Utilization Review * Discipline: Therapy * Start Date: 09/14/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, nights * Employment Type: Travel Benefits: * Day 1 Insurance * Cigna ...
Utilization Review * Discipline: Therapy * Start Date: 09/14/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, nights * Employment Type: Travel Benefits: * Day 1 Insurance * Cigna ...
This position is responsible for coordinating, integrating, and monitoring the utilization of ... May perform clinical review telephonically, electronically, or on-site, depending on customer and ...
This position is responsible for coordinating, integrating, and monitoring the utilization of ... May perform clinical review telephonically, electronically, or on-site, depending on customer and ...
This position is responsible for coordinating, integrating, and monitoring the utilization of ... May perform clinical review telephonically, electronically, or on-site, depending on customer and ...
This position is responsible for coordinating, integrating, and monitoring the utilization of ... May perform clinical review telephonically, electronically, or on-site, depending on customer and ...
This position is responsible for coordinating, integrating, and monitoring the utilization of ... May perform clinical review telephonically, electronically, or on-site, depending on customer and ...
This position is responsible for coordinating, integrating, and monitoring the utilization of ... May perform clinical review telephonically, electronically, or on-site, depending on customer and ...
RN, Utilization Management
Rochester, NY · On-site
$81K - $109K/yr
Works collaboratively with various departments across the entire health care system to review ... Utilization Management experience preferred KNOWLEDGE, SKILLS AND ABILITIES * Database experience ...
RN, Utilization Management
Rochester, NY · On-site
$81K - $109K/yr
Works collaboratively with various departments across the entire health care system to review ... Utilization Management experience preferred KNOWLEDGE, SKILLS AND ABILITIES * Database experience ...
UR Cardiac Care Flex Team - Registered Nurse 2, Inpatient
Rochester, NY · On-site
$40.03 - $54.04/hr
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect ...
UR Cardiac Care Flex Team - Registered Nurse 2, Inpatient
Rochester, NY · On-site
$40.03 - $54.04/hr
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect ...
Pharmacy Outreach Coordinator
Rochester, NY · On-site
$18.50 - $24.25/hr
The Pharmacy Outreach Coordinator performs functions as permitted by law including outreach to ... Awareness of prescription and medical benefits as it applies to the utilization review process and ...
New
Pharmacy Outreach Coordinator
Rochester, NY · On-site
$18.50 - $24.25/hr
The Pharmacy Outreach Coordinator performs functions as permitted by law including outreach to ... Awareness of prescription and medical benefits as it applies to the utilization review process and ...
New
Pharmacy Outreach Coordinator
$18.50 - $24.25/hr
The Pharmacy Outreach Coordinator performs functions as permitted by law including outreach to ... Awareness of prescription and medical benefits as it applies to the utilization review process and ...
New
Pharmacy Outreach Coordinator
$18.50 - $24.25/hr
The Pharmacy Outreach Coordinator performs functions as permitted by law including outreach to ... Awareness of prescription and medical benefits as it applies to the utilization review process and ...
New
Supervisor (RN)Nursing Home Surveyor/Complaint Investigator
Rochester, NY · On-site
$109K - $115K/yr
... coordinating and assisting in providing preceptor surveillance training to IPRO surveyors ... A minimum of two (2) years of experience in performing utilization review, claims adjudication ...
Quick apply
Supervisor (RN)Nursing Home Surveyor/Complaint Investigator
Rochester, NY · On-site
$109K - $115K/yr
... coordinating and assisting in providing preceptor surveillance training to IPRO surveyors ... A minimum of two (2) years of experience in performing utilization review, claims adjudication ...
UR Cardiac Care Flex Team - Registered Nurse 2, Inpatient
Rochester, NY · On-site
$40.03 - $54.04/hr
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect ...
UR Cardiac Care Flex Team - Registered Nurse 2, Inpatient
Rochester, NY · On-site
$40.03 - $54.04/hr
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect ...
Nurse Navigator (Part-Time) - Oncology
Rochester, NY · On-site
$66 - $110/hr
Provides proactive case coordination/patient navigation for patients, including triage management ... Applies utilization review criteria to assess and document appropriateness of admission, continued ...
New
Nurse Navigator (Part-Time) - Oncology
Rochester, NY · On-site
$66 - $110/hr
Provides proactive case coordination/patient navigation for patients, including triage management ... Applies utilization review criteria to assess and document appropriateness of admission, continued ...
