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Utilization Review Coordinator Jobs in Rochester, NY

Utilization Management Services Rep I

Rochester, NY · On-site

$15.75 - $21.50/hr

  • Medical

  • Dental

  • Retirement

Assists with coordinating Grievance and Appeals requests. * Assist with all Blue Card Claims ... review and creation of desk level procedures, acting as a subject matter expert for UM Services.

Utilization Management Services Rep I

Rochester, NY · On-site

$15.75 - $21.50/hr

  • Medical

  • Dental

  • Retirement

Assists with coordinating Grievance and Appeals requests. * Assist with all Blue Card Claims ... review and creation of desk level procedures, acting as a subject matter expert for UM Services.

Showing results 21-40

Utilization Review Coordinator information

See Rochester, NY salary details

$15

$29

$46

How much do utilization review coordinator jobs pay per hour?

As of Aug 13, 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.

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 degree do I need for utilization review coordinator?

A utilization review coordinator typically needs at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Relevant certifications, such as Certified Professional Coder (CPC) or Certified Utilization Review Professional (CURP), can enhance job prospects. Strong knowledge of medical terminology, insurance processes, and healthcare regulations is also important.

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 is the difference between Utilization Review Coordinator vs Utilization Review Nurse?

AspectUtilization Review CoordinatorUtilization Review Nurse
CredentialsTypically requires a healthcare-related certification or associate degreeRegistered Nurse (RN) license required
Work EnvironmentOffice setting, administrative tasks, coordinationClinical setting, patient chart review, direct communication with healthcare providers
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Common Search & ComparisonFocuses on administrative review processesInvolves 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 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.
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 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:
Infographic showing various Utilization Review Coordinator job openings in Rochester, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $60,764 per year, or $29.2 per hour.

Department Coordinator

University of Rochester

Rochester, NY • On-site

$21.78 - $30.53/hr

Other

Posted 8 days ago


University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

127th of 618 rated colleges and universities


Job description

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, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500009 Utilization Management

Work Shift:

UR - Day (United States of America)

Range:

UR URG 106 H

Compensation Range:

$21.78 - $30.53

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.

Responsibilities:

Provides administrative support within a department, in addition to serving as the principal assistant to leadership roles. Responsible for performing a variety of advanced, complex assignments including department accounts working with minimal direction under their own initiative and latitude for independent judgment. Provides work leadership to other support staff. Processes highly confidential administrative information and works with limited supervision and exercise independent judgment.

Essential Functions:

  • Provides support to a department, including preparing and reviewing reports and documents, attending meetings and taking minutes, overseeing office management systems, and screening and directing calls. Manages the time and calendar of administrators, including travel and project timelines, choosing or recommending among competing demands on time.

  • Integrates best practices to enhance the efficiency and effectiveness of delivery of services. Maintains relationships and collaborates with various divisions of University. Develops and establishes procedures and schedules to meet operational needs of the department. Maintains required records and reports of activities.

  • Shares information, policies, and operations procedures to faculty, staff, students, parents, and visitors. Interacts with external and internal individuals. Prepares various administrative reports.

  • Coordinates and oversees highly confidential matters pertaining to the department.

  • Directs and coordinates maintenance of departmental accounts. Prepares data for operating budgets and for financial reports. Prepares analyses and allocates expenses. Coordinates expenditures and property controls. Initiates or authorizes orders for space, equipment, supplies and services.

  • Functions as a liaison to leadership, administrators, faculty, staff, students, and visitors on behalf of the department and/or University. Establishes and builds positive working relationships with external agencies and organizations. Arranges for accommodations, plans, and coordinates their activities and serves as a representative during their visit.

  • Coordinates use of conference rooms and meeting rooms for internal and external users. Maintains calendars for room use and events. Coordinates and makes arrangements for special events, seminars, workshops and activities.

  • Coordinates and develops informational materials, presentations, and communications of various departmental related publications.

  • May supervise up to two other support staff. Prioritizes and assigns work, ensuring staff is trained. Conducts performance evaluations.

  • Other duties as assigned.

Minimum Education & Experience:

  • Associate's degree and 3 years of progressively responsible experience in administrative support required

  • Or equivalent combination of education and experience

Knowledge, Skills & Abilities:

  • Proficiency with Microsoft Suite, FileMaker Pro, virtual collaboration tools (Zoom, Box), Adobe, etc. required

  • Office procedures, database entry principles, customer service and public relations principles, principles of math, mailing and distribution methods, training principles, leadership principles, intermediate to advanced budget administration principles, inventory and supply maintenance principles, event planning required

  • Ability to effectively communicate and interact, both verbally and in writing, with all people required

  • Intermediate knowledge of hardware and software functionality preferred

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

Notice: If you are a Current Employee, please log into myURHR to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.

Learn. Discover. Heal. Create.

Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.

If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals.

At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better—Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.


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