A Registered Nurse (RN), Utilization Review (UR) earns an average salary of $62,043 per year. This job's pay does not change very much with experience.
Registered Nurse (RN), Utilization Review (UR) Total Pay (?
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.
)
$49,539 - $81,193
(Median)
50K
62K
70K
81K
MEDIAN: $62,043
10%
50%
75%
90%
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Registered Nurse (RN), Utilization Review (UR) Total Pay (?
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.
)
$22.48 - $40.53
(Median)
22
30
35
41
MEDIAN: $30
10%
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
$49,539 - $81,193  
   
Bonus
$0.00 - $4,108  
Profit Sharing
$0.21 - $6,851  
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).
)
$48,337 - $84,527  
PayScale
Country: United States | Currency: USD | Updated: 17 Apr 2014 | Individuals Reporting: 950
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
$22.48 - $40.53  
   
Overtime
$0.00 - $62.21  
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 - $4,108  
   
Profit Sharing
$0.21 - $6,851  
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).
)
$48,337 - $84,527  
PayScale
Country: United States | Currency: USD | Updated: 17 Apr 2014 | Individuals Reporting: 950
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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.
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 47%
New York
up arrow 34%
Los Angeles
up arrow 19%
Chicago
up arrow 14%
Dallas
up arrow 13%
Atlanta
up arrow 9%
Houston
up arrow 7%
Philadelphia
up arrow 4%
National Average
$63,000
Tampa
up arrow 2%
Pittsburgh
up arrow 7%
Cincinnati
up arrow 8%
Omaha
up arrow 8%
Raleigh
up arrow 11%
Winston-Salem
up arrow 16%
Larger circles over a city indicate a job is popular in that location.
Related Job Salaries

Experience Affects Registered Nurse (RN), Utilization Review (UR) Salaries

National Average
$63,000

Skills That Affect Registered Nurse (RN), Utilization Review (UR) Salaries

Case Management
up arrow 2%
Geriatrics
up arrow 2%
Intensive Care Unit (ICU)
up arrow 2%
Acute Care
up arrow 1%
Emergency Room (ER)
up arrow 1%
Medicine / Surgery
up arrow 1%
National Average
$63,000
Pediatrics
up arrow 1%
Psychiatric
up arrow 8%
Job Satisfaction
Extremely satisfied Image
Extremely satisfied
Rated 5 out of 5 based on 149 votes.
Gender
Female
93%
female alumni
 
Male
7%
male alumni
Years of Experience
Less than 1 year
2%
1-4 years
17%
5-9 years
15%
10-19 years
33%
20 years or more
32%
Common Health Benefits
medical benefits Medical: 80% dental benefits Dental: 70%
vision benefits Vision: 56% employee benefits None: 16%
Find Out Exactly What You Should Be Paid
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