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Weekday Cvs Utilization Management Nurse Jobs in Rochester, NY

Voyage Health

Travel RN House Supervisor

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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All JobsWeekday Cvs Utilization Management Nurse JobsWeekday Cvs Utilization Management Nurse Jobs in Rochester, NY

Weekday Cvs Utilization Management Nurse information

See Rochester, NY salary details

$38.5K

$88.3K

$160.8K

How much do weekday cvs utilization management nurse jobs pay per year?

As of Sep 3, 2026, the average yearly pay for weekday cvs utilization management nurse in Rochester, NY is $88,290.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,600.00 and $103,100.00 per year, depending on experience, location, and employer.

What is a Weekday CVS Utilization Management Nurse?

A Weekday CVS Utilization Management Nurse is a registered nurse who works for CVS Health, focusing on evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. This role involves reviewing patient cases, coordinating with healthcare providers, and ensuring that treatments and services meet established guidelines and insurance requirements. These nurses typically work regular weekday hours, rather than nights or weekends. They play a key role in helping patients receive appropriate care while also managing healthcare costs for the organization.

What are the key skills and qualifications needed to thrive as a Weekday CVS Utilization Management Nurse?

To thrive as a Weekday CVS Utilization Management Nurse, you need a valid RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management software, insurance guidelines, and medical coding systems such as ICD-10 is typically required. Exceptional critical thinking, attention to detail, and effective communication help nurses advocate for appropriate patient care while collaborating with providers and payers. These skills ensure proper resource utilization, regulatory compliance, and optimal patient outcomes in a managed care setting.

How does a Weekday CVS Utilization Management Nurse typically collaborate with physicians and case managers?

As a Weekday CVS Utilization Management Nurse, you will regularly interact with physicians and case managers to review patient care plans and ensure appropriate resource utilization. This role involves evaluating medical records, discussing treatment options, and providing clinical recommendations to support cost-effective, quality care. Effective communication and teamwork are essential, as you’ll serve as a bridge between clinical staff, patients, and administrative teams to coordinate authorizations and resolve coverage questions.

What is the difference between Weekday Cvs Utilization Management Nurse vs Weekend Cvs Utilization Management Nurse?

AspectWeekday Cvs Utilization Management NurseWeekend Cvs Utilization Management Nurse
Work ScheduleMonday to Friday, standard business hoursWeekend shifts, typically Saturday and Sunday
CertificationsRN license, utilization review certification often preferredRN license, utilization review certification often preferred
Work EnvironmentOffice-based, healthcare setting, insurance companyOffice-based, healthcare setting, insurance company
Job ResponsibilitiesReview medical necessity, authorize services, coordinate careReview medical necessity, authorize services, coordinate care

The main difference between Weekday Cvs Utilization Management Nurse and Weekend Cvs Utilization Management Nurse lies in their work schedule. Both roles require similar certifications, responsibilities, and work environments, but the weekday nurse works during standard business hours, while the weekend nurse covers weekend shifts. Both positions are essential for continuous patient care and insurance operations.

What are the most commonly searched types of Cvs Utilization Management Nurse jobs in Rochester, NY?

The most popular types of Cvs Utilization Management Nurse jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Weekday Cvs Utilization Management Nurse jobs?

Cities near Rochester, NY with the most Weekday Cvs Utilization Management Nurse job openings:

Weekday Cvs Utilization Management Nurse jobs near you

1:1 Weekday Overnight Pediatric Nurse (RN) - Hopewell Junction, NY (1078)

Accucare Nursing

Hopewell, NY • On-site

$45/hr

Full-time, Part-time, Per diem

Medical, Retirement, PTO

Posted 28 days ago

Job description

Accucare Nursing is an EEO Employer - M/F/Disability/Protected Veteran Status
Accucare Nursing and Home Care is currently hiring nurses to join our team of dedicated and passionate healthcare professionals. We have an opening for the following position: 1:1 Nurse in Hopewell Junction, NY.
Our passionate and talented team members have made The Accucare Difference, our commitment to empowering our nurses to provide, maintain, and achieve a patient's optimal health. Starting the day you apply, our team will guide you each step of the process. Accucare will be an essential asset to your career. Work for a company started by nurses for nurses. Join us today!
Job Details:
  • 1:1 Nursing in patient's home (Well trained and friendly Labrador in home)
  • Friendly 9yr old Female with Developmental delay, Gastrostomy, Non-ambulatory, Non-verbal, Oxygen, Seizure activity, Tracheostomy, Ventilator
  • Part-time scheduling (Full-time or per diem cases available)
  • Patient-specific training provided
  • Other cases/shifts available in surrounding areas (Contact us for more info)
  • Friendly and communicative family to work with

Available Shifts: Weekday Nights and Overnights
  • Monday-Friday: (5:00PM-12:00AM), (12:00AM-7:00AM)

Requirements:
  • Some experience with tracheostomy and ventilator required
  • NYS Nursing licensure required
  • Must be computer literate
  • Completion of onboarding required prior to training
  • Must be able to complete nursing notes within 24 hours of the shift being completed
  • Must have malpractice insurance

Compensation:
  • $45/hr

Benefits:
  • Competitive compensation
  • Differential pay based on education, experience, certifications, and working in high need areas
  • Paid Vacation & Sick time
  • Training provided including paid clinical orientation, preceptorship, and ongoing skills labs
  • Flexible work hours & scheduling
  • 1:1 Working environment
  • 24 Hour Support from our Administrative Team
  • Retirement savings program
  • 401k
  • Health Insurance for full-time staff, $0 deductible plans available
  • Tuition reimbursement after 6 months and CEU credits
  • Referral Bonus incentives starting at $500 per referral
  • Remote onboarding available

Apply now for immediate consideration. Take a look at our other listings to find a job that fits your needs! If you have any questions or concerns, please contact our Recruitment Manager, Rosemarie. Call or text: (845) 286-0041 / Email: recruiter@accucarenursing.com
Please visit our careers page to see more job opportunities.

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