Utilization Review Specialist Salary

The average salary for a Utilization Review Specialist is $45,323 per year. Most people move on to other jobs if they have more than 20 years' experience in this field. A skill in Psychiatric is associated with high pay for this job.

$30,721 - $71,955
(Median)
$31K
$45K
$72K
MEDIAN: $45,323
10%
50%
90%

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$13.25 - $27.45
(Median)
$13
$20
$27
MEDIAN: $19.00
10%
50%
90%

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National Salary Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$24K$48K$72K
Salary
$30,721 - $71,955  
   
Bonus
$0.00 - $3,915  
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).
)
$29,208 - $67,814  
Country: United States | Currency: USD | Updated: 12 Jan 2016 | Individuals Reporting: 100
National Hourly Rate Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$17$34$51
Hourly Rate
$13.25 - $27.45  
   
Overtime
$22.84 - $48.32  
National Annualized Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$50K$100K$150K
Bonus
$0.00 - $3,915  
   
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).
)
$29,208 - $67,814  
Country: United States | Currency: USD | Updated: 12 Jan 2016 | Individuals Reporting: 83
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Job Description for Utilization Review Specialist

Utilization review specialists provide quality assurance within the medical field. Common employers for these specialists include clinics, physical therapists’ offices and hospitals, among others. They perform quality control related to patient treatment by medical staff (such as nurses and physicians), making sure that staff provide adequately for patients’ comfort, health and safety. Utilization review specialists may interview patients and their families, and they must inform designated managers or directors immediately whenever they encounter reportable conditions, critical incidents and accidents.

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Utilization Review Specialist 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.

Utilization Review Specialist Job Listings

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Pay by Experience Level for Utilization Review Specialist

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

Utilization Review Specialist Reviews

What is it like working as an Utilization Review Specialist?

Utilization Review Specialist in Tampa:
"Requires extreme focus, self motivation and organization."
Pros: I like my office, my flexible schedule and my supervisor.
Cons: The pay and the IT department has minimal knowledge and problem solving skill.

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Experience Affects Utilization Review Specialist Salaries

Late-Career
up arrow 26%

Experienced
up arrow 19%

Mid-Career
up arrow 15%

National Average
$42,000

Entry-Level
up arrow 5%

Skills That Affect Utilization Review Specialist Salaries

Psychiatric
up arrow 16%

Utilization Review (UR)
up arrow 10%

Case Management
0%

National Average
$42,000

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 25 votes.

Gender

Female
85 %
Male
15 %

Years of Experience

Less than 1 year
5%
1-4 years
49%
5-9 years
18%
10-19 years
17%
20 years or more
10%

Common Health Benefits

medical benefits
Medical: 88%
dental benefits
Dental: 72%
medical benefits
Vision: 61%
dental benefits
None: 10%
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