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Utilization Review Rn Jobs in Buffalo, NY (NOW HIRING)

$32 - $38/hr

Reviewing MAR for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies. RN benefits include: * Health insurance available. * Dental ...

We are hiring a Registered Nurse - Direct Service to provide daily living and medical/clinical ... For further information, please review the Know Your Rights notice from the Department of Labor.

REGISTERED NURSE (RN)

Buffalo, NY · On-site

$39 - $42/hr

We are hiring a Registered Nurse - Direct Service to provide daily living and medical/clinical ... For further information, please review the Know Your Rights ( notice from the Department of Labor.

Registered Nurse - Direct Service $39-$42/hour (based on clinical licensure years) + $3 Shift ... Complete monthly health reviews and required assessments * Provide health-related staff training

We are hiring a Registered Nurse - Direct Service to provide daily living and medical/clinical ... For further information, please review the Know Your Rights notice from the Department of Labor.

Registered Nurse RN Educator The Registered Nurse RN Educator is responsible for planning ... For further information, please review the Know Your Rights notice from the Department of Labor.

Registered Nurse RN Educator The Registered Nurse RN Educator is responsible for planning ... For further information, please review the Know Your Rights notice from the Department of Labor.

Facilitates and completes the admission process after reviewing patient/family goals of care and ... An Admissions Registered Nurses presentation of hospice services to patients and families is ...

Registered Nurse (RN)

Buffalo, NY · On-site

$41 - $52/hr

Facilitates and completes the admission process after reviewing patient/family goals of care and ... An Admissions Registered Nurses presentation of hospice services to patients and families is ...

... reviewed during the interview process. Why Registered Nurses Choose Elderwood at Grand Island ... Care for residents with post-acute and complex medical needs. * Apply advanced assessment, clinical ...

... will be reviewed during the interview process. Why Registered Nurses Choose Elderwood at Hamburg ... Care for residents with post-acute and complex medical needs. * Apply advanced assessment, clinical ...

... reviewed during the interview process. Why Registered Nurses Choose Elderwood at Grand Island ... Care for residents with post-acute and complex medical needs. * Apply advanced assessment, clinical ...

The Registered Nurse RN Educator is responsible for planning, developing, implementing, and ... For further information, please review the Know Your Rights notice from the Department of Labor.

... will be reviewed during the interview process. Why Registered Nurses Choose Elderwood at Hamburg ... Care for residents with post-acute and complex medical needs. * Apply advanced assessment, clinical ...

... reviewed during the interview process. Why Registered Nurses Choose Elderwood at Grand Island ... Care for residents with post-acute and complex medical needs. * Apply advanced assessment, clinical ...

Showing results 21-40

Utilization Review Rn information

See Buffalo, NY salary details

$18

$36

$59

How much do utilization review rn jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for utilization review rn in Buffalo, NY is $36.68, according to ZipRecruiter salary data. Most workers in this role earn between $28.99 and $42.12 per hour, depending on experience, location, and employer.

How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

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

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

What is a utilization review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.

What are the most commonly searched types of Utilization Review Rn jobs in Buffalo, NY?

The most popular types of Utilization Review Rn jobs in Buffalo, NY are:

What cities near Buffalo, NY are hiring for Utilization Review Rn jobs?

Cities near Buffalo, NY with the most Utilization Review Rn job openings:

Infographic showing various Utilization Review Rn job openings in Buffalo, NY as of August 2026, with employment types broken down into 62% Full Time, and 38% Part Time. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $76,301 per year, or $36.7 per hour.

$32 - $38/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago


Job description

RN: Registered Nurse

Now offering up to a $15,000 retention bonus for Full Time new hires!

RN hourly pay range: $28.00 - $34.00, based on experience

RN position details: 

We are currently hiring for a Full Time Day RN (7am - 3pm), a Part Time Day RN (7am - 3pm), a Part Time Evening RN (3pm - 11pm), and a Full Time Overnight RN (11pm - 7am).

Canterbury Woods is looking for experienced and motivated Registered Nurses (RNs) to join our clinical team in Williamsville, NY.  We have one goal and commitment: Provide older adults with the best possible living experience!

We are unique!

Since 1999 our CARF-accredited skilled nursing community focuses on truly providing person-centered care, encouraged by our healthy staff to patient ratio and our 50 private rooms. Residents can always expect a lifestyle that meets their needs and interests. Our employees contribute to a positive work environment and know they are valued.

RNS with Canterbury Woods contribute to our mission through:

  • Admitting, transferring, and discharging residents as necessary. Greeting newly admitted residents upon admission and escort them to their rooms.
  • Visiting residents on a daily basis in order to observe and evaluate each resident’s physical and emotional status. Provide direct nursing care as necessary.
  • Monitoring medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
  • Reviewing MAR for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies.

RN benefits include:

  • Health insurance available.
  • Dental, vision, and life insurance available.
  • Paid vacation, personal, & holiday time (for full time and regular part time positions).
  • Paid sick time.
  • 401k with employer match.
  • Tuition reimbursement program.
  • Referral and retention bonus program.
  • Employee assistance programs.
  • Free onsite state-of-the-art gym and pool.

RN qualifications: 

  • Must have credentials as an RN with a current New York State license.
  • Must be CPR and first aid certified.
  • Must have verbal and written English skills.