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Remote Utilization Review Nurse Jobs in Bothell, WA

Care Manager, Remote (LPN)

Seattle, WA ยท Remote

$25 - $26/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Author and review evaluation tasks based on DSURs, PSURs/PBRERs, safety data, and case-level ... Advanced degree in life sciences, pharmacy, nursing, medicine, or related fields (PharmD, MD, MSc ...

Deliver remote patient education, including medication administration training and adherence ... Candidates must possess a valid driver's license and will be subject to a review of their driving ...

Author and review evaluation tasks based on DSURs, PSURs/PBRERs, safety data, and case-level ... Advanced degree in life sciences, pharmacy, nursing, medicine, or related fields (PharmD, MD, MSc ...

Deliver remote patient education, including medication administration training and adherence ... Candidates must possess a valid driver's license and will be subject to a review of their driving ...

Deliver remote patient education, including medication administration training and adherence ... Candidates must possess a valid driver's license and will be subject to a review of their driving ...

Deliver remote patient education, including medication administration training and adherence ... Candidates must possess a valid driver's license and will be subject to a review of their driving ...

Actuarial Associate I - Remote

Bellevue, WA ยท On-site +1

$72K - $121K/yr

Proficient in PC utilization including spreadsheets and data management software. Demonstrated ... Please review Symetra's Remote Network Minimum Requirements: As a remote-first organization ...

Actuarial Associate I - Remote

Bellevue, WA ยท On-site +1

$72K - $121K/yr

Proficient in PC utilization including spreadsheets and data management software. * Demonstrated ... Please review Symetra's Remote Network Minimum Requirements: As a remote-first organization ...

Showing results 21-40

Remote Utilization Review Nurse information

See Bothell, WA salary details

$23

$47

$77

How much do remote utilization review nurse jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote utilization review nurse in Bothell, WA is $47.27, according to ZipRecruiter salary data. Most workers in this role earn between $37.36 and $54.28 per hour, depending on experience, location, and employer.

What is a remote utilization review nurse?

A Remote Utilization Review Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments, typically from a remote location such as their home. They review patient medical records, apply clinical guidelines, and collaborate with providers and insurance companies to ensure patients receive appropriate care while managing healthcare costs. This role often involves making coverage determinations, conducting pre-authorizations, and participating in appeals processes. Remote Utilization Review Nurses play a critical role in improving patient outcomes and resource allocation within the healthcare system.

What does a remote utilization review nurse do?

As a remote utilization nurse, your duties are to work from home or a remote location to review patient medical records and prepare a range of paperwork for different types of actions a hospital or health care provider can take. Your responsibilities are to determine patient coverage, carry out denial of service authorizations, and negotiate different treatment options and hospital stay length for patients. You rely on your knowledge of treatment options and diseases to determine the level of appropriate care for a patient. Because you telecommute, you also need good technical skills.

What are the key skills and qualifications needed to thrive as a remote utilization review nurse?

To thrive as a Remote Utilization Review Nurse, you need a current RN license, clinical experience, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, EHR systems, and certifications like CCM or URAC are highly valued. Strong analytical thinking, attention to detail, and effective communication skills enable success in evaluating clinical documentation and collaborating with providers remotely. These skills and qualifications are essential to ensure efficient, compliant care decisions that optimize patient outcomes and resource use.

How does a remote utilization review nurse collaborate with physicians and other healthcare team members while working remotely?

As a Remote Utilization Review Nurse, collaboration with physicians, case managers, and other healthcare professionals is primarily conducted through secure digital platforms such as email, video conferencing, and electronic health record systems. Effective communication is essential to discuss patient care plans, clarify medical necessity, and ensure compliance with utilization policies. Nurses in this role often participate in virtual meetings or case conferences to present findings and recommendations. Building strong working relationships remotely requires proactive communication, responsiveness, and familiarity with digital collaboration tools.

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

AspectRemote Utilization Review NurseRemote Case Manager
CertificationsRN license, possibly CCM or UR certificationsRN license, CCM or case management certifications
Work EnvironmentHealthcare facilities, insurance companies, telehealthInsurance companies, healthcare organizations, telehealth
Job FocusReview medical necessity, approve or deny servicesCoordinate patient care, arrange services, discharge planning

Remote Utilization Review Nurses primarily evaluate medical necessity for services, while Remote Case Managers coordinate patient care and discharge planning. Both roles require nursing credentials and work in healthcare or insurance settings, but their core responsibilities differ. Understanding these distinctions helps job seekers find the best fit for their skills and career goals.

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

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

What job categories do people searching Remote Utilization Review Nurse jobs in Bothell, WA look for?

