Nurse liaison vs utilization review nurse

The differences between nurse liaisons 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 nurse liaison and a utilization review nurse. Additionally, a nurse liaison has an average salary of $65,526, which is higher than the $65,425 average annual salary of a utilization review nurse.

The top three skills for a nurse liaison include patients, home health and rehabilitation. The most important skills for a utilization review nurse are medical necessity, patients, and acute care.

Nurse liaison vs utilization review nurse overview

	Nurse Liaison	Utilization Review Nurse
Yearly salary	$65,526	$65,425
Hourly rate	$31.50	$31.45
Growth rate	6%	6%
Number of jobs	59,722	29,776
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 46%	Bachelor's Degree, 43%
Average age	44	44
Years of experience	2	2

What does a nurse liaison do?

Nurse Liaisons are responsible for advocating and providing assistance for patients in a health care facility. Their duties include assessing medical records and patient eligibility, connecting a physician for a patient, assist in the admissions process for patients and family, and address any queries or concerns. Besides that, they must maintain consistent communication with physicians as well as external and internal case managers. Nurse liaisons may also assist in the patient's precertification process relating to commercial insurance or government health plans.

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.

Nurse liaison vs utilization review nurse salary

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

	Nurse Liaison	Utilization Review Nurse
Average salary	$65,526	$65,425
Salary range	Between $48,000 And $87,000	Between $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 nurse liaison and utilization review nurse education

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

	Nurse Liaison	Utilization Review Nurse
Most common degree	Bachelor's Degree, 46%	Bachelor's Degree, 43%
Most common major	Nursing	Nursing
Most common college	Duke University	Duke University

Nurse liaison vs utilization review nurse demographics

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

	Nurse Liaison	Utilization Review Nurse
Average age	44	44
Gender ratio	Male, 9.9% Female, 90.1%	Male, 8.5% Female, 91.5%
Race ratio	Black or African American, 12.0% Unknown, 4.2% Hispanic or Latino, 8.8% Asian, 8.9% White, 65.7% 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 Percentage	9%	9%

Differences between nurse liaison and utilization review nurse duties and responsibilities

Nurse liaison example responsibilities.

Manage patient pain relief and sedation by providing pharmacological and non-pharmacological intervention, monitor patient response and record care plans accordingly.
Participate in a pioneer direct patient care approach with acutely and chronically ill patients, including but not limit to oncology patients
Communicate and collaborate with interdisciplinary team, patients, families regarding discharge planning and ensuring continuity of care.
Act as team leader during resuscitation codes.
Develop action plans quarterly for SNF's regarding improve clinical outcomes.
Generate referrals and complete patient assessments for SNF and/or LTACH placement.

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.

Nurse liaison vs utilization review nurse skills

Common nurse liaison skills

Patients, 22%
Home Health, 12%
Rehabilitation, 7%
Customer Service, 6%
Care Services, 4%
Patient Education, 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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Nurse Liaison
Nurse Liaison vs Utilization Review Nurse

Updated January 8, 2025

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