Utilization Review Manager Salary in United States

To get your salary data, use the search bar below or browse by job, city, or state.
loading...

Job title is required

loading...

Job location is required.

Average Salary for Utilization Review Manager in United States

The average salary of a(n) Utilization Review Manager in United States is $45,735.

The average hourly rate of a(n) Utilization Review Manager in United States is $21.99.

The average bonus of a(n) Utilization Review Manager in United States is $1,500.00.

Job Description:

Manages a department responsible for the determination of medical necessity and appropriateness of care based on predetermined criteria and/or guidelines. Manages the utilization review function to ensure accurate and timely prior authorization of designated healthcare services, concurrent review, and retrospective review activity. Typically requires licensure as a Registered Nurse with clinical and managed care experience. Hires, develops, and motivates a qualified utilization review department staff. Plans, organizes, implements, and evaluates departmental outcomes. Performs regular data analysis of hospital census, authorization information, and medical cost reports to identify variances and root causes so that areas of focus may be identified and resources may be appropriately deployed. Ensures that benefits and policies are properly interpreted and that care is rendered in the most appropriate site of service with a focus on quality care and cost efficient outcomes. Assures timely response to provider requests for services per department standards. Conducts regular clinical reviews for utilization management activities based on guidelines and standards for patients in a variety of settings. Prepares and manages the departmental budget. Less

Manages a department responsible for the determination of medical necessity and appropriateness of care based on predetermined criteria and/or guidelines. Manages the utilization review function to ensure accurate and timely prior authorization of designated healthcare services, concurrent review, and retrospective... More

How helpful is this page?

Are you a(n) Utilization Review Manager?

Get a more personalized salary report now. Get Report

Average Salaries for Similar Jobs in United States

Job Openings by Indeed job search

Results for Utilization Review Manager in United States

Learning and Engagement Facilitating Manager - Washington, DC

SNI Companies

Coordinate the feedback process with SME and the Learning and Development team to allow utilization of feedback to be integrated into the final version of...

View job on Indeed.com

General Parts Manager - Raleigh, NC

Gregory Poole Equipment Company

Reports to the V P Product Support, along with the Construction Division General Service Manager, Construction Division Product Support Sales Manager, EPG...

View job on Indeed.com

District Fleet Manager - In Training for the Gulf Coast Area - Milton, FL

Waste Management

Manages effective utilization of vehicle assets. District Fleet Manager - In Training for the Gulf Coast Area....

View job on Indeed.com

Credentialing Manager - Little Rock, AR

QualChoice

• Works with Utilization Management, Quality Improvement and Member Services areas to extract information during the recredentialing process....

View job on Indeed.com

Sr Manager Business Intelligence (Tech Ops / Engineering) - Atlanta, GA

Comcast

Trains end users in tool utilization. Prepares and reviews information systems budgets and business plans....

View job on Indeed.com

Discover How Much You
Should Be Paid

Work in Compensation or HR?    x