Utilization Review (UR) Manager Salary
Most Utilization Review Managers in the United States are women. The median pay for people in this role is approximately $68K per year. For the most part, Utilization Review Managers enjoy their work and report high levels of job satisfaction. A large number enjoy medical and dental coverage in this occupation, and the greater part get vision benefits. The figures in this overview were provided by individuals who took PayScale's salary questionnaire.
|Salary||$45,544 - $96,614|
|Bonus||$0.00 - $12,365|
|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).)
|$41,456 - $98,030|
|Hourly Rate||$17.73 - $45.45|
|Bonus||$0.00 - $12,365|
|Total Pay (||$41,456 - $98,030|
Job Description for Utilization Review (UR) Manager
Utilization review (UR) managers are responsible for the planning, administration, and oversight of an organization's UR program. These managers ensure full adherence to all applicable regulatory guidelines and statutory requirements, and this is typically a collaborative position in an acute care setting with a variety of clinicians and administrative personnel to improve customer satisfaction, contain costs, and meet organizational goals.Read More...
UR managers are responsible for coordinating utilization review programs; maintaining detailed databases of admission and discharge information; performing weekly, monthly, and quarterly reviews of compiled data to assess progress for particular programs; communicating new protocols and procedures to clinicians and supervisory personnel; identifying potential and emerging challenges with resource utilization, billing procedures, out-of-network referrals, and patient satisfaction; referring providers and patients to appropriate care organizations; and supervising and interacting with supporting UR staff on a daily basis.
Strong written and verbal communication skills are important in this position, and UR managers must be able to excel in a busy medical environment and maintain confidentiality and compliance with HIPAA regulations. They should also have an understanding of admittance, discharge, and billing procedures, as well as cost-benefit principles.
A bachelor's degree, active clinical certification as an RN, LICSW, or LMHC, at least three years of experience in a clinical environment, and at least one year in a utilization review position are generally required for UR managers. Some employers may prefer those who also have a master's degree or prior supervisory experience. (Copyright 2017 PayScale.com)
Utilization Review (UR) Manager Tasks
- Manage the selection, training and development of staff.
- Ensure patient services are in compliance with utilization professional standards, state and federal regulatory requirements.
- Monitor and analyze admissions, operational resources, and other indicators within the utilization and quality program.
- Conduct audits to ensure quality patient care and appropriateness of services within contracts.
- Oversee day-to-day operational and clinical activities to ensure quality patient care.
Utilization Review (UR) Manager Job Listings
Pay by Experience Level for Utilization Review (UR) Manager
Pay by Experience for a Utilization Review (UR) Manager has a positive trend. An entry-level Utilization Review (UR) Manager with less than 5 years of experience can expect to earn an average total compensation of $61,000 based on 42 salaries provided by anonymous users. Average total compensation includes tips, bonus, and overtime pay. A Utilization Review (UR) Manager with mid-career experience which includes employees with 5 to 10 years of experience can expect to earn an average total compensation of $63,000 based on 31 salaries. An experienced Utilization Review (UR) Manager which includes employees with 10 to 20 years of experience can expect to earn an average total compensation of $64,000 based on 27 salaries. A Utilization Review (UR) Manager with late-career experience which includes employees with greater than 20 years of experience can expect to earn an average total compensation of $81,000 based on 18 salaries.
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