How much does a utilization review nurse make?
While ZipRecruiter is seeing annual salaries as high as $102,500 and as low as $31,000, the majority of Remote Utilization Review Nurse salaries currently range between $62,500 (25th percentile) to $82,000 (75th percentile) with top earners (90th percentile) making $96,500 annually across the United States.
How much do remote RNs make?
Remote Nurse Salary
| Annual Salary | Monthly Pay | |
|---|---|---|
| Top Earners | $108,500 | $9,041 |
| 75th Percentile | $83,500 | $6,958 |
| Average | $73,374 | $6,114 |
| 25th Percentile | $54,000 | $4,500 |
How do I become a certified utilization review nurse?
How to earn a utilization review certification and become a UR nurse
- Select a utilization review certification that matches your needs.
- Apply for certification.
- Review study materials and complete credit hours.
- Take the certification examination.
- Display your certification on your resume.
Is utilization review stressful?
Working as a utilization review nurse can be stressful, as it may involve situations and settings in which nurses are forced to make decisions which they may not personally agree with. In an insurance company, the utilization review nurse inspects claims to determine whether or not they should be paid.
How much does Humana pay RN case managers?
Average Humana Registered Nurse Case Manager yearly pay in the United States is approximately $61,270, which is 14% below the national average. Salary information comes from 20 data points collected directly from employees, users, and past and present job advertisements on Indeed in the past 36 months.
What are the responsibilities of a utilization review nurse?
Utilization review nurses perform frequent case reviews, check medical records, speak with patients and care providers regarding treatment, and respond to the plan of care. They also make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.
What is the highest paid registered nurse?
The certified registered nurse anesthetist consistently ranks as the highest paid nursing career. That is because Nurse Anesthetists are advanced and highly skilled registered nurses who work closely with medical staff during medical procedures that require anesthesia.
How do you get MCG certified?
The MCG Trainer certification has three requirements:
- Achieve the Care Guidelines Specialist Certification in either Utilization Management or Case Management.
- Complete a custom Train-the-Trainer course offered by an MCG Clinical Educator.
- Pass the online Trainer Certification exam with a score of 80% or better.
Is utilization review the same as case management?
However, while discharge planners focus on the transition out of the hospital, case managers focus on the entire stay as well as out in the community. Additionally, case managers also perform utilization review, ensuring patients are not over-utilizing resources unnecessarily while receiving the care they need.
Is utilization review a good job?
Utilization reviewers are being hired like crazy as payers work to prevent insurance fraud and ensure proper use of benefits. No direct patient care. If you’re looking for a truly non-clinical role, UR/UM is ideal for you. There’s zero actual patient care, but you’re still very much using your degree.
What makes a good utilization review nurse?
Nurses who do Utilization Review have a general knowledge of the importance of quality, cost and care transition from one setting to another. Hospitals and managed care organizations look for nurses who have a strong clinical background, excellent communication skills, and up-to-date computer skills.