Find a job 
Featured Companies 
Featured Universities 
For Companies At a Glance
- Tasks: Evaluate hospital admissions and ensure compliance with medical necessity.
- Company: Join Rochester Regional Health's Utilization Management team at Rochester General Hospital.
- Benefits: Competitive salary, mentoring opportunities, and participation in educational initiatives.
- Other info: Full-time role with opportunities for professional growth.
- Why this job: Make a difference in patient care while advancing your nursing career.
- Qualifications: Must have a New York State RN license and strong communication skills.
The predicted salary is between 82742 - 113568 £ per year.
Rochester Regional Health seeks a Registered Nurse I to join their Utilization Management team at Rochester General Hospital. This full-time role requires evaluating hospital admissions, ensuring compliance with medical necessity, and working closely with insurance companies.
Applicants need a New York State RN license and should possess strong communication and organizational skills. The position offers a competitive salary range of $82,742.00 to $113,568.00 and involves mentoring junior staff and participating in educational initiatives.
RN Utilization Review Specialist — Elevate Care in Rochester employer: Rochester Regional Health
Contact Detail:
Rochester Regional Health Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land RN Utilization Review Specialist — Elevate Care in Rochester
✨Tip Number 1
Network like a pro! Reach out to your connections in the healthcare field, especially those who work in Utilization Management. A friendly chat can lead to insider info about job openings or even a referral.
✨Tip Number 2
Prepare for the interview by brushing up on your knowledge of medical necessity criteria and insurance processes. We want you to shine when discussing how you can ensure compliance and improve patient care!
✨Tip Number 3
Show off your mentoring skills! Be ready to share examples of how you've supported junior staff in the past. This will highlight your leadership potential and fit for the team at Rochester General Hospital.
✨Tip Number 4
Don’t forget to apply through our website! It’s the best way to ensure your application gets noticed. Plus, we’re always looking for passionate individuals like you to join our team.
We think you need these skills to ace RN Utilization Review Specialist — Elevate Care in Rochester
Some tips for your application 🫡
Show Off Your RN Skills: Make sure to highlight your nursing experience and any relevant certifications in your application. We want to see how your skills align with the Utilization Management role, so don’t hold back!
Tailor Your Application: Take a moment to customise your CV and cover letter for this specific role. Mention your experience with hospital admissions and working with insurance companies, as these are key aspects of the job.
Communicate Clearly: Since strong communication is essential for this position, ensure your written application reflects that. Use clear and concise language, and don’t forget to proofread for any typos or errors!
Apply Through Our Website: We encourage you to submit your application through our website. It’s the best way for us to receive your details and ensures you’re considered for the role. Plus, it’s super easy!
How to prepare for a job interview at Rochester Regional Health
✨Know Your Stuff
Make sure you brush up on your nursing knowledge, especially around utilisation review and compliance with medical necessity. Familiarise yourself with the latest guidelines and regulations in New York State to show that you're not just qualified but also up-to-date.
✨Showcase Your Communication Skills
Since this role involves working closely with insurance companies and mentoring junior staff, be prepared to demonstrate your communication skills. Think of examples where you've effectively communicated complex information or resolved conflicts, as these will highlight your ability to collaborate.
✨Prepare for Scenario Questions
Expect scenario-based questions that assess your decision-making and problem-solving skills. Practice articulating how you would handle specific situations related to hospital admissions and insurance compliance, as this will showcase your critical thinking abilities.
✨Ask Insightful Questions
At the end of the interview, don’t forget to ask questions that show your interest in the role and the team. Inquire about the current challenges the Utilization Management team faces or how they measure success in this position. This not only shows your enthusiasm but also helps you gauge if the role is the right fit for you.