Registered Nurse (RN), Utilization Review (UR) Salary

With slightly less than two-thirds of Utilization Review Registered Nurses in the United States reporting more than 10 years of experience in the field, this area is heavily weighted toward experienced professionals. Pay ranges from $53K to $89K per year and averages out to $69K annually. This group's pay is mainly influenced by geography, followed by the specific employer and experience level. Most enjoy medical while a strong majority get dental coverage. Vision coverage is also available to the larger part. Most Utilization Review Registered Nurses report high levels of job satisfaction. The numbers in this rundown were provided by PayScale's salary survey participants.
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$53,928 - $88,154
$54K
$69K
$88K
MEDIAN: $69,276
10%
50%
90%

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$25.41 - $43.94
$25
$32
$44
MEDIAN: $32.48
10%
50%
90%

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$0$90K
Salary $53,928 - $88,154
Bonus $592 - $6,589
Profit Sharing $1,000
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).
)
$53,895 - $90,722
  • Country: United States
  • Currency: USD
  • Updated: 18 Nov 2017
  • Individuals Reporting: 354
Hourly Data $0$62
Hourly Rate $25.41 - $43.94
Overtime $34.80 - $62.93
Annual Data $0$90K
Bonus $592 - $6,589
Profit Sharing $1,000
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).
)
$53,895 - $90,722
  • Country: United States
  • Currency: USD
  • Updated: 18 Nov 2017
  • Individuals Reporting: 294

Job Description for Registered Nurse (RN), Utilization Review (UR)

The primary responsibility of the utilization review nurse is to review medical records and prepare clinical appeals (when appropriate) on medical necessity, level of care, length of stay, and authorization denials for hospitalized patients. An understanding of the severity of an array illnesses, intensity of service, and care coordination needs are key, as the nurse must integrate clinical knowledge with billing knowledge to review, evaluate, and appeal clinical denials related to the care provided to the hospitalized patient. The utilization review nurse works with the multidisciplinary team to assess and improve the denial management, documentation, and appeals process of such findings.

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Registered Nurse (RN), Utilization Review (UR) 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.

Common Career Paths for Registered Nurse (RN), Utilization Review (UR)


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Utilization Review Registered Nurses who go on to become Utilization Management Registered Nurses may see somewhat stagnant compensation. On average, an Utilization Management Registered Nurse, an upper-level role, pays $67K.

Registered Nurse (RN), Utilization Review (UR) Job Listings

Popular Employer Salaries for Registered Nurse (RN), Utilization Review (UR)


Leading companies who hire large numbers of Utilization Review Registered Nurses include UnitedHealth Group, United Healthcare Group, Aetna, Inc., Humana, Inc., and Anthem. Anthem leads the field in terms of pay, with a median salary of $74K.

Popular Skills for Registered Nurse (RN), Utilization Review (UR)


Survey takers working as Utilization Review Registered Nurses report using a large range of professional skills. Most notably, skills in Emergency Room, Pediatrics, Medicine / Surgery, and Hospice are correlated to pay that is above average. At the other end of the pay range are skills like Home Health/Home Care, Labor & Delivery, Birthing, and Geriatrics. Those educated in Case Management tend to be well versed in Acute Care and Medicine / Surgery.

Pay by Experience Level for Registered Nurse (RN), Utilization Review (UR)

Pay by Experience for a Registered Nurse (RN), Utilization Review (UR) has a positive trend. An entry-level Registered Nurse (RN), Utilization Review (UR) with less than 5 years of experience can expect to earn an average total compensation of $63,000 based on 175 salaries provided by anonymous users. Average total compensation includes tips, bonus, and overtime pay. A Registered Nurse (RN), Utilization Review (UR) with mid-career experience which includes employees with 5 to 10 years of experience can expect to earn an average total compensation of $65,000 based on 157 salaries. An experienced Registered Nurse (RN), Utilization Review (UR) which includes employees with 10 to 20 years of experience can expect to earn an average total compensation of $68,000 based on 246 salaries. A Registered Nurse (RN), Utilization Review (UR) with late-career experience which includes employees with greater than 20 years of experience can expect to earn an average total compensation of $71,000 based on 233 salaries.

Pay Difference by Location

National Average: $69,092

Larger city markers indicate a job is popular in that location.

Utilization Review Registered Nurses in search of above-average pay will head east: In particular, Utilization Review Registered Nurses in Washington, New York, and Philadelphia enjoy higher pay rates than the national average. Those in the field find the lowest salaries in Raleigh, 18 percent below the national average. On the whole, employers pay 7 percent below the median salary for those in this field in Columbus and Richmond.

Registered Nurse (RN), Utilization Review (UR) Reviews

Q: What is it like working as a Registered Nurse (RN), Utilization Review (UR)?

Registered Nurse (RN), Utilization Review (UR) in Castro Valley:
"RN."
Pros: The company people are friendly work in a team environment.
Cons: Not sure if going to get permanent position.

Related Job Salaries

Key Stats for Registered Nurse (RN), Utilization Review (UR)

Gender

Female
96 %
Male
4 %

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 73 votes.
Less than 1 year
2%
1-4 years
16%
5-9 years
18%
10-19 years
28%
20 years or more
37%

Experience Affects Registered Nurse (RN), Utilization Review (UR) Salaries

▲3%

National Average
$69,000

▼2%

▼6%

▼9%

Skills That Affect Registered Nurse (RN), Utilization Review (UR) Salaries


Pediatrics
▼0%

National Average
$69,000

Utilization Review (UR)
▼2%

Case Management
▼2%

Medicine / Surgery
▼2%

Hospice
▼2%

▼3%


▼4%

▼7%

Labor & Delivery, Birthing
▼9%

Home Health/Home Care
▼11%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 73 votes.

Gender

Female
96 %
Male
4 %

Years of Experience

Less than 1 year
2%
1-4 years
16%
5-9 years
18%
10-19 years
28%
20 years or more
37%

Common Health Benefits

medical benefits
Medical: 83%
dental benefits
Dental: 74%
vision benefits
Vision: 70%
no benefits
None: 14%