A Utilization Reviewer earns an average salary of $56,493 per year. For the first five to ten years in this position, pay increases steeply, but any additional experience does not have a big effect on pay. Most people with this job move on to other positions after 20 years in this career.

$32,251 - $78,670
(Median)
$32K
$56K
$79K
MEDIAN: $56,492
10%
50%
90%

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$12.80 - $26.71
(Median)
$13
$21
$27
MEDIAN: $21.00
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$27K$54K$81K
Salary
$32,251 - $78,670  
   
Bonus
$0.00  
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).
)
$30,199 - $77,145  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 32
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$13$26$39
Hourly Rate
$12.80 - $26.71  
   
Overtime
$19.00  
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$26K$52K$78K
Bonus
$0.00  
   
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).
)
$30,199 - $77,145  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 18
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Job Description for Utilization Reviewer

  • 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 Management (UM) Job Listings

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Experience Affects Utilization Reviewer Salaries

Experienced
up arrow 10%

Mid-Career
up arrow 6%

National Average
$52,000

Entry-Level
up arrow 12%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 4 votes.

Gender

Female
95 %
Male
5 %

Years of Experience

Less than 1 year
4%
1-4 years
34%
5-9 years
32%
10-19 years
26%
20 years or more
4%

Common Health Benefits

medical benefits
Medical: 91%
dental benefits
Dental: 66%
medical benefits
Vision: 59%
dental benefits
None: 6%
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