How much does a Utilization Review Specialist make in the United States? The average Utilization Review Specialist salary in the United States is $90,430 as of April 24, 2024, but the range typically falls between $80,350 and $99,860. 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.
Percentile | Salary | Location | Last Updated |
10th Percentile Utilization Review Specialist Salary | $71,173 | US | April 24, 2024 |
25th Percentile Utilization Review Specialist Salary | $80,350 | US | April 24, 2024 |
50th Percentile Utilization Review Specialist Salary | $90,430 | US | April 24, 2024 |
75th Percentile Utilization Review Specialist Salary | $99,860 | US | April 24, 2024 |
90th Percentile Utilization Review Specialist Salary | $108,446 | US | April 24, 2024 |
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 2024 Salary.com)
2 - 4 years experience
Associate's Degree
4 - 7 years experience
Bachelor's Degree
Master's Degree or MBA
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