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Travel Utilization Review Nurse Jobs Salary Insights
Average Utilization Review Nurse Salary
The average salary for a Utilization Review Nurse is $2,454 per week. This is 11% higher than the nursing US average of $2,189.
Last updated on October 2, 2023. Based on 65 active jobs on Vivian.com in the last 7 days.
Travel Utilization Review Nurse Jobs FAQs
Does Vivian have any staff Nursing jobs?
As of Tuesday, October 3rd 2023, Vivian has 40 Staff Nursing jobs listed. These jobs pay $48 per hour on average, with the highest-paying job listed up to $61 per hour.
Where can I learn more about working as a Travel Utilization Review Nurse?
Take a look at Vivian's Travel Utilization Review Nurse Career Guide for more information, including required education, responsibilities, pros and cons and more.
What is an Utilization Review Nurse?
Utilization review nurses are registered nurses who specialize in combining their clinical and administrative experience to monitor the quality of patient care while helping control health care costs. UR nurses are deeply committed to health care quality and patient safety. They help prevent overuse or misuse of medical resources and monitor insurance claims for patients to ensure their medical procedures and services are covered.
What does a utilization review nurse do?
The primary role of utilization review nurses is similar whether they work for a health care provider or an insurance company, although everyday tasks vary to some degree. As employees of the insurance industry, UR nurses focus on pre-certifying patients for medically necessary procedures and hospitalizations and determining whether patients meet the standards for insurance reimbursement.
Where do utilization review nurses work?
UR nurses serve as liaisons between patients, health care providers, and third-party payers. They may work on the medical side of utilization review with employment in inpatient and outpatient clinical settings, including hospitals, nursing homes, and home health agencies. They also may work on the insurance side and work for traditional medical insurance carriers or managed care companies. Worker’s compensation bureaus and government agencies, such as Medicare and Medicaid, also may employ utilization review nurses.
What skills make a good utilization review nurse?
Good UR nurses have a broad base of nursing knowledge/experience and familiarity with evidence-based practice. Critical thinking skills and attention to detail are crucial for reviewing medical records and patient histories to make recommendations that effectively balance appropriate health care services with cost and quality. Exceptional UR nurses are highly accurate in performing and auditing clinical documentation. They have advanced organization skills to keep up with potentially heavy caseloads and superior verbal and written communication skills to communicate clearly and concisely with patients, health care providers, and insurance representatives. All combined, good UR nurses have the skills to ensure patient safety, reduce medical errors, and eliminate unnecessary services without adding potentially harmful delays in care.
How to become a Utilization Review Travel Nurse
UR nurses must be licensed registered nurses, which requires a minimum of an associate degree in nursing and passing the NCLEX-RN to obtain RN licensure. However, most employers prefer UR nurses to have a Bachelor of Science in Nursing. Employers also prefer hiring UR nurses with extensive hands-on nursing experience and an administrative background. Previous UR experience and certification are often preferred. UR nurses may want to pursue Health Care Quality & Management Certification from the American Board of Quality Assurance and Utilization Review Physicians or Nursing Case Management Certification from the American Nurses Credentialing Center.