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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 ...

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 ...

Silver Cross Hospital

Nurse Practitioner

Pavilion, NY · On-site

Reviews tests and examination results. * Consults with supervising physician as appropriate ... An Advanced Practice Provider is Nurse Practitioner or Physician Assistant that is licensed health ...

New

Silver Cross Hospital

Nurse Practitioner

Pavilion, NY · On-site

Reviews tests and examination results. * Consults with supervising physician as appropriate ... An Advanced Practice Provider is Nurse Practitioner or Physician Assistant that is licensed health ...

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

Utilization Review Np information

See Rochester, NY salary details

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How much do utilization review np jobs pay per hour?

As of Aug 12, 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 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 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 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 July 2026, with employment types broken down into 2% Locum Tenens, 3% As Needed, 74% Full Time, 17% Part Time, and 4% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $86,774 per year, or $41.7 per hour.

Nurse Practitioner- Urology

Rochester Regional Health

Irondequoit, NY • On-site

$100K - $150K/yr

Part-time

Posted 21 days ago

Rochester Regional Health rating

7.3

Company rating: 7.3 out of 10

Based on 218 frontline employees who took The Breakroom Quiz

305th of 887 rated healthcare providers

Job description

Summary

We're seeking a dedicated and skilled Urology Surgical Nurse Practitioner to join our team. In this full-time role, you'll work under the supervision of a physician or administrator to deliver high-quality care to urologic patients. This includes performing medical evaluations, ordering diagnostics, first-assisting in the OR, and conducting bedside procedures.

You'll be part of a team that values clinical excellence, continuous learning, and compassionate care.

STATUS: Per diem

LOCATION: Rochester General Hospital

DEPARTMENT: Urology Surgery

SCHEDULE: As scheduled

ATTRIBUTES

  • Compassionate, patient-first mindset with excellent bedside manner

  • Critical thinking skills and decisive judgment

  • Exceptional documentation skills and professional behavior

  • The ability to thrive in a fast-paced, team-oriented surgical environment

  • Comfortable working both collaboratively and autonomously

  • RNFA Required

RESPONSIBILITIES

  • Patient Satisfaction. Interacts on a frequent, regular and daily basis with patients, family members, medical/social/public services support, regulatory agencies and/or payor agencies. Interaction and communication requires expressed empathy, understanding, problem-solving, education, information gathering, process influencing and counseling.

  • Medication & Orders. Prescribe medication, write orders, perform procedures and respond to emergency and/or immediate condition changes of acute, critically ill patients.

  • Documentation. Obtain complete, detailed and accurate patient histories, review patient records, perform physical exams, record all pertinent data to develop comprehensive medical status, diagnosis and clinical treatment plan for all assigned patients.

EDUCATION:

MS: Nursing (Required)

LICENSES / CERTIFICATIONS:

NP - Nurse Practitioner Certification - New York State Education Department (NYSED)New York State Education Department (NYSED)New York State Education Department (NYSED), RN - Registered Nurse - New York State Education Department (NYSED)New York State Education Department (NYSED)New York State Education Department (NYSED)

PHYSICAL REQUIREMENTS:

M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.

PAY RANGE:

$100,000.00 - $150,000.00

CITY:

Rochester

POSTAL CODE:

14621

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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