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Utilization Review Assistant Jobs in Rochester, NY

DePaul

Quality Management Specialist I

Rochester, NY · On-site

$23.20 - $24.70/hr

Responsible for Utilization Record Review functions to include Individual record audits, admission ... Assistant Program, Staff Recognition Program and Employee Discount Program. DePaul is an equal ...

L3HHCM20

Lead, Government Compliance

Rochester, NY · On-site

$87K - $196K/yr

Complete government Purchase Order compliance reviews to support maintaining an approved purchasing ... Evaluate Request for Proposal (RFP) requirements for Small Business utilization and participation.

Techgene Solutions LLC

Estimating Manager

Rochester, NY · On-site

Prepare and review detailed mechanical/plumbing estimates from schematic, design-build, and ... Prepare subcontractor scopes, solicit vendor pricing, and assist with subcontract awards. * Cross ...

New

University of Rochester

Ambulatory Tech I

Rochester, NY · On-site

$19.15 - $25.85/hr

Responsible for efficient room utilization and ensures patient wait time is minimized. * Escorts ... May assist providers with patient processes as a surgical procedure assistant. Prepares room and ...

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All JobsUtilization Review JobsUtilization Review Assistant JobsUtilization Review Assistant Jobs in Rochester, NY

Utilization Review Assistant information

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$9

$28

$59

How much do utilization review assistant jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for utilization review assistant in Rochester, NY is $28.92, according to ZipRecruiter salary data. Most workers in this role earn between $16.40 and $35.50 per hour, depending on experience, location, and employer.

What is a Utilization Review Assistant job?

A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.

What are the key skills and qualifications needed to thrive in the Utilization Review Assistant position, and why are they important?

To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.

What does a typical day look like for a Utilization Review Assistant and who do they work with?

A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

What are the most commonly searched types of Utilization Review jobs in Rochester, NY? The most popular types of Utilization Review jobs in Rochester, NY are:
What are popular job titles related to Utilization Review Assistant jobs in Rochester, NY? For Utilization Review Assistant jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Utilization Review Assistant jobs in Rochester, NY look for? The top searched job categories for Utilization Review Assistant jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Utilization Review Assistant jobs? Cities near Rochester, NY with the most Utilization Review Assistant job openings:
Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in Rochester, NY as of July 2026, with employment types broken down into 1% As Needed, 73% Full Time, 23% Part Time, 1% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $60,159 per year, or $28.9 per hour.
Quality Management Specialist I (DACC)

Quality Management Specialist I (DACC)

DePaul

Rochester, NY

$23.20 - $24.70/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Job description

The Quality Management Specialist works with the Quality Management Department to provide the highest achievable quality of services to the individuals we serve.  The Quality Management Department defines best practices, identifies strengths in service delivery and provides structure through which problem identification and resolution can occur.  Quality Management Specialists at DePaul will assist in the establishment of outcomes, indicators and monitoring for Quality Assurance purposes.  The QM Specialist will assist in the analysis of data gathered to implement change as needed for improvement of services. 

Why work for DePaul?

  • Make a positive difference in someone's life
  • Supportive work environment
  • We value diversity
  • Opportunity for professional development and career advancement
  • Excellent benefits and competitive wages
  • Pay range for this position is $23.20-$24.70/hour based on experience 

  • Implementation of the Quality Management Plan within the corporation.
  • Incident Management – review incident reports and provide feedback and recommendations(site-specific). Responsible for incident investigations and determining trends for reporting and follow-up consultation and training.
  • Responsible for Utilization Record Review functions to include Individual record audits, admission reviews, continued stay reviews and discharge reviews.
  • Participate in gathering and preparation of necessary statistics for Quality Management / Improvement reports.
  • Participate and support the implementation of Risk Management activities throughout the corporation.
  • Review and follow-up to consumer, family members and other providers’ concerns / complaints.
  • Involved in facilitation of client feedback for quality improvement purposes. Responsible for the Resident Satisfaction Surveys.
  • Responsible for the Family Satisfaction Survey and other surveys as deemed necessary.
  • Involved in agency-wide Quality Improvement functions as determined appropriate.
  • Involved in performance-based outcomes activities as determined appropriate.
  • Provide support to the Quality Management Vice-President, Quality Management Director and Quality Management Specialist II as requested.
  • Participate in DePaul’s overall Quality Management planning.
  • Performs all other duties as assigned.

  • Registered Nurse or Licensed Practical Nurse with 3 years of experience in long-term care; OR Bachelor’s degree with 3 years of experience in long-term care.
  • Adult care experience preferred.
  • Valid NYS driver’s license – travel required. Must meet DePaul’s Clean Driving Record Policy

This position is eligible for the following for the following benefits:  Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, Generous PTO & Paid Holidays, 403B with Employer Match, robust Employee Assistant Program, Staff Recognition Program and Employee Discount Program.

DePaul is an equal opportunity employer that values diversity.  All employment is decided based on qualifications, merit, and program need.

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