Registered Nurse (RN), Utilization Review (UR) Salary

The median salary for Utilization Review Registered Nurses in the United States is $64K per year, and compared to other cities, New York offers the biggest paychecks at around $79K on average. Figures cited in this summary are based on replies to PayScale's salary questionnaire.
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$50,239 - $81,688
(Median)
$50K
$64K
$82K
MEDIAN: $63,717
10%
50%
90%

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$23.48 - $41.73
(Median)
$23
$31
$42
MEDIAN: $30
10%
50%
90%

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National Salary Data (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$0$29K$58K$87K
Salary
$50,239 - $81,688  
   
Bonus
$0.00 - $4,902  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$50,191 - $85,600  
Country: United States | Currency: USD | Updated: 20 Jun 2015 | Individuals Reporting: 521
National Hourly Rate Data (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$0$21$42$63
Hourly Rate
$23.48 - $41.73  
   
Overtime
$0.00 - $60.79  
National Annualized Data (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$0$50K$100K$150K
Bonus
$0.00 - $4,902  
   
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$50,191 - $85,600  
Country: United States | Currency: USD | Updated: 20 Jun 2015 | Individuals Reporting: 451
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Job Description for Registered Nurse (RN), Utilization Review (UR)

The primary responsibility of the utilization review nurse is to review medical records and prepare clinical appeals (when appropriate) on medical necessity, level of care, length of stay, and authorization denials for hospitalized patients. An understanding of the severity of an array illnesses, intensity of service, and care coordination needs are key, as the nurse must integrate clinical knowledge with billing knowledge to review, evaluate, and appeal clinical denials related to the care provided to the hospitalized patient. The utilization review nurse works with the multidisciplinary team to assess and improve the denial management, documentation, and appeals process of such findings.

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Registered Nurse (RN), Utilization Review (UR) Tasks

  • Audit and analyze patient records to ensure quality patient care and appropriateness of services.
  • Interview or correspond with physicians to correct errors or omissions and to investigate questionable claims.
  • Analyze information gathered by investigation, and report findings and recommendations.
  • Modify patient treatment plans as indicated by patients' responses or case history.

Registered Nurse (RN), Utilization Review (UR) Job Listings

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Popular Employer Salaries for Registered Nurse (RN), Utilization Review (UR)


Aetna, Inc. offers the highest compensation with a median salary of $70K.

Popular Skills for Registered Nurse (RN), Utilization Review (UR)


Survey respondents exploit a significant toolbox of skills in their work. Most notably, skills in Pediatrics, Utilization Review, Case Management, and Intensive Care Unit (ICU) are correlated to pay that is above average. Skills that seem to negatively impact pay include Psychiatric and Home Health/Home Care. Most people experienced in Case Management also know Acute Care and Medicine / Surgery.

Pay by Experience Level for Registered Nurse (RN), Utilization Review (UR)

Median of all compensation (including tips, bonus, and overtime) by years of experience.


Experience and pay tend to be weakly linked for Utilization Review Registered Nurses — those with more experience do not necessarily bring in higher earnings. At career start (within the first five years), average income sits near $62K, and the average for folks who have worked for five to 10 years is only slightly higher at $63K. The average pay reported by folks with 10 to 20 years of experience is around $65K. Veterans who have worked for more than two decades do tend to make the most in the end; the median pay for this group is $69K.

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Experience Affects Registered Nurse (RN), Utilization Review (UR) Salaries



National Average
$64,000



Skills That Affect Registered Nurse (RN), Utilization Review (UR) Salaries

Pediatrics
up arrow 5%

Utilization Review (UR)
up arrow 4%

Case Management
up arrow 2%

Intensive Care Unit (ICU)
up arrow 2%

Medicine / Surgery
up arrow 1%

Acute Care
0%

Geriatrics
0%

Emergency Room (ER)
0%

National Average
$64,000

Hospice
up arrow 3%

Labor & Delivery, Birthing
up arrow 3%

Home Health/Home Care
up arrow 3%


Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 118 votes.

Gender

Female
94 %
Male
6 %

Years of Experience

Less than 1 year
2%
1-4 years
17%
5-9 years
18%
10-19 years
30%
20 years or more
33%

Common Health Benefits

medical benefits Medical: 81% dental benefits Dental: 70%
vision benefits Vision: 58% employee benefits None: 16%
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