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

A Registered Nurse (RN), Utilization Review (UR) earns an average salary of $62,608 per year. Pay for this job does not change much by experience, with the most experienced earning only a bit more than the least.
Registered Nurse (RN), Utilization Review (UR) Salary (?
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.
)
$49,695 - $82,018
(Median)
50K
63K
71K
82K
MEDIAN: $62,608
10%
50%
75%
90%
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Registered Nurse (RN), Utilization Review (UR) Salary (?
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.
)
$22.84 - $41.05
(Median)
23
27
31
36
41
MEDIAN: $30
10%
25%
50%
75%
90%
Add this chart to your site: 640px    300px

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
$49,695 - $82,018  
   
Bonus
$0.00 - $4,113  
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).
)
$49,109 - $85,340  
Country: United States | Currency: USD | Updated: 3 Sep 2014 | Individuals Reporting: 475
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
$22.84 - $41.05  
   
Overtime
$0.00 - $61.12  
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 - $4,113  
   
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).
)
$49,109 - $85,340  
Country: United States | Currency: USD | Updated: 3 Sep 2014 | Individuals Reporting: 401
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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 , Utilization Review 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

San Francisco
up arrow 44%
New York
up arrow 28%
Los Angeles
up arrow 14%
Chicago
up arrow 12%
Atlanta
up arrow 10%
Houston
up arrow 6%
Philadelphia
up arrow 4%
Austin
up arrow 4%
Orlando
up arrow 3%
Albuquerque
up arrow 1%
National Average
$64,000
San Antonio
up arrow 1%
Tampa
up arrow 4%
Columbus
up arrow 4%
Pittsburgh
up arrow 8%
Raleigh
up arrow 12%
Larger circles over a city indicate a job is popular in that location.

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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 4%
Case Management
up arrow 1%
Medicine / Surgery
up arrow 1%
Intensive Care Unit (ICU)
up arrow 1%
Acute Care
0%
Geriatrics
0%
Emergency Room (ER)
0%
National Average
$64,000
Labor & Delivery, Birthing
up arrow 1%
Psychiatric
up arrow 7%
Hospice
up arrow 7%

Job Satisfaction

Extremely satisfied Image
Extremely satisfied
Rated 5 out of 5 based on 134 votes.

Gender

Female
95%
female alumni
 
Male
5%
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: 79% dental benefits Dental: 70%
vision benefits Vision: 57% employee benefits None: 17%