ZipRecruiter

Log In

1

Case Reviewer Jobs in Washington (NOW HIRING)

previous pagenext page

Showing results 21-40

All JobsCase Reviewer JobsCase Reviewer Jobs in Washington

Case Reviewer information

See Washington salary details

$21

$53

$90

How much do case reviewer jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for case reviewer in Washington is $53.84, according to ZipRecruiter salary data. Most workers in this role earn between $40.00 and $65.05 per hour, depending on experience, location, and employer.

What is a case reviewer?

A Case Reviewer is responsible for evaluating case files, documents, and related information to ensure accuracy, compliance, and completeness. They analyze evidence, verify facts, and provide detailed assessments based on established guidelines or legal standards. Case Reviewers often work in legal, medical, insurance, or government sectors and must have strong attention to detail and analytical skills. Their role helps ensure fair and accurate decision-making in various professional settings.

What are the typical daily responsibilities of a case reviewer?

As a Case Reviewer, your day-to-day work commonly involves reviewing case files, supporting documents, and related evidence to assess compliance with relevant guidelines or policies. You may be required to write detailed reports, summarize findings, and make recommendations based on established criteria. Collaboration is frequent, as you often interact with other reviewers, supervisors, and subject matter experts to discuss complex cases or clarify information. This role demands a high level of organization and consistency, as accuracy and fairness are critical when determining outcomes that impact clients, patients, or other stakeholders.

What are the key skills and qualifications needed to thrive in the case reviewer position, and why are they important?

To thrive as a Case Reviewer, you need strong analytical abilities, attention to detail, and a background in the relevant industry, often supported by a degree in law, healthcare, or a specialized field. Familiarity with case management software, electronic records systems, or regulatory databases is usually important, and certifications may be required for specialized roles. Excellent written communication, impartiality, and time management are soft skills that set top performers apart. Mastery of these skills ensures accurate, timely case evaluations and effective collaboration with stakeholders for informed decision-making.

What are popular job titles related to Case Reviewer jobs in Washington?

For Case Reviewer jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Case Reviewer jobs in Washington look for?

The top searched job categories for Case Reviewer jobs in Washington are:

What cities in Washington are hiring for Case Reviewer jobs?

Cities in Washington with the most Case Reviewer job openings:

What are popular job titles related to Case Reviewer jobs in WA?

For Case Reviewer jobs in WA, the most frequently searched job titles are:

Case Reviewer jobs near you
Infographic showing various Case Reviewer job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 77% Physical, 3% Hybrid, and 20% Remote job distribution, with an average salary of $111,978 per year, or $53.8 per hour.

Utilization Reviewer

University of Maryland Medical System

Largo, MD • On-site

$406K/yr

Full-time

Re-posted 10 days ago

Job description

Job Requirements
Located in Largo in the heart of Prince George's County, our state-of-the-art regional medical center (University of Maryland Capital Region Medical Center) will provide improved access to primary and ambulatory care services and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George's County residents.
Position Summary:
Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need for outpatient or inpatient care as well as the appropriate level of care. The role requires interfacing with the case managers, medical team, other hospital staff, physician advisors and payers.
Primary Responsibilities:
Performs timely and accurate utilization review for all patient populations, using nationally recognized care guidelines/criteria relevant to the payer.
Communicates with clinical care coordinators, physician advisor, medical team and payors as needed regarding reviews and pended/denied days and interventions.
Supports concurrent appeals process through proactive identification of pended/denied days.
Implements the concurrent appeals process with appropriate referrals and documentation.
Ensures appropriate Level of Care and patient status for each patient (Observation, Extended Recovery, Administrative, Inpatient, Critical Care, Intermediate Care, and Med-Surg).
Reviews tests, procedures and consultations for appropriate utilization of resources in a timely manner.
Conducts HINN discussions/Observation Education.
Collaborates with Clinical Care Coordinators concerning Avoidable Days Collection.
Ensures Regulatory Compliance related to Utilization Management conditions of participation.
Assures appropriate reimbursement and stewardship of organizational and patient resources.
Pursues and reports opportunities to improve reimbursement.
Collaborates with admitting specialists regarding authorization policies and procedures of third-party payers. Remains current on clinical practice and protocols impacting clinical reimbursement.
Work Experience
Education Bachelors in Nursing required.
Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required
One year of experience in case management or utilization management with knowledge of payer mechanisms and utilization management is preferred.
Two years' experience in acute care and four years clinical healthcare experience preferred.
Certified Professional Utilization Reviewer (CPUR) preferred.
Additional experience in home health, ambulatory care, and/or occupational health is preferred.
Knowledge, Skills and Abilities
1. Highly effective verbal and written skills are required.
2. Strong communication skills, self-confidence and experience in working with physicians are required.
3. Excellent analytical and team building skills, as well as the ability to prioritize and work independently are required.
4. The ability to work collaboratively with other disciplines is required.
5. Ability to work with Hospital/ Utilization Management and related software programs is required.
6. Knowledge of utilization management is preferred.
Benefits
Benefits
All your information will be kept confidential according to EEO guidelines.
Compensation:
• Pay Range: $40.61-$60.96
• Other Compensation (if applicable):
• Review the 2024-2025 UMMS Benefits Guide

Apply