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Manager Utilization Management Jobs in Seattle, WA

Manager - Case Management RN

Everett, WA · On-site

$141.46K - $223.29K/yr

... utilization management, social work services, and pre-admission case management. * The Manager acts as a liaison between patients and families, department staff, physicians and the healthcare team ...

Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of interventions, regulatory compliance and ...

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Showing results 1-20

Manager Utilization Management information

See Seattle, WA salary details

$44.4K

$103.6K

$190.6K

How much do manager utilization management jobs pay per year?

As of May 28, 2026, the average yearly pay for manager utilization management in Seattle, WA is $103,573.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,700.00 and $124,600.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Manager Utilization Management, and why are they important?

To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.

What are some common challenges faced by a Manager in Utilization Management, and how can they effectively address them?

Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.

What does a Manager of Utilization Management do?

A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.

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

AspectManager Utilization ManagementUtilization Review Nurse
CredentialsRN, often with management or utilization review certificationsRN, with certifications in utilization review or case management
Work EnvironmentSupervises teams, manages policies, oversees utilization review processesPerforms patient chart reviews, assesses medical necessity, collaborates with providers
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations
Search & Comparison IntentYesYes

While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.

What are the most commonly searched types of Utilization Management jobs in Seattle, WA? The most popular types of Utilization Management jobs in Seattle, WA are:
What job categories do people searching Manager Utilization Management jobs in Seattle, WA look for? The top searched job categories for Manager Utilization Management jobs in Seattle, WA are:
What cities near Seattle, WA are hiring for Manager Utilization Management jobs? Cities near Seattle, WA with the most Manager Utilization Management job openings:
Infographic showing various Manager Utilization Management job openings in Seattle, WA as of May 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 38% Physical, 9% Hybrid, and 53% Remote job distribution, with an average salary of $103,573 per year, or $49.8 per hour.

Manager Care Management - Social Work

Veracity Ventures Inc.

Kent, WA

Other

Posted 6 days ago


Job description

Now Hiring | Manager Care Management – Social Work

Everett, WA | Full-Time

Full Benefits Package + Relocation Assistance Available


Join a mission-driven healthcare organization where leadership, compassion, and patient advocacy truly make an impact. We’re seeking an experienced Manager of Care Management – Social Work to lead care coordination, utilization management, discharge planning, and social work operations within a dynamic acute care hospital setting.

🔹 MSW Required

🔹 Washington LICSW Required

🔹 Acute Care Case Management Experience

🔹 Hospital Leadership Experience


This is an exciting opportunity for a strong healthcare leader passionate about improving patient outcomes, mentoring teams, and driving operational excellence in a collaborative environment.

If you’re ready to lead with purpose and grow your impact in healthcare leadership, we’d love to connect.


📩 Apply now or message me directly for details!


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