Utilization Review Specialist Salary
The average pay for a Utilization Review Specialist is $48,808 per year. Pay for this job rises steadily for more experienced workers, but goes down noticeably for the few employees with more than 20 years' experience. Most people move on to other jobs if they have more than 20 years' experience in this career. A skill in Utilization Review (UR) is associated with high pay for this job.
|Salary||$33,059 - $68,029|
|Bonus||$0.00 - $5,135|
|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).)
|$31,203 - $68,967|
|Hourly Rate||$13.46 - $31.73|
|Overtime||$17.29 - $40.07|
|Bonus||$0.00 - $5,135|
|Total Pay (||$31,203 - $68,967|
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.Read More...
At all times, utilization review specialists must follow patient privacy laws. To keep their skills up to date, they may attend workshops, conferences or training classes. Utilization review specialists may be required to coach or mentor new or more junior specialists as well.
A bachelor’s degree in social work, sociology, criminal justice, psychology or another relevant field is generally the minimal educational requirement for utilization review specialist positions. Previous experience in a related role is generally required or preferred as well; some employers may accept substantial experience in lieu of a degree. Utilization review specialists must have excellent communication and interpersonal skills, as these specialists are required to work closely with their institution's staff and patients and their families. Additionally, utilization review specialists must be proficient with basic computer programs, able to work well in a team environment and able to work well on their own with minimal supervision.
Utilization Review Specialist Tasks
- Analyze information gathered by investigation, and report findings and recommendations.
- Modify patient treatment plans as indicated by patients' responses or case history.
- 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.
Utilization Review Specialist Job Listings
Pay by Experience Level for Utilization Review Specialist
Pay by Experience for a Utilization Review Specialist has a positive trend. An entry-level Utilization Review Specialist with less than 5 years of experience can expect to earn an average total compensation of $41,000 based on 88 salaries provided by anonymous users. Average total compensation includes tips, bonus, and overtime pay. A Utilization Review Specialist with mid-career experience which includes employees with 5 to 10 years of experience can expect to earn an average total compensation of $50,000 based on 39 salaries. An experienced Utilization Review Specialist which includes employees with 10 to 20 years of experience can expect to earn an average total compensation of $50,000 based on 29 salaries. A Utilization Review Specialist with late-career experience which includes employees with greater than 20 years of experience can expect to earn an average total compensation of $45,000 based on 8 salaries.
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