Webster, NY · On-site
$2.3K/wk
Utilization Review * Discipline: Therapy * Start Date: 09/14/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, nights * Employment Type: Travel Benefits: * Day 1 Insurance * Cigna ...
Webster, NY · On-site
$2.3K/wk
Utilization Review * Discipline: Therapy * Start Date: 09/14/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, nights * Employment Type: Travel Benefits: * Day 1 Insurance * Cigna ...
May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. * Plans, implements, and documents utilization management activities which ...
May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. * Plans, implements, and documents utilization management activities which ...
May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. * Plans, implements, and documents utilization management activities which ...
May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. * Plans, implements, and documents utilization management activities which ...
May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. * Plans, implements, and documents utilization management activities which ...
May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs. * Plans, implements, and documents utilization management activities which ...
Rochester, NY · On-site
$81K - $109K/yr
Works collaboratively with various departments across the entire health care system to review ... Utilization Management experience preferred KNOWLEDGE, SKILLS AND ABILITIES * Database experience ...
Rochester, NY · On-site
$81K - $109K/yr
Works collaboratively with various departments across the entire health care system to review ... Utilization Management experience preferred KNOWLEDGE, SKILLS AND ABILITIES * Database experience ...
Oversee the Director of Health Plan Quality & Utilization Review Management and supporting staff in directing all HEDIS, CAHPS, HOS, and NYS QARR data collection, production, and submission processes ...
Oversee the Director of Health Plan Quality & Utilization Review Management and supporting staff in directing all HEDIS, CAHPS, HOS, and NYS QARR data collection, production, and submission processes ...
Oversee the Director of Health Plan Quality & Utilization Review Management and supporting staff in directing all HEDIS, CAHPS, HOS, and NYS QARR data collection, production, and submission processes ...
Oversee the Director of Health Plan Quality & Utilization Review Management and supporting staff in directing all HEDIS, CAHPS, HOS, and NYS QARR data collection, production, and submission processes ...
Oversee the Director of Health Plan Quality & Utilization Review Management and supporting staff in directing all HEDIS, CAHPS, HOS, and NYS QARR data collection, production, and submission processes ...
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Oversee the Director of Health Plan Quality & Utilization Review Management and supporting staff in directing all HEDIS, CAHPS, HOS, and NYS QARR data collection, production, and submission processes ...
Rochester, NY · On-site
$2.6K - $2.7K/wk
Position Details Specialty: RN Utilization Review Location: Rochester, New York Employment Type: Travel/Contract Pay: $2647 - $2786 per week Shift: 5x8 Flex Start Date: ASAP Contract Length: 13-week ...
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Rochester, NY · On-site
$2.6K - $2.7K/wk
Position Details Specialty: RN Utilization Review Location: Rochester, New York Employment Type: Travel/Contract Pay: $2647 - $2786 per week Shift: 5x8 Flex Start Date: ASAP Contract Length: 13-week ...
Rochester, NY · On-site
$40.03 - $54.04/hr
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect ...
Rochester, NY · On-site
$40.03 - $54.04/hr
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect ...
Rochester, NY · On-site
$40.03 - $54.04/hr
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect ...
Rochester, NY · On-site
$40.03 - $54.04/hr
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect ...
Rochester, NY · On-site
$40.03 - $54.04/hr
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect ...
Rochester, NY · On-site
$40.03 - $54.04/hr
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Rochester, NY · On-site
$109K - $115K/yr
A minimum of two (2) years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities, OR, three (3) years of ...
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Rochester, NY · On-site
$109K - $115K/yr
A minimum of two (2) years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities, OR, three (3) years of ...
Pavilion, NY · On-site
$1.0K - $675K/wk
Participate in the development and implementation of effective quality assurance and utilization review programs, including quality assurance and utilization review to the extent reasonably required ...
Pavilion, NY · On-site
$1.0K - $675K/wk
Participate in the development and implementation of effective quality assurance and utilization review programs, including quality assurance and utilization review to the extent reasonably required ...
Rochester, NY · On-site
$85K/yr
Perform utilization reviews, monitoring case records, ensuring compliance with all contract stipulations. * Review OASAS Website keeping updated with 820 regulations and local service bulletins.
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Rochester, NY · On-site
$85K/yr
Perform utilization reviews, monitoring case records, ensuring compliance with all contract stipulations. * Review OASAS Website keeping updated with 820 regulations and local service bulletins.
Applies utilization review criteria to assess and document appropriateness of admission, continued stay and level of care.Interviews patients and/or family members to obtain information about social ...
Applies utilization review criteria to assess and document appropriateness of admission, continued stay and level of care.Interviews patients and/or family members to obtain information about social ...
Applies utilization review criteria to assess and document appropriateness of admission, continued stay and level of care. * Interviews patients and/or family members to obtain information about ...
Applies utilization review criteria to assess and document appropriateness of admission, continued stay and level of care. * Interviews patients and/or family members to obtain information about ...
$21.12 - $25.39
2% of jobs
$25.39 - $29.66
9% of jobs
$32.58 is the 25th percentile. Wages below this are outliers.
$29.66 - $33.93
21% of jobs
The median wage is $37.39 / hr.
$33.93 - $38.20
23% of jobs
$38.20 - $42.47
13% of jobs
$45.80 is the 75th percentile. Wages above this are outliers.
$42.47 - $46.75
10% of jobs
$46.75 - $51.02
8% of jobs
$51.02 - $55.29
5% of jobs
$55.29 - $59.56
5% of jobs
$59.56 - $63.83
2% of jobs
$63.83 - $68.10
2% of jobs
$21
$41
$68
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
The most popular types of Utilization Review jobs in Rochester, NY are:
For Utilization Review jobs in Rochester, NY, the most frequently searched job titles are:
The top searched job categories for Utilization Review jobs in Rochester, NY are:
Cities near Rochester, NY with the most Utilization Review job openings:
Webster, NY • On-site
$2.3K/wk
Contractor
Medical, Dental, Vision
Posted 8 days ago
Uniti Med is seeking a travel Home Health Utilization Review for a travel job in Webster, New York.
Job Description & RequirementsBenefits:
About the Company:
Finding the right role is about more than just matching skills to a job—it’s about aligning with your goals, values, and the way you want to work.
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we’re here to help you move forward with confidence.
Uniti Med Job ID #846252. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Home Health Aide
About Uniti MedUniti Med meticulously matches your talents to our open needs to ensure the ultimate travel experience. Tell us where you want to go and let our experienced staff lead the way!
Sourced by ZipRecruiter
A great workplace is created when core values are exhibited by employees on a daily basis. At Uniti Med, our values are more than just aspirations, they are embedded in our decision-making processes and how we work with one another. We are always looking for good humans who understand this is exactly where they are supposed to be to change people’s lives for the better. If these values speak to you, Uniti is your home.
Recruiting and staffing services
11 - 50 Employees
Omaha, NE, US
