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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. Utilization Review Registered Nurses will also find cushy salaries in Phoenix (+19 percent), Los Angeles (+16 percent), Chicago (+11 percent), and Atlanta (+11 percent). The information for this rundown comes from respondents who completed PayScale's salary questionnaire.
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$50,323 - $81,537
(Median)
$50K
$64K
$82K
MEDIAN: $63,696
10%
50%
90%

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$23.43 - $41.33
(Median)
$23
$31
$41
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
$50,323 - $81,537  
   
Bonus
$0.00 - $4,863  
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).
)
$50,228 - $85,209  
Country: United States | Currency: USD | Updated: 16 May 2015 | Individuals Reporting: 507
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
$23.43 - $41.33  
   
Overtime
$0.00 - $60.97  
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 - $4,863  
   
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).
)
$50,228 - $85,209  
Country: United States | Currency: USD | Updated: 16 May 2015 | Individuals Reporting: 431

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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)


Heading up the field in terms of compensation, Aetna, Inc. offers the most; Utilization Review Registered Nurses earn $70K on average there.

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


Utilization Review Registered Nurses report using a deep pool of skills on the job. Most notably, skills in Pediatrics, Utilization Review, Case Management, and Medicine / Surgery are correlated to pay that is above average. Skills that are correlated to lower pay, on the other hand, include Psychiatric and Hospice. Most people familiar with Case Management also know Utilization Review (UR) and Medicine / Surgery. It is often found that people who know Acute Care are also skilled in Medicine / Surgery and 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.


For Utilization Review Registered Nurses, more experience in the field does not usually mean bigger paychecks. Individuals who have worked for fewer than five years bring in approximately $62K on average. Those in the five-to-10 year range can expect an average that is only a touch bigger at $63K. People with 10 to 20 years of experience make an average of about $65K in this role. As Utilization Review Registered Nurses reach more than two decades on the job, compensation remains commensurate with experience; the average pay in this group is $69K.

Related Job Salaries

United States (change)

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%


Case Management
up arrow 2%

Medicine / Surgery
up arrow 1%

Geriatrics
up arrow 1%

Intensive Care Unit (ICU)
up arrow 1%

Acute Care
0%

Emergency Room (ER)
0%

National Average
$64,000

Home Health/Home Care
up arrow 2%

Hospice
up arrow 3%

Labor & Delivery, Birthing
up arrow 3%

Psychiatric
up arrow 8%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 120 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
32%

Common Health Benefits

medical benefits Medical: 81% dental benefits Dental: 70%
vision benefits Vision: 58% employee benefits None: 17%
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