Utilization Management (UM) Specialist Salary
Women account for the majority of Utilization Management Specialists in the United States. The entire group has an average salary of $18.23 per hour. Nearly all report receiving medical coverage from their employers and the larger part collect dental insurance. Most people in this profession are content with their work, and moderate levels of job satisfaction are reported. The data for this snapshot was collected from individuals who took PayScale's salary survey.
Job Description for Utilization Management (UM) Specialist
Utilization management (UM) specialists typically work in a hospital, clinic, or nursing home setting to ensure that all tasks and procedures are appropriate and necessary according to different health benefit plans.Read More...
UM specialists must be proficient with Microsoft Office software and comfortable reading large amounts of material filled with medical terminology. There are long periods of sitting and standing in this position, and these specialists usually work under a manager but interact regularly with patients, so strong interpersonal skills are necessary to provide good customer service. Depending on the nature of patient-interactions, protective clothing may be required to prevent the spread or contraction of infectious disease.
Requirements for this position can vary by employer, and some facilities provide on-the-job training. A high school diploma is a minimum requirement, and some employers prefer those who have a bachelor's degree in nursing and prior experience.
Utilization Management (UM) Specialist Tasks
- Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans.
- Interview or correspond with physicians to correct errors or omissions and to investigate questionable claims.
- Observe nurses and visit patients to ensure proper nursing care.
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