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

Oneida Health

CASE MANAGEMENT RN

Oneida, NY · On-site

$36 - $45.72/hr

The Registered Nurse Case Manager (CM) actively manages patient progression from Admission to ... physicians, utilization review, and medical records. In addition, they are responsible for ...

Oneida Health

CASE MANAGEMENT RN

Oneida, NY · On-site

$36 - $45.72/hr

The Registered Nurse Case Manager (CM) actively manages patient progression from Admission to ... physicians, utilization review, and medical records. In addition, they are responsible for ...

RN

Hospital at Home, Registered Nurse

Syracuse, NY

$75K - $87K/yr

... utilization of advanced medical equipment. * Engage in tasks involving catheter insertion and care ... Nursing: License and current registration as a Registered Professional Nurse in New York State

RN

Hospital at Home, Registered Nurse

Syracuse, NY

$75K - $87K/yr

... utilization of advanced medical equipment. * Engage in tasks involving catheter insertion and care ... Nursing: License and current registration as a Registered Professional Nurse in New York State

RN

Hospital at Home, Registered Nurse

Syracuse, NY · On-site

$75K - $87K/yr

... utilization of advanced medical equipment. * Engage in tasks involving catheter insertion and care ... Nursing: License and current registration as a Registered Professional Nurse in New York State

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Utilization Review Rn information

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How much do utilization review rn jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for utilization review rn in Syracuse, NY is $41.78, according to ZipRecruiter salary data. Most workers in this role earn between $33.03 and $47.98 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 Syracuse, NY?

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

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

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

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The top searched job categories for Utilization Review Rn jobs in Syracuse, NY are:

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

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

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Syracuse, NY as of August 2026, with employment types broken down into 7% As Needed, 79% Full Time, 7% Part Time, and 7% Contract. Highlights an 100% In-person job distribution, with an average salary of $86,893 per year, or $41.8 per hour.

CASE MANAGEMENT RN

Oneida Health

Oneida, NY • On-site

$36 - $45.72/hr

Full-time

Posted 17 days ago

Oneida Health rating

4.7

Company rating: 4.7 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

Job description

Job Summary:

The Registered Nurse Case Manager (CM) actively manages patient progression from Admission to Discharge. The RN Case Manager duties and responsibilities help patients who have multiple health conditions, difficult to control chronic conditions, disabilities and other challenges, get care they need. Through partnership and collaboration with all members of the healthcare team, the Case Manager is the principal liaison between emergency services, surgical services, nursing, physicians, utilization review, and medical records. In addition, they are responsible for coordinating safe and appropriate discharge plans for the patients within their service area.

Key Responsibilities:

  • Actively manages patient progression from admission to discharge
  • Assist patients who have multiple health conditions, difficult to control chronic conditions, disabilities and other challenges, in getting the care they need.
  • Partner and collaborate with multiple departments across the organization.
  • Serve as the principal liaison between emergency services, surgical services, nursing, physicians, utilization review, and medical records.
  • Coordinating safe and appropriate discharge plans for the patients within their service area.

Qualifications:

Education:

  • Graduate of an accredited School of Nursing; BSN preferred

Certifications:

  • Current Registered Nurse License in New York State
  • PRI certification present upon hire or must be obtained within 6 months of hire

Experience:

  • Case Manger experience preferred
  • At least 1 year of acute care experience in hospital setting

Professional Skills and Abilities:

  • Extensive knowledge of medicine and anatomy
  • Strong verbal and written communication skills to interact with patients, families and healthcare providers.
  • Interpersonal skills to work with people of a broad range of socioeconomic and cultural backgrounds
  • Multitasking skills to provide services for multiple patients
  • Analytical skills to review documentation and medical information
  • Strong organizational skills

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