ZipRecruiter

Log In

1

Utilization Review Np Jobs in Rochester, NY (NOW HIRING)

DOCS Health

Nurse Practitioner

Rochester, NY · On-site

$550/day

Review health history, service member medical records, and medical questionnaires. * Interview ... Active NP license in the state * CPR/BLS Certification * Experience with Primary Care, Urgent Care ...

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 ...

previous pagenext page

Showing results 21-40

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

Utilization Review Np information

See Rochester, NY salary details

$21

$41

$68

How much do utilization review np jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for utilization review np 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 does a utilization review nurse practitioner do?

A Utilization Review Nurse Practitioner (NP) evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance coverage to ensure that care meets established guidelines and regulatory requirements. Utilization Review NPs help coordinate care, prevent unnecessary procedures, and support cost-effective healthcare delivery while ensuring patient safety and quality outcomes.

What are some common challenges utilization review nurse practitioners face when collaborating with healthcare providers and insurance companies?

Utilization Review Nurse Practitioners often navigate the challenge of balancing patient advocacy with payer requirements. They must effectively communicate clinical justifications to both healthcare providers and insurance representatives, sometimes mediating disagreements over the necessity of certain treatments or hospital stays. Staying up-to-date with ever-changing insurance guidelines and ensuring timely documentation can also be demanding, but strong organizational and interpersonal skills help facilitate smooth collaboration and successful patient outcomes.

What are the key skills and qualifications needed to thrive as a utilization review nurse practitioner, and why are they important?

To thrive as a Utilization Review Nurse Practitioner (NP), you need expert clinical judgment, a strong understanding of healthcare regulations, and advanced assessment skills, typically supported by an active NP license and clinical experience. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare and Medicaid are commonly required. Excellent communication, attention to detail, and critical thinking are vital soft skills for effective case evaluations and collaboration with providers. These competencies ensure accurate, efficient reviews that support quality care, compliance, and cost-effective treatment decisions.

What is the difference between Utilization Review Np vs Utilization Review Nurse?

AspectUtilization Review NpUtilization Review Nurse
CredentialsMaster's degree in Nursing, Nurse Practitioner certification, state licensureRegistered Nurse (RN) license, possibly with certification in utilization review
Work EnvironmentHealthcare facilities, insurance companies, utilization review organizationsHospitals, insurance companies, outpatient clinics
Job ResponsibilitiesAssess medical necessity, authorize treatments, make clinical decisions, often with greater autonomyReview medical records, support authorization processes, follow established guidelines

Utilization Review NPs typically have advanced clinical training and greater decision-making authority compared to Utilization Review Nurses. Both roles focus on evaluating medical necessity, but NPs often perform more complex assessments and can make independent recommendations, whereas nurses support the review process under supervision or guidelines.

What are popular job titles related to Utilization Review Np jobs in Rochester, NY?

For Utilization Review Np jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Utilization Review Np jobs in Rochester, NY look for?

The top searched job categories for Utilization Review Np jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Utilization Review Np jobs?

Cities near Rochester, NY with the most Utilization Review Np job openings:

Utilization Review Np jobs near you
Infographic showing various Utilization Review Np job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $86,774 per year, or $41.7 per hour.

Nurse Practitioner in Rochester, NY

The IMA Group

Rochester, NY • On-site

$115K - $130K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago

Job description

Description
Nurse Practitioner - Veteran Medical Evaluations
IMA is seeking a compassionate Nurse Practitioner to conduct medical evaluations for veterans related to service-connected disability claims. This role is evaluation-only (no treatment, no on-call), allowing you to focus on assessments, record reviews, and medical reporting using VA guidelines.
What You'll Do:
  • Perform medical histories and physical exams
  • Review diagnostic and ancillary testing
  • Prepare VA-compliant medical reports
  • Submit evaluations through an easy-to-use digital platform
What We're Looking For:
  • Licensed Nurse Practitioner
  • Master's degree in Nurse Practitioner Studies
  • At least 1 year of Nurse Practitioner experience (primary care, urgent care, EM, IM, PM&R, ortho preferred)
What We Offer:
  • Salary range: $115,000-$130,000 (FT); part-time available
  • Full benefits including medical, dental, vision & 401(k)
  • Paid time off, holidays & parental leave
  • No on-call or follow-up responsibilities

The IMA Group is an Affirmative Action/Equal Opportunity Employer
Our Government Services Division supports local, state, and federal agencies and delivers professional and objective medical and psychological examinations as well as ancillary services. Our Payer Services Division meets the evaluation and screening needs of Carriers, TPAs, Public Entities and Employers and includes behavioral health and physical medicine specialty services, working with a wide range of organizations within the workers' compensation, disability, liability, and auto markets. Our Clinical Research Division performs all types of Phase II-IV clinical trials in multiple therapeutic areas through a flexible nationwide network of site locations and virtual capabilities.
#LI-TM1#LI-ONSITE
IMA Group logo

About IMA Group

Sourced by ZipRecruiter

IMA Group is a prominent player in the healthcare sector headquartered in Tarrytown, NY, USA. The company is known for offering a range of comprehensive health assessments, disability evaluations, as well as related services. It has been providing these services for over three decades, having been established back in the late 1980s. IMA Group is driven by a core mission – to assist individuals and families through challenging times of their lives with their health and disability-related services. The company believes in delivering personalized, professional, and compassionate service.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Tarrytown, NY, US

Year founded

1990

Social media

FacebookTwitter

View All IMA Group Jobs

Apply