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2010 RN Salary Survey Registered Nurse Salaries in: Case Management Utilization Review Appeals / Denials Quality Improvement Clinical Documentation Improvement (CDI)
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1 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing
2010 RN Salary Survey2010 RN Salary SurveyRegistered Nurse Salaries in:
Case ManagementUtilization Review Appeals / Denials
Quality ImprovementClinical Documentation Improvement (CDI)
2 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
2010 RN Salary Survey2010 RN Salary Survey
About the Survey
This is the first annual Registered Nurse Salary Survey, published
by Pathway Medical Staffing. While there are several published
surveys that detail salary trends for nurses, few look at the
registered nurse subset in non‐bedside nursing.
This survey examines salaries for experienced registered nurses
in case management, appeals / denials, utilization review,
quality improvement
and clinical documentation improvement
(CDI)
positions, specifically in New York, New Jersey
and
Pennsylvania.
The data analyzed in the survey is drawn from documented base
salary data for hundreds of registered nurses in these specific
non‐bedside nursing positions.
Non‐Clinical / Non‐Bedside Registered Nurse (RN) Positions
For the purposes of this survey the terms “non‐clinical nursing”
and “non‐bedside nursing”
will be used interchangeably in
reference to:
Case Management
Utilization Review
Appeals / Denials
Quality Improvement
Clinical Documentation Improvement (CDI)
This survey allows registered nurses, in specialized areas of
non‐bedside nursing, to reflect on their compensation and how
it compares to their peers.
The survey also provides healthcare employers, specifically
hospitals and managed care organizations, with a benchmark
to compare salaries against competitors that are searching for
experienced nursing talent.
3 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
RN Salary Survey DemographicsRN Salary Survey Demographics
Years of Experience in Case Management and Non‐Clinical Nursing
Well over half (62%) of registered nurses had eleven or more years of
experience in their specialized field of case management, utilization
review, appeals / denials, quality improvement and/or CDI.
Years of Experience in Healthcare
Most registered nurses in case management, utilization review,
appeals / denials, quality and CDI have extensive healthcare
experience. 92% had eleven years or more experience in
healthcare.
Job Function
The majority of registered nurse positions surveyed were in
case management.
4 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
RN Salary Survey DemographicsRN Salary Survey Demographics
Type of Organization
The majority (66%) of the registered nurse salaries were
based on employment at hospitals, 30% were based on
employment at managed care organizations and 4% of the
salaries fell within the “other”
category covering
organizations such as peer review consulting.
Gender
As expected, the majority of registered nurses surveyed
were female.
State
Given that the majority of healthcare organizations staffing
these types of non‐clinical nursing positions are in New
York City, the survey reflects this overwhelming majority in
the demographics.
Education
Nearly three‐quarters of the registered nurses surveyed
hold a Bachelor’s Degree or higher.
5 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
Overview Overview ––
Salary DistributionSalary Distribution
2008 ‐ Salary Distribution
11% 11%9%
23%
11%9%
17%
6%
2%
$65K $70K $75K $80K $85K $90K $95K $100K $105K
2009 ‐ Salary Distribution
3%0%
10%8%
43%
28%
8%
3%0%
$65K $70K $75K $80K $85K $90K $95K $100K $105K
In the past few years, annual non‐clinical / non‐bedside nursing salaries
have ranged from a low of $61,000 to a high of $100,000, both of
which
were the extreme rather than the norm. The average salary from 2008
through the first quarter of 2010 was $82,500.
2008
As you can see from the salary distribution graph, most non‐clinical
registered nurses (23%) earned salaries within the $80,000 range
in 2008.
However, a significant percentage of RNs (17%) earned salaries in the
$95,000 range. The average salary in 2008 was $80,506.
2009
While the range of salary levels tightened in 2009, the majority
of RNs
earned higher salaries than in 2008. In 2009 forty‐three percent of RNs
earned salaries within the $85,000 range. The average salary in
2009 was
$83,592.
2010 Preliminary Results
Based on first quarter 2010 statistics, it appears that most RNs
(33%) are
earning salaries within the $85,000 range this year, similar to 2009.
However, a greater percentage (23%) are earning within the $95,000
range this year. The average salary as of the first quarter 2010 is $88,345
Most notable in the survey findings is a trend toward much higher salary
ranges from 2008 to 2010. In 2008 most salaries fell within the
$65,000
to $90,000 range and in 2010 starting salaries have not fallen below the
$80,000 range.
6 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
Why More Experience Does Not Equate to a Higher Salary
Education Level.
Registered nurses in the survey had varying levels of education. In
some cases nurses were earning higher salaries with fewer years experience, but
they achieved a higher academic degree.
