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Consultant nurse vs utilization review nurse

The differences between consultants nurse 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 consultant nurse and a utilization review nurse. Additionally, a consultant nurse has an average salary of $71,690, which is higher than the $65,425 average annual salary of a utilization review nurse.

The top three skills for a consultant nurse include excellent interpersonal, patients and discharge planning. The most important skills for a utilization review nurse are medical necessity, patients, and acute care.

Consultant nurse vs utilization review nurse overview

Consultant NurseUtilization Review Nurse
Yearly salary$71,690$65,425
Hourly rate$34.47$31.45
Growth rate6%6%
Number of jobs58,14029,776
Job satisfaction--
Most common degreeBachelor's Degree, 45%Bachelor's Degree, 43%
Average age4444
Years of experience22

What does a consultant nurse do?

A Consultant Nurse is responsible for providing healthcare consultations and technical advice to patients. This job also involves consulting with nursing groups about professional and educational problems.

What does a utilization review nurse do?

The primary role of an Utilization Review Nurse is to analyze the condition of each patient carefully and decide if the patient still needs to stay in the hospital or be sent home. They deal with patients' relatives, doctors, and people from insurance companies.

Consultant nurse vs utilization review nurse salary

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

Consultant NurseUtilization Review Nurse
Average salary$71,690$65,425
Salary rangeBetween $50,000 And $101,000Between $47,000 And $89,000
Highest paying CityStockton, CAAlameda, CA
Highest paying stateCaliforniaRhode Island
Best paying companyCVS HealthMolina Healthcare
Best paying industryPharmaceuticalHealth Care

Differences between consultant nurse and utilization review nurse education

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

Consultant NurseUtilization Review Nurse
Most common degreeBachelor's Degree, 45%Bachelor's Degree, 43%
Most common majorNursingNursing
Most common collegeDuke UniversityDuke University

Consultant nurse vs utilization review nurse demographics

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

Consultant NurseUtilization Review Nurse
Average age4444
Gender ratioMale, 10.6% Female, 89.4%Male, 8.5% Female, 91.5%
Race ratioBlack or African American, 11.4% Unknown, 4.2% Hispanic or Latino, 8.9% Asian, 9.0% White, 66.1% 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 consultant nurse and utilization review nurse duties and responsibilities

Consultant nurse example responsibilities.

  • Monitor patients' status during surgery (circulate in operating room) and manage patients in PACU.
  • Subpoena, organize and review medical records for defense counsel in medical malpractice, product liability and personal injury litigation.
  • Conduct medical record analysis and provide case summation in complex personal injury, product liability, employment and insurance defense litigation.
  • course for the LTC R.N.
  • Conform to all applicable HIPAA, billing compliance and safety guidelines.
  • Create new staffing patterns for surgical and medical and ICU units.
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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.
  • Show more

Consultant nurse vs utilization review nurse skills

Common consultant nurse skills
  • Excellent Interpersonal, 8%
  • Patients, 7%
  • Discharge Planning, 6%
  • Customer Service, 6%
  • Patient Care, 5%
  • Rehabilitation, 4%
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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