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

With just under two-thirds of Utilization Review Registered Nurses in the United States reporting more than 10 years of experience in the field, this area is heavily weighted toward experienced professionals. Pay ranges from $50K to $85K per year and averages out to $63K annually. Geographic location is the biggest factor affecting pay for this group, followed by career duration. Most Utilization Review Registered Nurses report high levels of job satisfaction. A strong majority enjoy medical while more than half get dental coverage. Vision coverage is also available to the larger part. The data in this summary comes from the PayScale salary survey.
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$50,179 - $81,765
(Median)
$50K
$63K
$82K
MEDIAN: $63,499
10%
50%
90%

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$23.50 - $41.12
(Median)
$23
$31
$41
MEDIAN: $31.00
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
$50,179 - $81,765  
   
Bonus
$0.00 - $4,882  
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).
)
$50,148 - $85,314  
Country: United States | Currency: USD | Updated: 31 Mar 2015 | Individuals Reporting: 494
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
$23.50 - $41.12  
   
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 - $4,882  
   
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).
)
$50,148 - $85,314  
Country: United States | Currency: USD | Updated: 31 Mar 2015 | Individuals Reporting: 426

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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)


Survey results imply that Utilization Review Registered Nurses deploy a substantial tool kit of skills at work. Most notably, skills in Utilization Review, Pediatrics, Geriatrics, and Case Management are correlated to pay that is above average. Skills that pay less than market rate include Psychiatric and Hospice. Most people experienced in Acute Care also know 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.


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. People with 10 to 20 years of experience make an average of about $65K in this role. Utilization Review Registered Nurses who have acquired more than two decades of experience generally do see greater compensation; their average income is approximately $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 4%

Case Management
up arrow 2%

Geriatrics
up arrow 2%

Medicine / Surgery
up arrow 1%

Acute Care
0%

Intensive Care Unit (ICU)
0%

Emergency Room (ER)
0%

National Average
$64,000

Home Health/Home Care
up arrow 1%

Labor & Delivery, Birthing
up arrow 3%

Hospice
up arrow 4%

Psychiatric
up arrow 8%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 126 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: 80% dental benefits Dental: 69%
vision benefits Vision: 57% employee benefits None: 17%