Utilization Review Specialist Salary in the United States

Utilization Review Specialist Salary

How much does a Utilization Review Specialist make in the United States? The average Utilization Review Specialist salary in the United States is $84,500 as of December 27, 2021, but the range typically falls between $75,080 and $93,300. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target. 

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Salary Salary + Bonus Benefits
Based on HR-reported data: a national average with a geographic differential
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25% $75,080 10% $66,504 90% $101,312 75% $93,300 $84,500 50%(Median)

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Job Description

The Utilization Review Specialist monitors patient charts and records to evaluate care concurrent with the patients treatment. Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Being a Utilization Review Specialist collects and complies data as required and according to applicable policies and regulations. Reviews treatment plans and status of approvals from insurers. In addition, Utilization Review Specialist consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). Being a Utilization Review Specialist contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. Working as a Utilization Review Specialist typically requires 4 to 7 years of related experience. (Copyright 2022 Salary.com)

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Career Path for this job

  1. Down a level:

    Patient Care Utilization Monitoring/Review Technician

    2 - 4 years experience
    Associate's Degree

  2. This Job:

    Utilization Review Specialist

    4 - 7 years experience
    Bachelor's Degree

  3. Up a level:

    Medical Claims Quality Nurse Manager

    5 + years experience
    Bachelor's Degree

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Average Base Salary

Core compensation

 
 
 
75080
93300
84500

Average Total Cash Compensation

Includes base and annual incentives

 
 
 
75510
93530
84750
These charts show the average base salary (core compensation), as well as the average total cash compensation for the job of Utilization Review Specialist in the United States. The base salary for Utilization Review Specialist ranges from $75,080 to $93,300 with the average base salary of $84,500. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $75,510 to $93,530 with the average total cash compensation of $84,750.
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75080
93300

 

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Salary estimation for Utilization Review Specialist at companies like : BRIGHT HORIZONS FAMILY SOLTN, FONAR CORP, QUORUM HEALTH CORP

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