Changing Jobs. Nurses that change jobs every two to three years tend to earn more
due to the fact that the greatest jump in salary comes with a job change versus
promotion within the same organization. Quite often, RNs that change jobs
frequently have fewer years of experience in comparison to RNs with more years
of experience. The survey found that RNs with more years of experience tend to
stay with a single employer for more than ten years at a time.
Gaps in Employment.
Some nurses with numerous years of experience earned lower
salaries than their lesser experienced counterparts due to gaps in employment.
Most often these gaps were due to family issues such as caring for children and
taking time off to care for elderly parents or siblings.
Exploring New Careers.
Many nurses have accepted lower salaries to explore new
fields of employment and later return to their original career path at a lower
salary due to being out of the field for an extended period of time.
Work‐Life Balance.
Several nurses with extensive years of experience have also
accepted lower salaries as a result of stepping down from high‐level managerial
roles into line positions for a better work‐life balance.
RN Salary by ExperienceRN Salary by ExperienceRegistered Nurse Salaries by Experience
There was no significant correlation in
registered nurse salaries with the number of
years experience in case management,
utilization review, quality improvement, clinical
documentation improvement or appeals /
denials.
The majority of registered nurses in the survey
have been practicing in their field for eleven to
fifteen years earning between $80,000 and
$95,000 per year. However, in some cases
nurses with six to ten years of experience were
earning more than nurses with sixteen to
twenty years of experience.
When closely examining the career histories of
the surveyed respondents there are several
reasons contributing to the fact that more
nursing experience doesn’t always equate to
earning a higher salary in non‐bedside nursing.
“ More experience does not always equate to a higher salary.”
7 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
RN Salary by Job FunctionRN Salary by Job Function
2008 2009Appeals / Denials $82,500 $94,500
Quality Improvement $76,000 $87,721
Utilization Review $75,000 $86,745
Case Management $81,054 $82,070
Registered Nurse Salaries by Job Function
Utilization review and quality improvement saw the most significant
increase in salary from 2008 to 2009. The average salary for utilization
review jumped 16% to $86,745 and the average salary for quality
improvement jumped over 15% in 2009 to $87,721. There was also a
14.5% increase in average salary for appeals and denials jumping
to
$94,500 in 2009.
Non‐bedside nursing roles in utilization review, quality improvement
and appeals / denial have emerged as positions that are significantly
impacting the bottom line for healthcare organizations. With the
growing importance of these specialties, these positions are attracting
top tier nursing talent with significant experience and education.
These two factors appear to be major contributors to the significant
increase in average salary for these positions year over year.
Comparatively, the average case management salary rose by only
1.3% in 2009 to $82,070. As the field of nurse case management has
become more established, salaries have begun to flatten year over
year.
“ Salaries jump by 14%, or more, as non- bedside nursing specialties have an
increasing impact on the bottom line.”
8 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
RN Director Level SalariesRN Director Level Salaries
Director Level Positions
Registered Nurse director level salaries were separated from the
data
used in the overall survey results. The salary changes for this
demographic have been some of the most significant over the past
few
years.
Since 2008, director level positions in case management and quality for
hospitals and managed care organizations in New York and New Jersey
ranged from $95,000 to $172,000 with the average salary at $126,000.
Average salaries for director level positions have been trending
down
significantly year over year, dropping over 30% in 2009 to $120,000 and
trending down another 4% in 2010 to $115,000.
“ RN director level salaries down 30%
in 2009 and trending down by
4% in 2010.”
9 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
RN Work from Home SalariesRN Work from Home Salaries
Work from Home Salaries
Like director level salaries, registered nurse work from home positions
were also separated from the data used in the overall survey results.
These positions are all purely conducted from the nurses’
homes via
phone and Internet access with little to no travel to an employer’s office.
Since 2008, work from home positions in case management, utilization
review, quality improvement and appeals / denials have averaged
around $68,000 per year and were within a range of $62,000 to $72,000
per year. As of first quarter 2010, most work from home salaries
trended closer to $72,000 per year.
“ Registered Nurse work from home salaries averaged $68,000
per year since 2008.”
10 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
RN Salary by Education LevelRN Salary by Education Level
Average 2008 ‐
2010*
Associate’s or Nursing Diploma $80,418
Bachelor’s $82,550
Master’s $85,572* 2010 Salaries based on data from January 1, 2010 through March
31, 2010.
Registered Nurse Salaries by Education Level
Since 2008 registered nurses with a Bachelor’s Degree have earned 3% more
than those with an Associate’s degree or nursing diploma in non‐bedside
nursing positions. Registered nurses with a Master’s Degree earned 4% more
than those with a Bachelor’s Degree and over 6% more than registered
nurses with an Associate’s Degree or a nursing diploma.
Anecdotal evidence from the RN Salary Survey suggests that the driving
force behind earning a higher degree was not to boost salary levels, but
rather to gain access to RN job opportunities as more and more employers
require advanced degrees as a prerequisite for employment consideration.
