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

Utilization Review Registered Nurses in the United States tend to have a good amount of experience under their belt — slightly less than two-thirds have more than 10 years in the field. While pay runs from $50K to $85K per year, median earnings come to $63K annually. Geographic location is the biggest factor affecting pay for this group, followed by career length. Most Utilization Review Registered Nurses report high levels of job satisfaction. Medical benefits are awarded to a strong majority, and a fair number earn dental coverage. The data for this snapshot was collected from individuals who took PayScale's salary survey.
$50,409 - $81,962
(Median)
50K
63K
71K
82K
MEDIAN: $63,040
10%
50%
75%
90%

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$23.20 - $40.72
(Median)
23
27
31
36
41
MEDIAN: $30
10%
25%
50%
75%
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
$50,409 - $81,962  
   
Bonus
$0.00 - $4,092  
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).
)
$50,053 - $84,958  
Country: United States | Currency: USD | Updated: 11 Dec 2014 | Individuals Reporting: 485
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
$23.20 - $40.72  
   
Overtime
$0.00 - $60.03  
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 - $4,092  
   
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).
)
$50,053 - $84,958  
Country: United States | Currency: USD | Updated: 11 Dec 2014 | Individuals Reporting: 416
United States (change)

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)


Utilization Review Registered Nurses seem to exploit 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. Skills that are correlated to lower pay, on the other hand, include Psychiatric and Hospice. The majority of those who know 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.


More years of relevant experience do not necessarily translate to higher paychecks. Folks who are navigating the first five years of their careers have a median salary of approximately $61K in this position. Those who have been around for five to 10 years don't get much more, though; the median salary in that group is $62K. Utilization Review Registered Nurses bring in $65K after working for 10 to 20 years. Survey participants who have spent more than 20 years on the job report a predictably higher median income of $69K, demonstrating that compensation is roughly commensurate with experience in the end.

Related Job Salaries

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 7%

Case Management
up arrow 1%

Medicine / Surgery
up arrow 1%

Geriatrics
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 2%

Hospice
up arrow 4%

Psychiatric
up arrow 8%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 130 votes.

Gender

Female
95 %
Male
5 %

Years of Experience

Less than 1 year
2%
1-4 years
17%
5-9 years
17%
10-19 years
31%
20 years or more
33%

Common Health Benefits

medical benefits Medical: 79% dental benefits Dental: 70%
vision benefits Vision: 58% employee benefits None: 17%