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Remote Utilization Management Jobs in Seattle, WA

CHPW

Utilization Management Clinician I

Seattle, WA · On-site +1

$35.92 - $55.67/hr

This position is available fully remote in Washington state. Who we are Community Health Plan of ... About the Role The Level I Utilization Management Clinician performs utilization review for medical ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Redmond, WA · On-site +1

$64 - $78/hr

Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Bothell, WA · On-site +1

$66 - $80.50/hr

Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

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All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Seattle, WA

Remote Utilization Management information

See Seattle, WA salary details

$24

$48

$78

How much do remote utilization management jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for remote utilization management in Seattle, WA is $48.12, according to ZipRecruiter salary data. Most workers in this role earn between $38.03 and $55.24 per hour, depending on experience, location, and employer.

How does a Remote Utilization Management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

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

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

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 are popular job titles related to Remote Utilization Management jobs in Seattle, WA? For Remote Utilization Management jobs in Seattle, WA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Seattle, WA look for? The top searched job categories for Remote Utilization Management jobs in Seattle, WA are:
What cities near Seattle, WA are hiring for Remote Utilization Management jobs? Cities near Seattle, WA with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Seattle, WA as of June 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 100% Remote job distribution, with an average salary of $100,085 per year, or $48.1 per hour.
Utilization Management Asst

Utilization Management Asst

CommonSpirit Health

Bremerton, WA • Remote

$45K - $52K/yr

Full-time

Posted 11 days ago

CommonSpirit Health rating

7.0

Company rating: 7.0 out of 10

Based on 506 frontline employees who took The Breakroom Quiz

403rd of 872 rated healthcare providers

Job description


Job Summary and Responsibilities

As our Utilization Management (UM) Assistant, you will provide essential administrative and clerical support to the UM team, playing a crucial role in maintaining efficient and organized operations.
Every day you will manage documentation, process incoming requests, facilitate communication between team members and external parties, and assist with data entry and record-keeping to ensure smooth UM workflows.
To be successful in this role you will possess excellent organizational skills, a keen eye for detail, strong communication abilities, and a proactive approach to supporting the daily functions of the Utilization Management department.

  • Manage timely post-acute care referrals, to assist with length of stay management and mitigation of denials.
  • Communicate and collaborate with interdisciplinary team, patients, and family to facilitate care progression.
  • Ensure post-acute follow-up appointments for identified patients to assist with readmission prevention and ensuring continuity of care.
  • Deliver required patient notifications and letters, and obtain patient or family signatures on required documentation as needed to meet regulatory compliance.
  • Manage transportation referrals as requested.
  • Comply with confidentiality policies, HIPAA regulations, and organizational standards when transmitting protected patient information to external agencies and vendors as needed for placement, payment or referral.
Job Requirements

This is a remote position.

Education and Experience:

  • Associates Other in Business/Health-Related field, upon hire required or
  • High School Graduate General Studies, upon hire required and
  • Medical Assistant or Certified Nursing Assistant certificate upon hire or Experience in a healthcare setting required, upon hire and
  • At least 3 years previous experience in health care, care coordination, utilization review, discharge planning or similar healthcare setting required and
  • Experience supporting clinicians in demanding and fast paced patient care environments required. and

Preferred

  • Bachelors Other, upon hire

Licensures and Certifications:

    • None, upon hire required 
Where You'll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.
Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.
Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.
We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Qualifications:

This is a remote position.

Education and Experience:

  • Associates Other in Business/Health-Related field, upon hire required or
  • High School Graduate General Studies, upon hire required and
  • Medical Assistant or Certified Nursing Assistant certificate upon hire or Experience in a healthcare setting required, upon hire and
  • At least 3 years previous experience in health care, care coordination, utilization review, discharge planning or similar healthcare setting required and
  • Experience supporting clinicians in demanding and fast paced patient care environments required. and

Preferred

  • Bachelors Other, upon hire

Licensures and Certifications:

    • None, upon hire required 
Employment Type: Full Time

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