The top searched job categories for Remote Utilization Review Nurse jobs in Bothell, WA are:

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

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

Infographic showing various Remote Utilization Review Nurse job openings in Bothell, WA as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, 4% Contract, and 1% Nights. Highlights an 88% Physical, 5% Hybrid, and 7% Remote job distribution, with an average salary of $98,314 per year, or $47.3 per hour.

Licensed Independent Clinical Social Worker (LICSW) - Remote Work in a School Setting

Wellmore Health Center

Bellevue, WA โ€ข Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 2 days ago

New


Job description

Position Overview

We are seeking an experienced and compassionate Licensed Independent Clinical Social Worker (LICSW) to join our dynamic team at Wellmore Health Center, located in Bellevue, Washington. This full-time remote position is pivotal in providing mental health support to students in a school environment, ensuring that our services cater to a diverse range of needs, particularly as they relate to children's emotional and psychological well-being.

About the Organization

Wellmore Health Center is dedicated to delivering high-quality mental health services that empower individuals and families to thrive. With a multidisciplinary approach, our integrated healthcare team works collaboratively to promote resilience, recovery, and healing. We place a strong emphasis on creating a safe, supportive, and nurturing atmosphere that fosters personal growth.

Work Environment

In this remote role, you will be part of a supportive team that values your expertise and encourages professional development. Our commitment to employee well-being translates into a flexible work setting that accommodates work-life balance while maintaining a focus on quality care. You will engage with clients, families, educators, and interdisciplinary teams primarily through virtual platforms, participating in an innovative approach to mental health support.

Key Responsibilities
  • Act as a crucial liaison between students, families, and outpatient providers, facilitating communication to enhance therapeutic outcomes.
  • Interact with insurance companies to manage pre-certifications and utilization reviews, ensuring that our clients receive the necessary services without delay.
  • Participate actively in discharge and aftercare planning, tailoring resources and follow-up care to each clientโ€™s unique needs.
  • Provide therapeutic meal support, guiding clients in establishing a healthy relationship with food while addressing underlying psychological factors.
  • Deliver safe, empathetic, and affirming care, accounting for the unique circumstances and intersecting identities of each client, including cultural and social backgrounds.
Patient Population / Client Focus

This role primarily focuses on working with school-aged children and adolescents who may be experiencing various social, emotional, and behavioral challenges. You will be instrumental in developing individualized treatment plans that prioritize the holistic well-being of your clients, ensuring they have access to necessary resources for their mental health and educational needs.

Qualifications
  • A Masterโ€™s degree in Social Work from an accredited institution.
  • A valid LICSW license to practice in the state of Washington.
  • Demonstrated experience working with older adults and a strong understanding of age-related psychosocial issues.
  • Proficient clinical and diagnostic skills, equipped to assess and intervene in complex mental health scenarios.
  • Exceptional communication and interpersonal skills to foster strong relationships with clients and team members alike.
  • Ability to work both independently and collaboratively in a team atmosphere, adapting to the evolving needs of our client population.
Preferred Experience
  • Previous experience in a school setting or with youth mental health services is highly desirable.
  • Familiarity with therapeutic methodologies such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), or mindfulness practices.
  • Experience using electronic health record (EHR) systems for documentation and patient management.
Compensation and Benefits

This role offers a competitive salary ranging from USD 90,000 to 105,000 per year, commensurate with experience and qualifications. Additionally, we provide a comprehensive benefits package, including:

  • Medical, dental, and vision insurance to keep you and your family healthy.
  • 401(k) retirement plan with employer matching and flexible spending accounts.
  • Life insurance and coverage for accidents and short-term disabilities.
  • Opportunities for professional development and continuing education.
Career Growth Opportunities

At Wellmore Health Center, we are steadfast in our commitment to professional growth. As a member of our team, you will have access to mentorship and training programs designed to enhance your skills, technical abilities, and expand your qualifications. We encourage our practitioners to pursue licensure advancement and are supportive of pursuing specialized certifications relevant to your career interests.

Why Join Our Team

Joining Wellmore Health Center means becoming a part of a mission-driven organization that values collaboration, inclusivity, and excellence in service delivery. You will be surrounded by passionate professionals committed to making a difference in the lives of our communityโ€™s youth. Here, your insights will lead to meaningful changes and significant outcomes for those we serve. Together, we strive to create a transformative impact, guiding each client toward a healthier, brighter future.

Application Information

If you share our commitment to exemplary mental health care and are eager to contribute to a collaborative team, we invite you to apply today. Please submit your resume and a cover letter detailing your relevant experience and motivations for joining Wellmore Health Center. We look forward to welcoming you to our dedicated team of professionals!