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

A Registered Nurse (RN), Utilization Review (UR) earns an average salary of $62,292 per year. This job's pay does not change very much with experience.
Registered Nurse (RN), Utilization Review (UR) Total Pay (?
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.
)
$50,032 - $80,550
(Median)
50K
70K
81K
MEDIAN: $62,291
10%
75%
90%
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Registered Nurse (RN), Utilization Review (UR) Total Pay (?
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.
)
$22.61 - $40.88
(Median)
23
26
31
35
41
MEDIAN: $30
10%
25%
50%
75%
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
$50,032 - $80,550  
   
Bonus
$0.00 - $4,076  
Profit Sharing
$102.50 - $4,550  
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).
)
$49,031 - $84,506  
PayScale
Country: United States | Currency: USD | Updated: 11 Jun 2014 | Individuals Reporting: 901
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
$22.61 - $40.88  
   
Overtime
$0.00 - $60.87  
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 - $4,076  
   
Profit Sharing
$102.50 - $4,550  
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).
)
$49,031 - $84,506  
PayScale
Country: United States | Currency: USD | Updated: 11 Jun 2014 | Individuals Reporting: 901
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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 Skills for Registered Nurse (RN), Utilization Review (UR)
Pay by Experience Level for Registered Nurse (RN), Utilization Review (UR)
Median of all compensation (including tips, bonus, and overtime) by years of experience.
Pay Difference By Location
New York
up arrow 30%
Los Angeles
up arrow 16%
Chicago
up arrow 12%
Dallas
up arrow 12%
Atlanta
up arrow 11%
Houston
up arrow 6%
Austin
up arrow 4%
Philadelphia
up arrow 3%
Orlando
up arrow 3%
National Average
$63,000
Tampa
up arrow 2%
Pittsburgh
up arrow 7%
Cincinnati
up arrow 8%
Omaha
up arrow 9%
Raleigh
up arrow 11%
Winston-Salem
up arrow 17%
Larger circles over a city indicate a job is popular in that location.
Related Job Salaries

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

National Average
$63,000

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

Case Management
up arrow 1%
Medicine / Surgery
up arrow 1%
Geriatrics
up arrow 1%
Acute Care
0%
Intensive Care Unit (ICU)
0%
National Average
$63,000
Labor & Delivery, Birthing
up arrow 1%
Emergency Room (ER)
up arrow 2%
Pediatrics
up arrow 2%
Hospice
up arrow 4%
Psychiatric
up arrow 7%
Job Satisfaction
Extremely satisfied Image
Extremely satisfied
Rated 5 out of 5 based on 147 votes.
Gender
Female
94%
female alumni
 
Male
6%
male alumni
Years of Experience
Less than 1 year
2%
1-4 years
18%
5-9 years
16%
10-19 years
31%
20 years or more
33%
Common Health Benefits
medical benefits Medical: 80% dental benefits Dental: 70%
vision benefits Vision: 57% employee benefits None: 17%
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