The average salary for a Utilization Review Specialist is $46,209 per year. For the first five to ten years in this position, salary increases sharply, but any additional experience does not have a big effect on pay. Most people move on to other jobs if they have more than 20 years' experience in this field.

$31,488 - $65,193
(Median)
$31K
$46K
$65K
MEDIAN: $46,209
10%
50%
90%

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$13.12 - $30.49
(Median)
$13
$19
$30
MEDIAN: $18.00
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$23K$46K$69K
Salary
$31,488 - $65,193  
   
Bonus
$0.00 - $5,187  
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).
)
$29,947 - $66,487  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 82
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
$13.12 - $30.49  
   
Overtime
$18.91 - $48.30  
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 - $5,187  
   
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).
)
$29,947 - $66,487  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 65
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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.

Related Job Salaries

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Experience Affects Utilization Review Specialist Salaries

Experienced
up arrow 17%

Late-Career
up arrow 17%

Mid-Career
up arrow 13%

National Average
$42,000


Skills That Affect Utilization Review Specialist Salaries

Utilization Review (UR)
up arrow 8%

Psychiatric
up arrow 7%

National Average
$42,000

Case Management
up arrow 4%

Job Satisfaction

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

Gender

Female
84 %
Male
16 %

Years of Experience

Less than 1 year
3%
1-4 years
52%
5-9 years
22%
10-19 years
16%
20 years or more
7%

Common Health Benefits

medical benefits
Medical: 84%
dental benefits
Dental: 80%
medical benefits
Vision: 68%
dental benefits
None: 12%
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