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Utilization review nurse vs triage register nurse

The differences between utilization review nurses and triage register 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 triage register nurse. Additionally, a triage register nurse has an average salary of $67,813, 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 triage register nurse are patients, home health, and triage rn.

Utilization review nurse vs triage register nurse overview

Utilization Review NurseTriage Register Nurse
Yearly salary$65,425$67,813
Hourly rate$31.45$32.60
Growth rate6%6%
Number of jobs29,776458,151
Job satisfaction--
Most common degreeBachelor's Degree, 43%Associate Degree, 46%
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 triage register nurse do?

A triage register nurse works at a hospital's emergency room where they are in charge of providing immediate care and assistance to patients who are usually in life-threatening conditions. Part of their job is to assess the patients' needs and symptoms, regularly check on the patients who are in the waiting areas, assist patients towards corresponding facilities, and sort priority groups according to guidelines. There are also instances when a triage nurse must initiate urgent treatment or receive calls, maintaining an active communication line with fellow nurses and staff for an efficient workflow.

Utilization review nurse vs triage register nurse salary

Utilization review nurses and triage register nurses have different pay scales, as shown below.

Utilization Review NurseTriage Register Nurse
Average salary$65,425$67,813
Salary rangeBetween $47,000 And $89,000Between $45,000 And $101,000
Highest paying CityAlameda, CAWashington, DC
Highest paying stateRhode IslandCalifornia
Best paying companyMolina HealthcareUCSF Benioff Children's Hospital
Best paying industryHealth CareHealth Care

Differences between utilization review nurse and triage register nurse education

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

Utilization Review NurseTriage Register Nurse
Most common degreeBachelor's Degree, 43%Associate Degree, 46%
Most common majorNursingNursing
Most common collegeDuke UniversityDuke University

Utilization review nurse vs triage register nurse demographics

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

Utilization Review NurseTriage Register Nurse
Average age4444
Gender ratioMale, 8.5% Female, 91.5%Male, 6.7% Female, 93.3%
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, 9.6% Unknown, 4.3% Hispanic or Latino, 10.0% Asian, 9.0% White, 66.6% American Indian and Alaska Native, 0.4%
LGBT Percentage9%9%

Differences between utilization review nurse and triage register 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.
  • Show more

Triage register nurse example responsibilities.

  • Manage surgical recovery patients including vascular, ENT, GI urological and neurological cases, coronary bypass surgery patients.
  • Leverage a comprehensive network of community resources to provide patients with referrals to external service providers.
  • Assist in maintaining and updating OSHA and MSDS information logs.
  • Ensure regulatory compliance to JCAHO standards, HCFA and OSHA compliance; validate by surveys.
  • Train to perform venipuncture for necessary blood tests
  • Order and obtain blood laboratory specimens through venipuncture.
  • Show more

Utilization review nurse vs triage register 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 triage register nurse skills
  • Patients, 31%
  • Home Health, 8%
  • Triage RN, 5%
  • Patient Education, 4%
  • Telephone Triage, 3%
  • Primary Care, 3%

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