Skip to content
Nursing MasteryYour next move in nursing
All jobs

Commercial Review Specialist I

SUNY Upstate Medical University

Syracuse, New York

Start my application

About a minute · no account or résumé needed.

RNUtilization ManagementUtilization ReviewQuality Assurance

Posted Jul 31, 2026 · Last seen active Aug 1, 2026

About this role

Show full description
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.

Skills for this role

Patient Care

Requirements

  • NYS Licensed/Registered (or eligible) RN
  • Bachelor's Degree in Nursing with minimum 3 years post RN licensure acute care nursing experience
  • Associate's Degree in Nursing with 5 years post RN licensure acute care nursing experience
  • Comprehensive knowledge of complex clinical and medical concepts
  • Strong communication skills (written and verbal)
  • Interpersonal skills
  • Strong organizational skills
  • Proficiency in technology including PC, Windows, Microsoft applications, Zoom/WebEx platforms

Living in Syracuse, NY

Syracuse sits in central New York near the Finger Lakes, offering nurses a mid-sized metro with strong healthcare systems and four distinct seasons. Home to Syracuse University, the city blends collegiate energy with a manageable pace of life — a practical fit for RNs seeking career growth without big-city pressure.

Map showing the location of Syracuse, NY
Syracuse, NY on the map · © Mapbox © OpenStreetMap· Open the live map
Metro price level · Syracuse area
95.7
4% below the national average
Median gross rent
$1,039/mo
rent and tenant-paid utilities

U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024

Browse open roles in Syracuse

More roles

If this one fits

See all
Veterans Health Administration workplace

Veterans Health Administration

Registered Nurse

Residential Rehabilitation Treatment Program (RRTP)

Huntington, West Virginia · Rotating shift

$76k–$145k/yrApply
Help improve this pageShare what it’s like, leave a heads-up, or ask about this posting.
What would you like to do?
Add ratings or a short headline

A person reviews every submission before anything changes.