester, NY • On-site

$77K - $93K/yr

Other

Re-posted 10 days ago

Job description


Highland Hospital is seeking a part-time Case Manager to join the team. Hours will be Monday-Friday from 8am-4:30pm.
Under general direction, the Clinical Care Coordinator/Case Manager's role is to coordinate interdisciplinary care planning to achieve timely and safe discharge and/or to coordinate access and utilization management, proactive patient management, care facilitation and treatment planning functions. The Clinical Care Coordinator/Care Manager coordinates care along with unit staff (Nursing, Providers, Consulting Services, Social Work) and providers caring for the patient at discharge to assist in facilitating a patient focused plan of care aimed at ensuring a safe transition from hospital to home for adult acute care patients.
Essential functions include, but are not limited to:
  • Identify patient discharge needs and potential barriers
  • Assists with closing gaps in medical care upon discharge by utilizing community resources
  • Communication with in-network PCP offices to ensure a transition of care to the community setting
  • Identify resources for patient self-management planning and discharge
  • Assist in developing and implementing care plans for medically complex patients
  • Prepares patient for discharge by referring for home care services (skilled nursing, PT, OT, SLP) and DME
  • Complete the Patient Review Instrument
  • Other duties as assigned

Salary Range:
$77,220.15- $93,600
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations
Job Requirements
  1. Fulfilled the educational requirements to be a licensed RN in NYS; BSN preferred. 3-5 years professional nursing experience. Progressive clinical experience including community health, care management, and/or disease management is preferred.
  2. Experience working as a member of a multi-disciplinary team is required. Experience in data analysis and chronic illness management preferred.
  3. Current and valid license to practice as an RN in New York State required. PRI certification preferred but not required.

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