Non‐bedside nursing positions in case management, utilization review,
quality improvement, appeals / denials and clinical documentation
improvement are increasingly requiring registered nurses to have
a
minimum of a Bachelor’s degree for employment consideration.
“ Registered nurses with higher level education
earned 3% to 6.4% more than registered nurses
with an associates degree or nursing
diploma.”
11 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
$70,000
$75,000
$80,000
$85,000
$90,000
2008 2009 2010
Hospital Managed Care
Salary by Organization TypeSalary by Organization Type
“ Registered nurses in non-bedside jobs earned 5% more at
hospitals than managed care organizations in
2009.”
Salaries by Organization Type
On average, registered nurses in non‐bedside jobs earned 5% more at
hospitals than their counterparts in managed care organizations in 2009.
The gap between salary at hospitals versus managed care organizations
tightened in 2009 with average hospital salaries remaining flat and managed
care salaries increasing by 8.5%
* 2010 Salaries based on data from January 1, 2010 through March
31, 2010.
12 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
RN Salary by StateRN Salary by StateRegistered Nurse Salaries by State
As expected, the average salaries in Pennsylvania trended more than
20% lower than salaries for RN non‐bedside jobs in the New York Metro
area.
Traditionally, salaries for non‐bedside nurses are higher in New York
City than in New Jersey. Surprisingly, in 2009 the average salary for a
non‐bedside nurse in New York was 5% higher than in New Jersey.
Although this gap has tightened as of first quarter 2010, the average
salary in New Jersey remains 1% higher than in New York.
A closer look at the surveyed positions revealed two key reasons
for
this trend against the norm.
1‐
Survey Outliers Increasing NJ Average Salaries:For a few select positions, New Jersey employers offered significantly
higher salaries to be able to compete with New York employers for the
most qualified and experienced nursing talent. The salaries in these
competitive situations drove up the average salary data for New Jersey.
“ Some RNs accept lower salary as tradeoff for better
working environment.”
2‐
Survey Outliers Decreasing NY
Average Salaries: Several surveyed RNs were willing to accept a reduction
in compensation for a better working environment. In
most cases this trade‐off occurred with jobs in New York,
therefore reducing the average New York salary.
In these cases RNs cited the following as reasons for
accepting a lower than average salary in New York:
•
More convenient and accommodating work
environment and location
•
Working for an organization that provides ample
resources for employees to be effective in their
jobs
•
Working for an organization that is committed to
continuing education
•
Working for an organization with a well respected
management team
13 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
Salary by GenderSalary by Gender
“ Women earned 8% more than
men in 2008, but the gap
closed in 2009.”
In 2008 the average salary for women exceed that of men by 8% in
non‐clinical nursing positions. This gap closed completely in 2009.
It should be noted that this tremendous flux in salary for men
between 2008 and 2009 may be attributed to the small sample
size of men working in non‐clinical / non‐bedside nursing positions
rather than actual deviations in salary.
2008 2009
Women $81,391 $83,597
Men $75,529 $83,500
14 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
About Pathway Medical StaffingAbout Pathway Medical Staffing
We work with nursing professionals who have
experience in:
•
Nurse Case Management •
Discharge Planning •
Disease Management•
Utilization Review Nursing •
Preauthorization / Pre‐certification •
Appeals / Denials•
Quality / Performance Improvement•
HEDIS / QARR •
Medical Record Review •
Data Abstraction / Collection•
CDI (Clinical Documentation Improvement)•
Medical Claims Review •
Risk Management •
Home Care / Hospice•
Clinical Research
Since 1998 Pathway Medical Staffing has specialized in recruiting
non‐bedside
and non‐clinical
nursing professionals forfull time
and temporary
positions at leading healthcare organizations.
To search jobs, find candidates and learn
more
visit our site at:
www.Pathway‐Medical.com
15 | 2010 RN Salary Survey: Non‐Clinical / Non‐Bedside Nursing www.pathway‐medical.com | (800) 361‐0031
Sharing Survey Results & DisclaimersSharing Survey Results & Disclaimers
We encourage you to share the 2010 RN Salary Survey report in its entirety. When sharing,
please include the following information highlighted in the gray
area below:
The 2010 RN Salary Survey is an annually salary survey of registered nurses in non‐clinical / non‐bedside nursing positions in
New York, New Jersey and Pennsylvania. To download the 2010 RN Salary Survey visit http://bit.ly/2010salarysurvey.
Since 1998 Pathway Medical Staffing has specialized in recruiting non‐clinical and non‐bedside nursing professionals for full
time and temporary positions at leading healthcare organizations. To learn more about Pathway Medical Staffing visit
http://www.pathway‐medical.com
Please note that the information in this survey is intended as a
guideline and should not be used as a final determinant for
establishing salaries or pay scales. Salaries and responsibilities of each function vary considerably based on innumerable
factors all of which are not accounted for in this survey.