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Circulating nurse vs utilization review nurse

The differences between circulating nurses and utilization review nurses can be seen in a few details. Each job has different responsibilities and duties. It typically takes 1-2 years to become both a circulating nurse and a utilization review nurse. Additionally, a circulating nurse has an average salary of $74,535, which is higher than the $65,425 average annual salary of a utilization review nurse.

The top three skills for a circulating nurse include patients, BLS and plastic surgery. The most important skills for a utilization review nurse are medical necessity, patients, and acute care.

Circulating nurse vs utilization review nurse overview

Circulating NurseUtilization Review Nurse
Yearly salary$74,535$65,425
Hourly rate$35.83$31.45
Growth rate6%6%
Number of jobs580,48129,776
Job satisfaction--
Most common degreeAssociate Degree, 46%Bachelor's Degree, 43%
Average age4444
Years of experience22

Circulating nurse vs utilization review nurse salary

Circulating nurses and utilization review nurses have different pay scales, as shown below.

Circulating NurseUtilization Review Nurse
Average salary$74,535$65,425
Salary rangeBetween $45,000 And $121,000Between $47,000 And $89,000
Highest paying City-Alameda, CA
Highest paying state-Rhode Island
Best paying company-Molina Healthcare
Best paying industry-Health Care

Differences between circulating nurse and utilization review nurse education

There are a few differences between a circulating nurse and a utilization review nurse in terms of educational background:

Circulating NurseUtilization Review Nurse
Most common degreeAssociate Degree, 46%Bachelor's Degree, 43%
Most common majorNursingNursing
Most common collegeDuke UniversityDuke University

Circulating nurse vs utilization review nurse demographics

Here are the differences between circulating nurses' and utilization review nurses' demographics:

Circulating NurseUtilization Review Nurse
Average age4444
Gender ratioMale, 14.6% Female, 85.4%Male, 8.5% Female, 91.5%
Race ratioBlack or African American, 10.7% Unknown, 4.3% Hispanic or Latino, 9.8% Asian, 8.9% White, 65.8% American Indian and Alaska Native, 0.4%Black or African American, 12.0% Unknown, 4.3% Hispanic or Latino, 9.1% Asian, 8.9% White, 65.3% American Indian and Alaska Native, 0.4%
LGBT Percentage9%9%

Differences between circulating nurse and utilization review nurse duties and responsibilities

Circulating nurse example responsibilities.

  • Organize and manage regular clinics involving external physicians, including ophthalmology, ENT, Med/Surg, orthopedics, and podiatry professionals.
  • Monitor vital signs in PACU and review discharge instructions to caretaker regarding procedure.
  • Circulate ENT, plastics, GYN, GI, general, and orthopedic cases.
  • Circulate mostly GU and GYN cases
  • Assist in Pre-Op as needed.
  • Assist in endoscopy for EGDS, Colonoscopys, and ERCPs.
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Utilization review nurse example responsibilities.

  • Monitor patients' status during surgery (circulate in operating room) and manage patients in PACU.
  • Case management for acute patients refer to LTC
  • Advise insurance carriers on recommend reimbursement for charges following automate bill audit utilizing ICD-9 and CPT codes.
  • Provide caregiver oversight relate to care, medication administration and emergency situations.
  • Identify inappropriate utilization of services/settings through the application of establish clinical criteria using InterQual and CMS guidelines for medical necessity.
  • Direct contact with IPA providers.
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Circulating nurse vs utilization review nurse skills

Common circulating nurse skills
  • Patients, 25%
  • BLS, 7%
  • Plastic Surgery, 7%
  • Infection Control, 5%
  • Anesthesia, 5%
  • Acls, 5%
Common utilization review nurse skills
  • Medical Necessity, 9%
  • Patients, 7%
  • Acute Care, 7%
  • Discharge Planning, 7%
  • Utilization Management, 6%
  • Utilization Review, 6%

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