REGISTERED NURSE
$35 - $38/hr
Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed. * Coordinates discharge planning for clients * Provides education to clients on health and ...
$35 - $38/hr
Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed. * Coordinates discharge planning for clients * Provides education to clients on health and ...
$35 - $38/hr
Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed. * Coordinates discharge planning for clients * Provides education to clients on health and ...
Rochester, NY · On-site
$35 - $38/hr
Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed. * Coordinates discharge planning for clients * Provides education to clients on health and ...
Rochester, NY · On-site
$35 - $38/hr
Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed. * Coordinates discharge planning for clients * Provides education to clients on health and ...
Rochester, NY · On-site
$35 - $38/hr
Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed. * Coordinates discharge planning for clients * Provides education to clients on health and ...
Rochester, NY · On-site
$35 - $38/hr
Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed. * Coordinates discharge planning for clients * Provides education to clients on health and ...
Brighton, NY · On-site
$35 - $38/hr
Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed. * Coordinates discharge planning for clients * Provides education to clients on health and ...
Quick apply
Brighton, NY · On-site
$35 - $38/hr
Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed. * Coordinates discharge planning for clients * Provides education to clients on health and ...
Supports benefits budgeting, forecasting, renewal analysis, cost modeling, utilization review, vendor reporting, open enrollment planning, and leadership-ready summaries that inform program ...
Supports benefits budgeting, forecasting, renewal analysis, cost modeling, utilization review, vendor reporting, open enrollment planning, and leadership-ready summaries that inform program ...
Brighton, NY · On-site
$35 - $38/hr
Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed. * Coordinates discharge planning for clients * Provides education to clients on health and ...
Brighton, NY · On-site
$35 - $38/hr
Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed. * Coordinates discharge planning for clients * Provides education to clients on health and ...
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
Batavia, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Education : High School ...
Batavia, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Education : High School ...
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
Batavia, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
Batavia, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
Batavia, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
Batavia, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
Rochester, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Education : High School ...
Rochester, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Education : High School ...
Rochester, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
Rochester, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
Rochester, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Education : High School ...
Rochester, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Education : High School ...
Rochester, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
Rochester, NY · On-site
$21 - $21.30/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all safety rules and regulations for self and others. Qualifications Education
Participates in utilization review and/or continuous quality improvement activities as requested. * Attends required staff meetings, in-services and/or supervisory conferences. * Participates in ...
Participates in utilization review and/or continuous quality improvement activities as requested. * Attends required staff meetings, in-services and/or supervisory conferences. * Participates in ...
Participates in utilization review and/or continuous quality improvement activities as requested. * Attends required staff meetings, in-services and/or supervisory conferences. * Participates in ...
Participates in utilization review and/or continuous quality improvement activities as requested. * Attends required staff meetings, in-services and/or supervisory conferences. * Participates in ...
Rochester, NY · On-site
$80 - $100/hr
Participates in utilization review and/or continuous quality improvement activities as requested. * Attends required staff meetings, in-services and/or supervisory conferences. * Participates in ...
Rochester, NY · On-site
$80 - $100/hr
Participates in utilization review and/or continuous quality improvement activities as requested. * Attends required staff meetings, in-services and/or supervisory conferences. * Participates in ...
Participates in utilization review and/or continuous quality improvement activities as requested. * Attends required staff meetings, in-services and/or supervisory conferences. * Participates in ...
Participates in utilization review and/or continuous quality improvement activities as requested. * Attends required staff meetings, in-services and/or supervisory conferences. * Participates in ...
$21.11 - $25.38
2% of jobs
$25.38 - $29.65
9% of jobs
$32.57 is the 25th percentile. Wages below this are outliers.
$29.65 - $33.92
21% of jobs
The median wage is $37.37 / hr.
$33.92 - $38.19
23% of jobs
$38.19 - $42.46
13% of jobs
$45.78 is the 75th percentile. Wages above this are outliers.
$42.46 - $46.72
10% of jobs
$46.72 - $50.99
8% of jobs
$50.99 - $55.26
5% of jobs
$55.26 - $59.53
5% of jobs
$59.53 - $63.80
2% of jobs
$63.80 - $68.07
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:

$35 - $38/hr
Full-time
Retirement
Re-posted 22 days ago
Description
We are Hiring!Â
Job Posting: REGISTERED NURSE
Location: Rochester, NY
Department: Nursing
Employment Type: Full time
Schedule: Monday thru Friday 8am to 4pm
Salary: $35 to $38/hr(Salaried, exempt) depending on education and experienceÂ
As a regional agency of Catholic Charities of the Diocese of Rochester, Catholic Charities Family and Community Services (CCFCS) has been serving our community for over 100 years. We walk with people when they are at their most vulnerable as they journey toward independence to reach their full human potential, advocate for those in need throughout all stages of life; and work in partnership with faith communities of all denominations and those who are committed to addressing local needs.
If you're looking for an opportunity to express and explore your passion for helping others, then join a team that truly makes a difference DAILY, in people's lives. Don't miss out on being a part of something special!
General Description
Under general supervision, provides comprehensive health services and supervision for LPN and/or Medical Liaison staff if applicable. Works collaboratively with other providers to facilitate client wellness. Maintains all applicable confidentiality and ethical standards of relevant governing bodies. Effectively supports ongoing and collaborative communication amongst all program staff and is responsible for ensuring a trauma informed care environment.
Essential Duties and Responsibilities:
Note: The above description is illustrative of tasks and responsibilities. It is not meant to be all inclusive. Employees are required to follow appropriate supervisory direction and perform other related duties as required.
Requirements
Qualifications:
Education: Minimum of an Associate's Degree in Nursing required. Bachelor's or Master's Degree in Nursing preferred.
Credentials: Valid and clean NYS Driver's License. Valid Registered Professional Nurse (RN) License required
Experience: At least two years of experience related to nursing services to individuals with mental health, chemical dependency, substance use disorder, or intellectual/developmental disabilities-related services strongly preferred. Bi-lingual in Spanish also preferred.
Physical Demands/Work Environment: The physical demands/work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, talk, hear, stand, walk, use hands to type and/or perform light lifting. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The noise level in the work environment is usually quiet.
Compliance: Adheres to all applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing, and documentation standards. All duties must be performed in accordance with CCFCS's corporate compliance & ethics program.Â
Additional Requirements:
 Top Benefits and Perks:
Join us and help make a positive impact on our community!
***Catholic Charities is committed to leveraging the talent of a diverse workforce to create great opportunities for our agency and our people. EOE/AA Disability/VetÂ