New
Intake Coordinator
Rochester, NY · On-site
$20.15 - $25.15/hr
The incumbent screens referrals, conducts assessments and Admission Safety Reviews, communicates ... the utilization of beds. · Reports on the status of referrals, referral trends and other ...
Quick apply
Intake Coordinator
Rochester, NY · On-site
$20.15 - $25.15/hr
The incumbent screens referrals, conducts assessments and Admission Safety Reviews, communicates ... the utilization of beds. · Reports on the status of referrals, referral trends and other ...
Provides proactive case coordination/patient navigation for patients, including triage management ... Applies utilization review criteria to assess and document appropriateness of admission, continued ...
Provides proactive case coordination/patient navigation for patients, including triage management ... Applies utilization review criteria to assess and document appropriateness of admission, continued ...
Provides proactive case coordination/patient navigation for patients, including triage management ... Applies utilization review criteria to assess and document appropriateness of admission, continued ...
Provides proactive case coordination/patient navigation for patients, including triage management ... Applies utilization review criteria to assess and document appropriateness of admission, continued ...
Operations Assistant
Irondequoit, NY · On-site
Supports manager in coordinating all activities related to Utilization Review throughout the hospital. Coordinates all concurrent and retrospective third party payer review and appeal processes.
New
Operations Assistant
Irondequoit, NY · On-site
Supports manager in coordinating all activities related to Utilization Review throughout the hospital. Coordinates all concurrent and retrospective third party payer review and appeal processes.
New
Clinical Pharmacist, Utilization Management
$116K - $139K/yr
Presents quarterly CAU review and analysis to the clinical team and compliance department ... Collaborates with Decision Criteria Coordinator to maintain and update decision criteria and denial ...
New
Clinical Pharmacist, Utilization Management
$116K - $139K/yr
Presents quarterly CAU review and analysis to the clinical team and compliance department ... Collaborates with Decision Criteria Coordinator to maintain and update decision criteria and denial ...
New
RN Care Coordinator
Rochester, NY · On-site
$77K - $93K/yr
... utilization management, proactive patient management, care facilitation and treatment planning ... Complete the Patient Review Instrument * Other duties as assigned Salary Range: $77,220.15- $93,600 ...
RN Care Coordinator
Rochester, NY · On-site
$77K - $93K/yr
... utilization management, proactive patient management, care facilitation and treatment planning ... Complete the Patient Review Instrument * Other duties as assigned Salary Range: $77,220.15- $93,600 ...
Clinical Pharmacist, Utilization Management
Rochester, NY · On-site
$116K - $139K/yr
Presents quarterly CAU review and analysis to the clinical team and compliance department ... Collaborates with Decision Criteria Coordinator to maintain and update decision criteria and denial ...
New
Clinical Pharmacist, Utilization Management
Rochester, NY · On-site
$116K - $139K/yr
Presents quarterly CAU review and analysis to the clinical team and compliance department ... Collaborates with Decision Criteria Coordinator to maintain and update decision criteria and denial ...
New
Manages and coordinates patient care, including clinically complex cases, in a manner which ensures ... Participates in utilization review and/or continuous quality improvement activities as requested.
Manages and coordinates patient care, including clinically complex cases, in a manner which ensures ... Participates in utilization review and/or continuous quality improvement activities as requested.
Manages and coordinates patient care, including clinically complex cases, in a manner which ensures ... Participates in utilization review and/or continuous quality improvement activities as requested.
Manages and coordinates patient care, including clinically complex cases, in a manner which ensures ... Participates in utilization review and/or continuous quality improvement activities as requested.
Utilization Review Coordinator information
See Rochester, NY salary details
$15.65 - $18.41
7% of jobs
$20.94 is the 25th percentile. Wages below this are outliers.
$18.41 - $21.17
19% of jobs
$21.17 - $23.93
22% of jobs
The median wage is $24.21 / hr.
$23.93 - $26.69
11% of jobs
$26.69 - $29.45
4% of jobs
$29.45 - $32.21
5% of jobs
$33.38 is the 75th percentile. Wages above this are outliers.
$32.21 - $34.97
14% of jobs
$34.97 - $37.73
10% of jobs
$37.73 - $40.49
4% of jobs
$40.49 - $43.25
2% of jobs
$43.25 - $46.01
1% of jobs
$15
$29
$46
How much do utilization review coordinator jobs pay per hour?
