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.

$33,059 - $68,029
$33K
$50K
$68K
MEDIAN: $50,358
10%
50%
90%

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$13.46 - $31.73
$13
$19
$32
MEDIAN: $19.34
10%
50%
90%

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$0$68K
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
  • Country: United States
  • Currency: USD
  • Updated: 11 Jul 2017
  • Individuals Reporting: 83
Hourly Data $0$40
Hourly Rate $13.46 - $31.73
Overtime $17.29 - $40.07
Annual Data $0$68K
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
  • Country: United States
  • Currency: USD
  • Updated: 11 Jul 2017
  • Individuals Reporting: 63

Find Out Exactly What You Should Be Paid

United States (change)

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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

  • 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.

Utilization Review Specialist Reviews

Q: What is it like working as an Utilization Review Specialist?

Utilization Review Specialist in West Palm Beach:
"Blessed."
Pros: Helping people in need to do better for themselves.
Cons: Rude case managers and clients that abuses their insurance carrier.

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.

Related Job Salaries

Key Stats for Utilization Review Specialist

Gender

Female
80 %
Male
20 %

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 23 votes.
Less than 1 year
4%
1-4 years
49%
5-9 years
22%
10-19 years
18%
20 years or more
7%
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Location:
Years in Fields/Career:
United States (change)

Experience Affects Utilization Review Specialist Salaries

Experienced
▲10%

▲9%

National Average
$46,000

Late-Career
▼2%

▼11%

Skills That Affect Utilization Review Specialist Salaries

Utilization Review (UR)
▲14%

National Average
$46,000


▼8%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 23 votes.

Gender

Female
80 %
Male
20 %

Years of Experience

Less than 1 year
4%
1-4 years
49%
5-9 years
22%
10-19 years
18%
20 years or more
7%

Common Health Benefits

medical benefits
Medical: 85%
dental benefits
Dental: 79%
vision benefits
Vision: 69%
no benefits
None: 13%
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