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As of August 01, 2026, the average salary for a Utilization Review Specialist in Wisconsin is $90,140 per year, which breaks down to an hourly rate of $43.
However, a Utilization Review Specialist's salary can vary significantly. Here’s a look at the typical salary range:
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Utilization Review Specialist Salaries by Percentile
| Annual Salary |
Monthly Pay |
Weekly Pay |
Hourly Wage |
|
| 75th Percentile | $96,900 | $8,075 | $1,863 | $47 |
| Average | $90,140 | $7,512 | $1,733 | $43 |
| 25th Percentile | $83,010 | $6,918 | $1,596 | $40 |
Osceola Medical Center - Osceola, WI
Oscar Health Insurance - Oregon, WI
The Bank of New Glarus - New Glarus, WI
Stability HealthCare - Appleton, WI
A Utilization Review Specialist's salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location, and company size can directly affect your earning potential.
Experience is a primary driver of a Utilization Review Specialist's salary. As you build your skills and take on more complex tasks, your compensation generally increases. Here's how the average salary grows at different career stages:
| Job Role | Years of Experience | Average Salary |
|---|---|---|
| Patient Care Utilization Monitoring/Review Technician | 2-4 years | $75,009 |
| Utilization Review Specialist | 4-7 years | $90,139 |
| Patient Care Utilization Monitoring/Review Coordinator (RN) | 7+ years | $136,238 |
What Am I Worth?
Your salary can change significantly depending on where you work. States with a higher cost of living and strong industrial sectors often pay more to attract Utilization Review Specialists. For example, consider the average annual salaries in these key locations:
Salaries can also vary between different cities. Major metropolitan areas or cities with a high demand for technicians often offer more competitive pay. Here are a few examples of average annual salaries in different U.S. cities:
Utilization Review Specialist salary potential scales significantly with company size. Data shows that Enterprise companies (5,000+ employees) pay the highest average salary at around $95,613. While startup companies pay approximate $81,476.
| Company Size | Employees | Average Salary |
|---|---|---|
| Startup | 1~50 | $81,476 |
| Growth Stage | 51~500 | $86,009 |
| Established | 501~5000 | $92,487 |
| Enterprise | 5000+ | $95,613 |
For Utilization Review Specialist roles, the industry you choose can impact your earning potential by as much as 60% (the gap between the highest and lowest paying industries). Data shows that the highest-paying industry, Healthcare, offers compensation 30% above the average. Conversely, Utilization Review Specialist positions in Edu., Gov't. & Nonprofit typically offer lower base pay, as this sector often view Utilization Review Specialist as a support function rather than a direct revenue driver.
| Industry Sector | Average Annual Salary | Average Hourly Rate | Pay vs.Avg |
|---|---|---|---|
| Healthcare | $117,182 | $56.0 | 30% |
Understanding how a Utilization Review Specialist's annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.
| Annual Salary | Monthly Pay | Weekly Pay | Hourly Wage | |
|---|---|---|---|---|
| 75th Percentile | $96,900 | $8,075 | $1,863 | $47 |
| Average | $90,140 | $7,512 | $1,733 | $43 |
| 25th Percentile | $83,010 | $6,918 | $1,596 | $40 |
For a Utilization Review Specialist, the most direct path to higher earnings is advancing to the Patient Care Utilization Monitoring/Review Coordinator (RN) role. This promotion typically comes with a significant pay increase, bringing the average annual salary to $136,300 - a projected growth of 51% over your current level.
Ready to take the next step in your career? Browse thousands of current Utilization Review Specialist job openings on our job board. Use the search bar below to find your perfect match.
Molina Healthcare
Racine, WI
Molina Healthcare | Racine, WI
Job SummaryJoin our team as a Medical Review Nurse, where you will play a crucial role in supporting medical claim and internal appeals review activities. ... more
6 Days Ago
LifeBridge Health, Inc.
MCDONOGH RUN, MD
LifeBridge Health, Inc. | MCDONOGH RUN, MD
Work Schedule: This is an EVERY Saturday and Sunday role Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart revi... more
4 Days Ago
Christus Health
IRVING, TX
Christus Health | IRVING, TX
Description. Summary. The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services. ... more
4 Days Ago
CHRISTUS Health
IRVING, TX
CHRISTUS Health | IRVING, TX
Description Summary: The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services. T... more
9 Days Ago
LifeBridge Health, Inc.
OWINGS MILLS, MD
LifeBridge Health, Inc. | OWINGS MILLS, MD
Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stay... more
2 Days Ago
LifeBridge Health, Inc.
MCDONOGH RUN, MD
LifeBridge Health, Inc. | MCDONOGH RUN, MD
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization infor... more
2 Days Ago
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