RN, Utilization Management - University of Rochester : Job Details

RN, Utilization Management

University of Rochester

Job Location : Rochester,NY, USA

Posted on : 2025-08-15T00:57:34Z

Job Description :
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, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.**Job Location (Full Address):**601 Elmwood Ave, Rochester, New York, United States of America, 14642**Opening:**Worker Subtype:RegularTime Type:Full timeScheduled Weekly Hours:40Department:500009 Utilization ManagementWork Shift:Range:UR URCB 213Compensation Range:$69,326.00 - $90,124.00_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._**Responsibilities:**The Utilization Management (UM) RN position spans the entire health care system working collaboratively with Health Information Management, Financial Counseling, Patient Financial Services, Providers, Social Work, Patients, and various insurance companies. The UM RN is responsible for the review of clinical documentation utilizing evidence based criteria to support medical necessity, and appropriate level of patient care for services provided. The UM RN is also responsible for reviewing outcome trends and patterns to identify educational opportunities and performance improvement processes across the health care continuum. In addition, the UM RN is responsible for auditing the quality of clinical documentation and providing education based on findings. The role requires strong communications skills and critical thinking skills.Schedule: 8 AM-4:30 PM; WKNDS AS NEEDEDPrimarily Monday through Friday with occasional off-shift and weekend commitments depending on the needs of the department. The majority of work is remote with some on-site requirements as needed.Qualifications:RN with Utilization Review experience preferred; 3-5 years of recent acute hospital experience required.The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.Notice: If you are a **Current** **Employee,** please **log into myURHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.**Learn. Discover. Heal. Create.**Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goalsAt the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.
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