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

Hospice Buffalo

Registered Nurse (RN)

Buffalo, NY · On-site

$40 - $51/hr

A Hospice Facility Based Services Registered Nurse renders professional nursing services, in ... Assures the timely completion and return of all initial, renewal and modified orders and reviews ...

Hospice Buffalo

Registered Nurse (RN)

Buffalo, NY · On-site

$40 - $51/hr

A Hospice Home Care Registered Nurse 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

$65 - $90/hr

A Hospice Home Care Registered Nurse 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

$40 - $51/hr

A Hospice Home Care Registered Nurse 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

$40 - $51/hr

A Hospice Facility Based Services Registered Nurse renders professional nursing services, in ... Assures the timely completion and return of all initial, renewal and modified orders and reviews ...

People, Inc.

RN, TRAINING

Amherst, NY · On-site

$37 - $40/hr

Hourly Pay Range: $37.00-$40.00 The Training RN is responsible for training and certifying Direct ... For further information, please review the Know Your Rights notice from the Department of Labor.

Canterbury Woods

RN: Charge Nurse

Williamsville, NY · On-site

$32 - $38/hr

Reviewing MAR for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies. * Will be trained to work as a supervisor as needed. RN ...

PeopleInc

RN

Buffalo, NY · On-site

$76.96 - $83.20/hr

... RNs at People Inc. participate as a member of the interdisciplinary team to provide nursing ... Completes (Quarterly-ICF) Nursing review on each individual. * Provides phone triage to sites on ...

People, Inc.

RN

Niagara Falls, NY · On-site

$76K - $83K/yr

... RNs at People Inc. participate as a member of the interdisciplinary team to provide nursing ... review (Non-ICF) or ensures a Pharmacist completes a Quarterly Medication Review. • Completes ...

People, Inc.

RN

Buffalo, NY · On-site

$76K - $83K/yr

... RNs at People Inc. participate as a member of the interdisciplinary team to provide nursing ... review (Non-ICF) or ensures a Pharmacist completes a Quarterly Medication Review. • Completes ...

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

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 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 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.

Registered Nurse

Community Health Center of Buffalo (CHCB)

Buffalo, NY

$32.87 - $39.68/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Job description

Job Summary:
Join our team at the Community Health Center of Buffalo (CHCB) and make a real difference in the lives of our patients! We are seeking a passionate and dedicated Registered Nurse to deliver nursing care under the supervision of the Medical Provider. The ideal candidate will provide top-notch care in a supportive and collaborative environment, empowering our community through their skills and expertise.
Responsibilities:
- Provide direction to Licensed Practical Nurses and Medical Assistants
- Triage patient phone calls and visits
- Provide case management
- Care for patients requiring nurse-only visits
- Maintain a clean, safe, and orderly work environment
- Assist Medical Providers with examinations and procedures
- Perform routine diagnostic tests and process specimens
- Administer medications as directed
- Review lab results and report abnormalities
- Manage supplies for patient rooms
- Participate in quality improvement activities
- Communicate effectively with patients and staff
- Maintain professional interactions with patients and staff
- Maintain medical records and documentation
- Provide patient education
Qualifications:
- Licensed to practice as a Registered Nurse in the State of New York
- Associates or Bachelors Degree in Nursing
- One year of experience in an ambulatory healthcare setting
- Computer literacy and proficiency in Microsoft Office
- Experience with an Electronic Medical Records System
Physical Demands:
This role requires periods of sitting, standing, walking, bending, and stooping. Evening work may be required.
Additional Information:
- Competitive pay and benefits for Full and Part-Time staff, including medical, dental, vision, life insurance, 401k, tuition assistance, and paid time off
- Full-time RN eligible for Nurse Corps. Loan Repayment program
- Hourly Rate: $32.87/hr - $39.68/hr
Note:
This position is affiliated with 1199 SEIU United Healthcare Workers East.

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