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Utilization review nurse vs hospice registered nurse

The differences between utilization review nurses and hospice registered 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 utilization review nurse and a hospice registered nurse. Additionally, a hospice registered nurse has an average salary of $74,997, which is higher than the $65,425 average annual salary of a utilization review nurse.

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

Utilization review nurse vs hospice registered nurse overview

Utilization Review NurseHospice Registered Nurse
Yearly salary$65,425$74,997
Hourly rate$31.45$36.06
Growth rate6%6%
Number of jobs29,776509,161
Job satisfaction--
Most common degreeBachelor's Degree, 43%Associate Degree, 43%
Average age4444
Years of experience22

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.

What does a hospice registered nurse do?

A hospice registered nurse is primarily responsible for assisting and taking care of patients admitted to hospice facilities. Their responsibilities revolve around devising specific care plans for every patient in coordination with physicians and other health care workers, administering necessary medication, helping patients cope with the symptoms of their ailments, and maintaining accurate records. Moreover, it is vital to visit patients regularly to assess their conditions, notifying doctors should there be any urgent updates. Furthermore, it is essential to build positive relationships with patients, supporting and making them feel comfortable at all times.

Utilization review nurse vs hospice registered nurse salary

Utilization review nurses and hospice registered nurses have different pay scales, as shown below.

Utilization Review NurseHospice Registered Nurse
Average salary$65,425$74,997
Salary rangeBetween $47,000 And $89,000Between $50,000 And $111,000
Highest paying CityAlameda, CAProvidence, RI
Highest paying stateRhode IslandRhode Island
Best paying companyMolina HealthcareOculus
Best paying industryHealth CareHealth Care

Differences between utilization review nurse and hospice registered nurse education

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

Utilization Review NurseHospice Registered Nurse
Most common degreeBachelor's Degree, 43%Associate Degree, 43%
Most common majorNursingNursing
Most common collegeDuke UniversityDuke University

Utilization review nurse vs hospice registered nurse demographics

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

Utilization Review NurseHospice Registered Nurse
Average age4444
Gender ratioMale, 8.5% Female, 91.5%Male, 10.2% Female, 89.8%
Race ratioBlack 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%Black or African American, 11.1% Unknown, 4.3% Hispanic or Latino, 9.5% Asian, 8.9% White, 65.8% American Indian and Alaska Native, 0.4%
LGBT Percentage9%9%

Differences between utilization review nurse and hospice registered nurse duties and responsibilities

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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Hospice registered nurse example responsibilities.

  • Manage patient pain relief and sedation by providing pharmacological and non-pharmacological intervention, monitor patient response and record care plans accordingly.
  • Follow plan of care for dying patients with care and compassion to minimize pain and discomfort.
  • Promote health and rehabilitation of patients through teaching, supervising, counseling and appropriate preventative and treatment measures.
  • Assist with ADL's, teach patients and their family members how to live safely in their home.
  • Assist staff with transition to new EMR.
  • Review ADR process and assist with appeals process.
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Utilization review nurse vs hospice registered nurse skills

Common utilization review nurse skills
  • Medical Necessity, 9%
  • Patients, 7%
  • Acute Care, 7%
  • Discharge Planning, 7%
  • Utilization Management, 6%
  • Utilization Review, 6%
Common hospice registered nurse skills
  • Home Health, 31%
  • Patients, 23%
  • Palliative Care, 4%
  • Quality Care, 3%
  • Symptom Management, 3%
  • Rehabilitation, 2%

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