How much does a Quality Assurance (QA) Utilization Review Manager make in the United States?
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The average Quality Assurance (QA) Utilization Review Manager salary in the United States is $92,288 as of November 01, 2024. The range for our most popular Quality Assurance (QA) Utilization Review Manager positions (listed below) typically falls between $78,596 and $105,979. Keep in mind that salary ranges can vary widely depending on many important factors, including position, education, certifications, additional skills, and 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.
Quality Assurance (QA) Utilization Review Manager's Annual Base Salary
Job Title | Salary | Hourly Rate | Location | Date Updated |
Utilization Review Manager - Home Care | $88,211 | $42.41 | United States | November 01, 2024 |
Utilization Review Manager | $87,401 | $42.02 | United States | November 01, 2024 |
Utilization Review Case Manager | $95,013 | $45.68 | United States | November 01, 2024 |
Care and Utilization Review Nurse Manager | $85,200 | $40.96 | United States | November 01, 2024 |
Home Care Services Utilization Review Manager | $88,220 | $42.41 | United States | November 01, 2024 |
Care and Utilization Review Nurse Coordinator | $73,800 | $35.48 | United States | November 01, 2024 |
Utilization Review Technician | $79,228 | $38.09 | United States | November 01, 2024 |
Utilization Review Coordinator | $91,661 | $44.07 | United States | November 01, 2024 |
Utilization Review Specialist | $91,670 | $44.07 | United States | November 01, 2024 |
Quality Assurance Manager | $128,636 | $61.84 | United States | November 01, 2024 |
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Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. View Utilization Review Manager - Home Care SalaryAlternate Job Titles:Home Care Services Quality/Utilization Manager, Home Care Services Utilization Review Manager
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The Care and Utilization Review Nurse Manager oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Being a Care and Utilization Review Nurse Manager requires a bachelor's degree. Experienced in utilization review techniques and protocols. In addition, Care and Utilization Review Nurse Manager typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Care and Utilization Review Nurse Manager supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Working as a Care and Utilization Review Nurse Manager typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. View Care and Utilization Review Nurse Manager SalaryAlternate Job Titles:Managed Care Supervisor
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The Home Care Services Utilization Review Manager investigates and resolves reports of inappropriate care. Ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Being a Home Care Services Utilization Review Manager typically reports to a head of a unit/department. May require a bachelor's degree. Working as a Home Care Services Utilization Review Manager typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. View Home Care Services Utilization Review Manager SalaryAlternate Job Titles:Utilization Review Manager - Home Care, Home Care Services Quality/Utilization Manager
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The Care and Utilization Review Nurse Coordinator ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Coordinates utilization reviews of managed care contracts using established guidelines and processes. Being a Care and Utilization Review Nurse Coordinator maintains managed care contracts and information databases and prepares reports. Communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization. In addition, Care and Utilization Review Nurse Coordinator typically requires an associate's degree of Nursing. Typically reports to a supervisor or manager. Typically requires Registered Nurse (RN). Being a Care and Utilization Review Nurse Coordinator has gained full proficiency in a broad range of activities related to the job. Independently performs a wide range of complex duties under general guidance from supervisors. Working as a Care and Utilization Review Nurse Coordinator typically requires 5-7 years of related experience. View Care and Utilization Review Nurse Coordinator SalaryAlternate Job Titles:Managed Care Coordinator
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Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. View Utilization Review Technician SalaryAlternate Job Titles:Patient Care Utilization Monitoring/Review TechnicianCategory : Healthcare - Technicians
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Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. View Utilization Review Coordinator SalaryAlternate Job Titles:Registered Nurse (RN) - Utilization Review, Utilization Review Specialist
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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. View Utilization Review Specialist SalaryAlternate Job Titles:Utilization Review Coordinator, Registered Nurse (RN) - Utilization Review
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Quality Assurance Manager is responsible for the implementation of policies and procedures to ensure adherence to production quality standards. Monitors and audits process, material, and product testing against established standards and conducts a continuous analysis of quality defects and deviations. Being a Quality Assurance Manager identifies deficiencies or gaps in testing activities and develops solutions to ensure adequate and robust quality processes. Optimizes processes to comply with existing and new regulatory requirements. Additionally, Quality Assurance Manager typically requires a bachelor's degree. Typically reports to a director. The Quality Assurance Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Quality Assurance Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. View Quality Assurance Manager SalaryAlternate Job Titles:Manager of Quality Assurance, Product Quality Assurance Manager