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

Median pay for Utilization Review Registered Nurses in the United States is around $64K per year, but employers in New York offer the biggest paychecks; average compensation in that city is approximately $81K. Utilization Review Registered Nurses will also find cushy salaries in Phoenix (+19 percent), Los Angeles (+16 percent), Chicago (+11 percent), and Atlanta (+11 percent). Participants in PayScale's salary questionnaire provided the particulars of this report.
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$50,306 - $81,648
(Median)
$50K
$64K
$82K
MEDIAN: $63,559
10%
50%
90%

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$23.50 - $41.35
(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
$50,306 - $81,648  
   
Bonus
$0.00 - $4,151  
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).
)
$50,234 - $85,289  
Country: United States | Currency: USD | Updated: 2 May 2015 | Individuals Reporting: 499
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 - $41.35  
   
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 - $4,151  
   
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).
)
$50,234 - $85,289  
Country: United States | Currency: USD | Updated: 2 May 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 Employer Salaries for Registered Nurse (RN), Utilization Review (UR)


Utilization Review Registered Nurses flock to Aetna, Inc. for generous paychecks, where average earnings of $70K lead the pack in compensation.

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


Utilization Review Registered Nurses report using a large range 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. At the other end of the pay range are skills like Psychiatric and Hospice. Most people skilled in Case Management are similarly competent in Utilization Review (UR) and Medicine / Surgery. Those proficient in Acute Care are, more often than not, 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.


Experience and pay tend to be weakly linked for Utilization Review Registered Nurses — those with more experience do not necessarily bring in higher earnings. 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. Utilization Review Registered Nurses with one to two decades of relevant experience report an average salary of approximately $65K. 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 2%

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 122 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: 80% dental benefits Dental: 69%
vision benefits Vision: 58% employee benefits None: 17%
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