As of Sep 2, 2026, the average hourly pay for utilization review 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 does a utilization review coordinator do?
A Utilization Review Coordinator is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance information to ensure that care meets established guidelines and regulatory requirements. By coordinating between healthcare providers, insurance companies, and patients, Utilization Review Coordinators help optimize resource use and manage healthcare costs while ensuring quality patient care.
What skills and qualifications are needed to be a utilization review coordinator?
To thrive as a Utilization Review Coordinator, you need expertise in healthcare regulations, clinical guidelines, and case management, often supported by an RN license or a background in health administration. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance approval processes are typically required. Strong analytical thinking, attention to detail, and effective communication skills help you collaborate with providers and advocate for appropriate patient care. These skills ensure compliance, optimize resource use, and support quality care delivery within healthcare organizations.
How does a utilization review coordinator collaborate with healthcare providers and insurance companies?
A Utilization Review Coordinator regularly communicates with both healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. They review medical records and treatment plans, discuss cases with physicians to clarify medical necessity, and submit documentation to insurance payers for approval. This role requires strong interpersonal skills, as coordinators often need to negotiate coverage decisions and resolve discrepancies between clinical teams and insurers. Effective collaboration ensures timely authorizations and helps avoid unnecessary delays in patient care.
What is the difference between Utilization Review Coordinator vs Utilization Review Nurse?
| Aspect | Utilization Review Coordinator | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a healthcare-related certification or associate degree | Registered Nurse (RN) license required |
| Work Environment | Office setting, administrative tasks, coordination | Clinical setting, patient chart review, direct communication with healthcare providers |
| Employer & Industry | Insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare providers |
| Common Search & Comparison | Focuses on administrative review processes | Involves clinical assessment and patient care considerations |
While both roles involve reviewing healthcare utilization, the Utilization Review Coordinator primarily handles administrative and coordination tasks, often without direct patient contact, whereas the Utilization Review Nurse performs clinical assessments as a licensed RN, often in hospital or clinical settings. Understanding these differences helps job seekers identify the right role based on their credentials and career goals.
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 Coordinator jobs in Rochester, NY?
For Utilization Review Coordinator jobs in Rochester, NY, the most frequently searched job titles are:
- Behavioral Health Utilization Review
- Freelance Utilization Review Nurse
- Full Time Optum Health Utilization Review
- Evening Optum Health Utilization Review
- Temporary Utilization Review Nurse
- Medical Review Coordinator
- Non Exempt No Experience Utilization Management Nurse
- Full Time Remote Utilization Review
- Weekend Physician Advisor Utilization Review
- Full Time Physician Advisor Utilization Review
What job categories do people searching Utilization Review Coordinator jobs in Rochester, NY look for?
The top searched job categories for Utilization Review Coordinator jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Utilization Review Coordinator jobs?
Cities near Rochester, NY with the most Utilization Review Coordinator job openings:
Contractor
Medical, Dental, Vision
Re-posted 20 days ago
Job description
Uniti Med is seeking a travel Home Health Utilization Review for a travel job in Webster, New York.
Job Description & Requirements- Specialty: Utilization Review
- Discipline: Therapy
- Start Date: 09/14/2026
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, nights
- Employment Type: Travel
Benefits:
- Day 1 Insurance
- Cigna medical, MetLife dental and vision insurance
- License reimbursement for new licenses needed for each assignment
- Discounts with hotels and rental cars
- A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
- Referral bonus up to $700
About the Company:
Finding the right role is about more than just matching skills to a job—it’s about aligning with your goals, values, and the way you want to work.
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we’re here to help you move forward with confidence.
Uniti Med Job ID #846252. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Home Health Aide
About Uniti MedUniti Med meticulously matches your talents to our open needs to ensure the ultimate travel experience. Tell us where you want to go and let our experienced staff lead the way!
- Referral bonus
- Benefits start day 1
- Employee assistance programs
About Uniti Med
Sourced by ZipRecruiter
A great workplace is created when core values are exhibited by employees on a daily basis. At Uniti Med, our values are more than just aspirations, they are embedded in our decision-making processes and how we work with one another. We are always looking for good humans who understand this is exactly where they are supposed to be to change people’s lives for the better. If these values speak to you, Uniti is your home.
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Omaha, NE, US