Utilization Review Nurse Salary

The average salary for a Utilization Review Nurse is $63,609 per year. Pay for this job does not change much by experience, with the most experienced earning only a bit more than the least.

$49,118 - $78,550
(Median)
$49K
$64K
$79K
MEDIAN: $63,608
10%
50%
90%

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$20.55 - $35.34
(Median)
$21
$27
$35
MEDIAN: $27.00
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$27K$54K$81K
Salary
$49,118 - $78,550  
   
Bonus
$0.00 - $4,983  
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).
)
$45,635 - $77,622  
Country: United States | Currency: USD | Updated: 2 Jul 2015 | Individuals Reporting: 174
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$20$40$60
Hourly Rate
$20.55 - $35.34  
   
Overtime
$-0.50 - $57.62  
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 - $4,983  
   
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).
)
$45,635 - $77,622  
Country: United States | Currency: USD | Updated: 2 Jul 2015 | Individuals Reporting: 111
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Job Description for Utilization Review Nurse

In the complex world of modern healthcare and the companies which manage patients' services, a utilization review nurse plays an important role. Hospitals and insurance providers employ these nurses to help determine if treatments which are underway or sought for authorization fall within the coverage parameters of a patient's insurance. Utilization review is one of the main ways health care providers and insurance companies control costs for the patients they serve.

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Utilization Review Nurse 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 Utilization Review Nurse

Pay by Experience Level for Utilization Review Nurse

Median of all compensation (including tips, bonus, and overtime) by years of experience.

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Experience Affects Utilization Review Nurse Salaries



National Average
$62,000



Skills That Affect Utilization Review Nurse Salaries

Utilization Management (UM)
up arrow 4%

Case Management
up arrow 1%

Acute Care
0%

Geriatrics
0%

National Average
$62,000

Medicine / Surgery
up arrow 1%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 32 votes.

Gender

Female
94 %
Male
6 %

Years of Experience

Less than 1 year
5%
1-4 years
31%
5-9 years
21%
10-19 years
22%
20 years or more
21%

Common Health Benefits

medical benefits Medical: 85% dental benefits Dental: 82%
vision benefits Vision: 74% employee benefits None: 11%
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