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

RCM Health Care Services

Registered Nurse

Irving, NY · On-site

$48 - $50/hr

Registered Nurse (RN) - Residential & Day Habilitation Programs Salary Range: $48-$50 per hour ... Participate in interdisciplinary team meetings and case reviews * Maintain accurate medical ...

Heritage Christian Services

Registered Nurse

Buffalo, NY · On-site

$73K - $88K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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 ...

Hospice Buffalo

Registered Nurse (RN)

Buffalo, NY · On-site

$40 - $51/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

An On Call Registered Nurse (RN) renders professional nursing services, in accordance with ... Assures the timely completion and return of all initial, renewal and modified orders and reviews ...

Heritage Christian Services

Registered Nurse

Buffalo, NY · On-site

$70K - $76K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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

Hospice Buffalo

Registered Nurse (RN)

Buffalo, NY · On-site

$38 - $49/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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:

Hospice Buffalo

Registered Nurse (RN)

Cheektowaga, NY · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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:

Hospice Buffalo

Registered Nurse (RN)

Buffalo, NY · On-site

$40 - $51/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

An On Call Registered Nurse (RN) renders professional nursing services, in accordance with ... Assures the timely completion and return of all initial, renewal and modified orders and reviews ...

Hospice Buffalo

Registered Nurse (RN)

Buffalo, NY · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

An On Call Registered Nurse (RN) renders professional nursing services, in accordance with ... Assures the timely completion and return of all initial, renewal and modified orders and reviews ...

Hospice Buffalo

Registered Nurse (RN)

Buffalo, NY · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

An On Call Registered Nurse (RN) renders professional nursing services, in accordance with ... Assures the timely completion and return of all initial, renewal and modified orders and reviews ...

McGuire

RN

Williamsville, NY · On-site

$34/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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.

The McGuire Group Health Care Facilities

RN

Williamsville, NY · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Registered Nurse (RN) Harris Hill is looking to add a Registered Nurse (RN) to its nursing team. In ... For further information, please review the Know Your Rights notice from the Department of Labor.

McGuire

RN

Williamsville, NY · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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.

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Showing results 41-60

All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Buffalo, NY

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 are popular job titles related to Utilization Review Rn jobs in Buffalo, NY?

For Utilization Review Rn jobs in Buffalo, NY, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Buffalo, NY look for?

The top searched job categories for 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:

Utilization Review Rn jobs near you
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.

Registered Nurse

RCM Health Care Services

Irving, NY • On-site

$48 - $50/hr

Other

Re-posted 10 days ago

Job description

Job Description
Job Title: Registered Nurse (RN) - Residential & Day Habilitation Programs
Salary Range: $48-$50 per hour (based on experience)
Education Requirements:
  • Graduate of an accredited professional nursing program
Licenses/Certifications Required:
  • Active RN license in New York State
  • CPR/BLS Certification
  • Valid NYS Driver's License (preferred)
Skills Required:
  • Strong oral and written communication
  • Excellent organizational and interpersonal skills
  • Ability to maintain confidentiality
  • Familiarity with adaptive equipment and wheelchairs
  • Flexibility to work across multiple program sites
Schedule Information:
  • Full-time: Monday-Friday, 9:00 AM-5:00 PM
  • On-call availability during evenings or weekends as needed (Note: On-call does not require on-site presence; remote support is acceptable)
Key Responsibilities:
  • Coordinate health care services for individuals in residential and day programs
  • Issue medical referrals and follow up on health concerns
  • Conduct staff training in medication administration, hygiene, infection control, and other health topics
  • Administer medications and supervise AMAP-certified staff
  • Participate in interdisciplinary team meetings and case reviews
  • Maintain accurate medical documentation and MARs
  • Provide emergency care and first aid
  • Supervise LPNs and support less experienced RNs
  • Transport individuals to medical appointments as needed
  • Conduct assessments and provide in-services
  • Support individuals with developmental disabilities in community-based settings
Advertising Locations:
  • Bronx, NY
  • Westchester County, NY
  • Rockland County, NY

Contact for Applicant Resumes: Rebecca Balan Senior DSS Account Manager RCM Health Care Services Rebecca.Balan@rcmt.com
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