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 $87,290 as of January 26, 2023, but the range typically falls between $77,560 and $96,380. 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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25% $77,560 10% $68,701 90% $104,656 75% $96,380 $87,290 50%(Median)

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Check out Utilization Review Specialist jobs in Virginia

RN Care Coordinator - 24 HRS/WK

Erickson Senior Living - Ashburn, VA

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Clinical RN Manager

HCA Virginia Healthcare at Home - Bowling Green, VA

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Clinical RN Manager

HCA Virginia Healthcare at Home - Dinwiddie, VA

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Quality Service Review Specialist (BHJOB1435_29891)

Astyra Corporation - Lynchburg, VA

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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 2023 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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Understand the total compensation opportunity for an Utilization Review Specialist, base salary plus other pay elements

Average Base Salary

Core compensation

 
 
 
77560
96380
87290

Average Total Cash Compensation

Includes base and annual incentives

 
 
 
78010
96620
87550
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 $77,560 to $96,380 with the average base salary of $87,290. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $78,010 to $96,620 with the average total cash compensation of $87,550.
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77560
96380

 

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Salary estimation for Utilization Review Specialist at companies like : BRIGHT HORIZONS FAMILY SOLTN, FONAR CORP, RadNet, Inc.

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