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

DOCS Health

Nurse Practitioner

Rochester, NY · On-site

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 ...

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 ...

DOCS Health

Nurse Practitioner

Rochester, NY · On-site

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 ...

DOCS Health

Nurse Practitioner

Rochester, NY · On-site

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 ...

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Utilization Review Np information

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$68

How much do utilization review np jobs pay per hour?

As of Sep 4, 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, 74% Full Time, 18% Part Time, 6% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $86,774 per year, or $41.7 per hour.

Nurse Practitioner NP or Physician Assistant PA Skilled Nursing Facility Rounds

SNF Healthcare

Rochester, NY • On-site

$107K - $139K/yr

Other

Re-posted 20 days ago

Job description

Job Description
Job Description

DESCRIPTION

We are seeking a licensed and dedicated Nurse Practitioner (NP) or Physician Assistant (PA) to join our growing team. The provider will travel to skilled nursing facilities across New York to perform monthly patient visits.

This is an excellent opportunity for a motivated clinician who enjoys working independently, making a direct impact on patient care, and maintaining flexibility in their schedule.

Responsibilities:

  • Conduct monthly visits on assigned patients in skilled nursing facilities

  • Review patient charts, document findings, and update care plans as needed

  • Collaborate with facility staff to ensure continuity of care

  • Maintain compliance with all state, federal, and company documentation standards

Requirements:

  • Active New York NP or PA license (required)

  • Experience in geriatrics, long-term care, or internal medicine preferred

  • Willingness to travel to multiple facilities across North Jersey

  • Strong communication and clinical documentation skills

  • Reliable transportation

Compensation:

  • Paid per visit – competitive rates

  • Flexible scheduling

Join Us:
If you are a compassionate NP or PA who thrives in skilled nursing environments and values flexibility, we’d love to hear from you.

Apply today to make a difference in the lives of patients while enjoying autonomy and competitive per-visit pay!

Apply