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

Median pay for Utilization Review Registered Nurses in the United States comes out to approximately $64K annually, but employers in New York pay the most, the average compensation in that city is around $79K. Utilization Review Registered Nurses can also look forward to large paychecks in cities like Los Angeles (+16 percent), Atlanta (+11 percent), Chicago (+10 percent), and Orlando (+7 percent). Participants in PayScale's salary questionnaire provided the particulars of this report.
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$50,266 - $81,707

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$23.52 - $41.34

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National Salary Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$29K$58K$87K
Salary
$50,266 - $81,707  
   
Bonus
$0.00 - $4,880  
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).
)
$50,253 - $85,126  
Country: United States | Currency: USD | Updated: 18 Jul 2015 | Individuals Reporting: 530
National Hourly Rate Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$20$40$60
Hourly Rate
$23.52 - $41.34  
   
Overtime
$0.00 - $59.47  
National Annualized Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$50K$100K$150K
Bonus
$0.00 - $4,880  
   
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).
)
$50,253 - $85,126  
Country: United States | Currency: USD | Updated: 18 Jul 2015 | Individuals Reporting: 443
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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 $68K.

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


Survey results imply that Utilization Review Registered Nurses deploy a substantial tool kit of skills at work. Most notably, skills in Pediatrics, Utilization Review, Intensive Care Unit, and Case Management are correlated to pay that is above average. Skills that seem to negatively impact pay include Psychiatric, Home Health/Home Care, and Hospice. Those familiar with Case Management also tend to 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. During their first five years in the workforce, individuals in this position earn $62K on average. Survey participants with five to 10 years under their belts see an only a slightly bigger average of $63K. Utilization Review Registered Nurses claiming one to two decades of experience make an estimated median of $65K. Ultimately, more time spent in the workforce does seem to translate to bigger paychecks; seasoned veterans with more than 20 years of experience report a median income of $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 6%

Utilization Review (UR)
up arrow 4%

Intensive Care Unit (ICU)
up arrow 3%

Case Management
up arrow 2%

Medicine / Surgery
up arrow 1%

Acute Care
0%

Geriatrics
0%

Emergency Room (ER)
0%

National Average
$64,000

Labor & Delivery, Birthing
up arrow 2%

Hospice
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
95 %
Male
5 %

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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