ZipRecruiter

Log In

1

Case Manager Utilization Review Nurse Jobs in Bothell, WA

Elevance Health

Nurse Case Mgr II (US)

Seattle, WA · On-site

$79K - $130K/yr

Assists with development of utilization/care management policies and procedures. Minimum ... Ability to manage, review and respond to emails/instant messages in a timely fashion is preferred.

Elevance Health

Nurse Case Mgr II (US)

Seattle, WA · On-site

$79K - $130K/yr

Assists with development of utilization/care management policies and procedures. Minimum ... Ability to manage, review and respond to emails/instant messages in a timely fashion is preferred.

Elevance Health

Nurse Case Mgr II (US)

Seattle, WA · On-site

$79K - $130K/yr

Assists with development of utilization/care management policies and procedures. Minimum ... Ability to manage, review and respond to emails/instant messages in a timely fashion is preferred.

Serene Healthcare Staffing

RN Case Manager

Everett, WA · On-site

? Now Hiring: RN Case Manager - Everett, WA13-Week ContractASAP Start We're seeking a dedicated Registered Nurse (RN) Case Manager for a 13-week contract assignment in Everett, Washington. If you have ...

National Care Advisors

Field Nurse Case Manager

Seattle, WA · Hybrid

$88K - $108K/yr

NCA is in search of a Nurse Case Manager based in Seattle who will be responsible for case management services responsive to special needs and eldercare client care and quality of life challenges and ...

National Care Advisors

Field Nurse Case Manager

Seattle, WA · Hybrid

$88K - $108K/yr

NCA is in search of a Nurse Case Manager based in Seattle who will be responsible for case management services responsive to special needs and eldercare client care and quality of life challenges and ...

National Care Advisors

Field Nurse Case Manager

Seattle, WA · On-site

$88K - $108K/yr

NCA is in search of a Nurse Case Manager based in Seattle who will be responsible for case management services responsive to special needs and eldercare client care and quality of life challenges and ...

National Care Advisors

Field Nurse Case Manager

Seattle, WA · Hybrid

$88K - $108K/yr

NCA is in search of a Nurse Case Manager based in Seattle who will be responsible for case management services responsive to special needs and eldercare client care and quality of life challenges and ...

National Care Advisors

Field Nurse Case Manager

Seattle, WA · On-site

$88K - $108K/yr

NCA is in search of a Nurse Case Manager based in Seattle who will be responsible for case management services responsive to special needs and eldercare client care and quality of life challenges and ...

CHPW

Case Manager I

Seattle, WA · On-site +1

$37.96 - $58.84/hr

Have a Bachelor's degree in nursing, or a master's degree in social work and/or related behavior ... Reviews and revises the plan of care with the interdisciplinary care team to reflect changing ...

previous pagenext page

Showing results 21-40

All JobsCase Utilization Review Nurse JobsCase Manager Utilization Review Nurse JobsCase Manager Utilization Review Nurse Jobs in Bothell, WA

Case Manager Utilization Review Nurse information

See Bothell, WA salary details

$21

$53

$89

How much do case manager utilization review nurse jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for case manager utilization review nurse in Bothell, WA is $53.14, according to ZipRecruiter salary data. Most workers in this role earn between $39.52 and $64.23 per hour, depending on experience, location, and employer.

What is a case manager utilization review nurse?

A Case Manager Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, coordinate with healthcare providers, and ensure that treatments meet established guidelines and insurance requirements. Their goal is to optimize patient outcomes while controlling healthcare costs and ensuring compliance with regulations. These nurses also help facilitate communication between patients, providers, and payers to support effective care management.

How does a case manager utilization review nurse typically collaborate with physicians and other healthcare providers?

Case Manager Utilization Review Nurses regularly work with physicians, social workers, and other healthcare professionals to ensure patients receive appropriate care while managing resource utilization. They often participate in interdisciplinary team meetings to discuss care plans, review patient progress, and address any barriers to discharge. Building strong communication channels and maintaining up-to-date clinical knowledge are essential, as nurses must advocate for patients while also supporting evidence-based practices and regulatory compliance. This collaborative environment helps streamline patient care and optimize outcomes.

What are the key skills and qualifications needed to thrive as a case manager utilization review nurse, and why are they important?

To excel as a Case Manager Utilization Review Nurse, you need a solid background in nursing, strong clinical assessment skills, and a valid RN license, often with case management certification. Familiarity with utilization review software, electronic health record (EHR) systems, and knowledge of insurance and regulatory guidelines is essential. Exceptional communication, critical thinking, and negotiation abilities set top performers apart in this role. These qualifications ensure effective patient advocacy, cost-effective care, and compliance with healthcare standards.

What is the difference between Case Manager Utilization Review Nurse vs Case Manager?

AspectCase Manager Utilization Review NurseCase Manager
CredentialsRN license, certification in utilization review (e.g., URAC)RN license, case management certification (e.g., CCM)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

While both roles involve patient care coordination, the Case Manager Utilization Review Nurse primarily focuses on reviewing medical necessity and insurance approvals, whereas the Case Manager handles broader patient care coordination and discharge planning. Both roles require nursing credentials and are vital in healthcare settings, but their specific responsibilities differ.

What are popular job titles related to Case Manager Utilization Review Nurse jobs in Bothell, WA?

For Case Manager Utilization Review Nurse jobs in Bothell, WA, the most frequently searched job titles are:

What cities near Bothell, WA are hiring for Case Manager Utilization Review Nurse jobs?

Cities near Bothell, WA with the most Case Manager Utilization Review Nurse job openings:

Case Manager Utilization Review Nurse jobs near you
Infographic showing various Case Manager Utilization Review Nurse job openings in Bothell, WA as of August 2026, with employment types broken down into 70% Full Time, 18% Part Time, and 12% Contract. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $110,524 per year, or $53.1 per hour.

RN In person MDS Nurse at ETCS

BETHANY OF THE NORTHWEST

Everett, WA

$50 - $60/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 hours ago

Job description

Bethany of the Northwest is a non-profit icon of the healthcare industry for nearly 100 years. Bethany is seeking a passionate and motivated RN MDS Nurse to join our team at Bethany in Everett. Come join our family and find out what the “Heart of Bethany” is. Bethany of the Northwest offers a generous benefit package, competitive salary and much more.

Pay Range: $50 to $60 per hour DOE

Benefits available:

  • Medical, Dental, Vision insurance
  • Life Insurance and short-term disability coverage
  • 403b and 403b matching.
  • EAP Employee assistance program
  • Employee discounts
  • Flexible spending account
  • Paid Sick leave
  • Paid time off
  • 7 Paid holidays plus one personal of your choice
  • Referral program

The RN MDS Nurse is responsible for ensuring the timely completion of accurate assessments and interdisciplinary care plans that meet Federal and State guidelines. The MDS RN identifies resident acuity, helping to determine specific care needs and communicating those needs to the care team as well as the residents’ families and responsible parties. The MDS RN coordinates with other disciplines and trains staff on the RAI process as needed. Once completed and signed the RN will transmit the completed assessments. The RN will participate in the weekly Medicare meeting, daily clinical meeting and the monthly QAPI meeting. 

As the Case Manager the RN will communicate with the insurance companies and provide requested information to obtain continued authorization for care.

  • Active RN in the state of Washington
  • Long term care/skilled nursing experience
  • Experience with MDS process and Case Mix Management
  • Knowledge of regulatory guidelines

Bethany of the Northwest is an equal opportunity employer and prohibits discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Apply