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

REGISTERED NURSE (RN)

Williamsville, NY ยท 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 (RN) - Part-Time & Full-Time 7.5-hour Evening & Day Shifts Available What We Offer ... Maintain readiness for regulatory surveys and clinical-quality reviews * Respond to resident and ...

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 ยท 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 ...

... 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 ...

Registered Nurse

Buffalo, NY ยท On-site

$73K - $88K/yr

The Registered Nurse (RN) functions under the general supervision of the Nursing Support Specialist ... Oversees medication management, including MAR review, reconciliation, and follow-up on medication ...

Registered Nurse (RN)

Cheektowaga, NY ยท On-site

$38 - $49/hr

Assures the timely completion and return of all initial, renewal and modified orders and reviews all PPOC's for procedural compliance.Qualifications for a Hospice Inpatient Unit Registered Nurse:

Assures the timely completion and return of all initial, renewal and modified orders and reviews all PPOC's for procedural compliance. Qualifications for a Hospice Inpatient Unit Registered Nurse:

Registered Nurse (RN) Hospice Home Care Buffalo, NY, USA 40.00-51.00 per hour Salary Full Time What ... Assures the timely completion and return of all initial, renewal and modified orders and reviews ...

RN

Williamsville, NY ยท On-site

$34/hr

Registered Nurse (RN) $34 plus shift difference Harris Hill is looking to add a Registered Nurse ... For further information, please review the Know Your Rights notice from the Department of Labor.

Showing results 21-40

Utilization Review Rn information

See Buffalo, NY salary details

$20

$40

$66

How much do utilization review rn jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for utilization review rn in Buffalo, NY is $40.96, according to ZipRecruiter salary data. Most workers in this role earn between $32.36 and $47.02 per hour, depending on experience, location, and employer.

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.

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.

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.

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 case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

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 61% Full Time, and 39% Part Time. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $85,191 per year, or $41 per hour.

$46/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 20 days ago


Job description

Up to $46.00 / hr

RN โ€“ Registered Nurse | Full-Time, Part-Time & Per Diem

Elderwood at Hamburg | Hamburg, NY
Shift Differentials Up to +3.00/Hour

Advance your nursing career in a role that combines clinical complexity with the opportunity to build meaningful, lasting relationships with residents.

Elderwood at Hamburg is hiring Registered Nurses for full-time, part-time, and per diem opportunities. Our RNs care for residents with post-acute, higher-acuity, and complex medical needs while working closely with an interdisciplinary clinical team.

On our subacute rehabilitation unit, youโ€™ll strengthen your assessment, clinical decision-making, and care-coordination skills as residents recover from illness, injury, surgery, or hospitalization. Across our care settings, youโ€™ll also have the opportunity to know your residents over time and see the impact of consistent, attentive nursing care.

Choose the Nursing Opportunity That Fits You
  • Full-Time RN: Regularly scheduled facility position with benefits eligibility
  • Part-Time RN: Consistent reduced schedule with benefits eligibility
  • Per Diem RN through Elderwood Staffing Solutions: Flexible scheduling and premium per diem pay through Elderwoodโ€™s internal staffing team

Available shifts, scheduling options, and shift differentials 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 judgment, and care-coordination skills.
  • Collaborate with physicians, rehabilitation therapists, respiratory services, pharmacy, and other interdisciplinary partners.
  • Build meaningful relationships with residents while supporting their health, recovery, comfort, and independence.
  • Work with supportive nursing leadership led by an experienced Director of Nursing.
  • Pursue future opportunities in nursing leadership, education, quality, and specialty practice.
Build Your Nursing Career Close to Home

Elderwood at Hamburg is conveniently located for nurses throughout Hamburg, Orchard Park, West Seneca, East Aurora, Eden, Angola, Derby, Evans, Blasdell, Lackawanna, and surrounding Southtown communities.

Benefits and Employee Programs:
  • Medical, dental, and vision insurance
  • 401(k) with employer match
  • Paid time off and holiday pay
  • Shift differentials up to +3.00/Hour
  • Employee referral bonus program - earn thousands of dollars with quality referrals. 
  • Full-tuition scholarship opportunities at Trocaire College for LPN, RN, and RN-to-BSN programs & Other Tuition Assitant Programs
  • Career advancement opportunities
  • Benefits opt-out program offering an additional 10% for eligible employees who waive benefits, subject to program terms

If you are an RN who wants to continue growing clinically while providing meaningful, relationship-centered care, apply today to explore opportunities at Elderwood at Hamburg.

Elderwood at Hamburg
5775 Maelou Drive
Hamburg, NY 14075


(RN - Registered Nurse):

  • Direct and monitor the personal care duties and nursing care procedures carried out by Nursing Assistants of the assigned team.
  • Assist Nursing Assistants with direct care of residents, as necessary.
  • Report to RN Unit Manager/Assistant Unit Manager or Charge RN Supervisor unusual symptoms, changes of condition, daily needs, and progress of residents.
  • Follow the Plan of Care for each resident, and monitor the performance of Nursing Assistants in implementation of the care plan.
  • Receive controlled substances from the shift Supervisory Nurse and is responsible for all aspects of the storage and distribution of these medications; ensure proper and safe placement and use of medications stored in medication cart, stock medication cupboards, medication room refrigerator and narcotic cabinets.
  • Document as applicable in the care plans, Nursing Notes, Medical Administration Records, Treatment Records and other required records.
  • Monitor resident care standards during performance of duties, and encourage that rights of residents and preferences in care and treatment are respected.

(RN - Registered Nurse):

  • Credentials as a Licensed Registered Nurse (RN) with a current State license required.
  • Registered Nurse (RN) Training and work experience in a geriatric setting preferred.
  • Ability to supervise and work well with other personnel required.
  • Ability to communicate well verbally and in writing required.
  • Qualities of maturity, diplomacy, and ability to work well with others required. Caring, respectful attitude towards residents required.
  • Physical stamina for constant activity required.
  • Ability to perform tasks to established standards of excellence required.
  • Demonstrated willingness to uphold the vision and mission of the company by following the core values of Integrity, Teamwork, and Passion for Excellence and Reverence for the Individual is required.
  • This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.