Commercial Review Specialist I

SUNY Upstate Medical University

Syracuse, New York

Eligibility: RNUtilization ManagementUtilization ReviewQuality Assurance

Posted Jul 31 · 5 years of experience

Location

Syracuse, New York

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Schedule and commitments

Weekends: Weekends required
Term: Permanent

The work and the unit

Specialty: Utilization Management · Utilization Review · Quality Assurance
Setting: Hospital
Union: Union position

The team behind this role

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Pay and benefits

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What's around it?

Map around Syracuse, NY — In Syracuse, NY· © Mapbox © OpenStreetMap

Living costs about 4% below the US average

Median rent: $1,039/mo
Household income: $47,819/yr, all local households, not nurse pay

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From Census ACS 2024.

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Living in Syracuse

Syracuse sits where the Erie Canal once cut through downtown, a compact hill-ringed city an easy drive from the Finger Lakes and Onondaga Lake. What is genuinely distinct is hospital-adjacent living on University Hill, 15-to-21-minute metro commutes on I-81 and I-690, and housing costs far below New York and national norms—loft rentals in Armory Square warehouses, apartments near the hospitals, and early-1900s houses and owner-occupied doubles in Eastwood, Brighton, and Washington Square. Nurses who want walkable nights land Downtown; those who want a village main street look at Eastwood; families repeatedly choose Baldwinsville, Fayetteville-Manlius, Jamesville-DeWitt, Liverpool, or Cicero for schools. Weekends run from Green Lakes State Park, Onondaga Park, and the Creekwalk to Dinosaur Bar-B-Que, Salt City Market, Little Italy in Washington Square, Syracuse Mets games, and festivals including the Great New York State Fair, Taste of Syracuse, and Winterfest. The tradeoffs are not subtle: about 114 inches of snow a year, a car almost everywhere except Downtown and the Hill, uneven neighborhood safety, and generally low city public-school rankings. A garage and a short commute matter here more than in a milder city.

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Sources

As of 2026Source 1: trulia.com Source 2: syracuse.edu Source 3: extraspace.com Source 4: cnynicheteam.com Source 5: iloveny.com Source 6: reddit.com Source 7: facebook.com

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About this role

The UR-CR Specialist I is primarily responsible for ensuring that patient care services are appropriately recorded and utilized in accordance with hospital standards of quality, the policies of regulatory agencies, and the negotiated contracts with reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria to ensure patients are at the appropriate level of care during the continuum of their hospital stay. The UR-CR 1 will collaborate with the medical team and the UR medical directors to establish the appropriate level of care.

The UR CR 1 will act as a liaison for discharge appeals and social admissions, preparing regulatory notices for delivery to the patient.

Sourced from a public job board.

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About the employer

SUNY Upstate Medical University

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