Collaborate with the Clinical Decision Review Process (CDRP) or Treatment Team to present treatment ... Utilization of electronic health record (EHR) systems to maintain accurate patient documentation ...
New
Collaborate with the Clinical Decision Review Process (CDRP) or Treatment Team to present treatment ... Utilization of electronic health record (EHR) systems to maintain accurate patient documentation ...
New
Collaborate with the Clinical Decision Review Process (CDRP) or Treatment Team to present treatment ... Utilization of electronic health record (EHR) systems to maintain accurate patient documentation ...
New
Seattle, WA ยท On-site +1
$87K - $161K/yr
... office after review of the EDRP application. Former EDRP participants ineligible to apply ... of the Resource Utilization Group (RUG) score. * Documents care according to policies and ...
Seattle, WA ยท On-site +1
$87K - $161K/yr
... office after review of the EDRP application. Former EDRP participants ineligible to apply ... of the Resource Utilization Group (RUG) score. * Documents care according to policies and ...
Seattle, WA ยท Remote
$157K - $202K/yr
Conduct ongoing reviews, retrospectives, and feedback loops to continuously strengthen customer ... Own delivery financials, including project profitability, margin targets, utilization, forecasting ...
Seattle, WA ยท Remote
$157K - $202K/yr
Conduct ongoing reviews, retrospectives, and feedback loops to continuously strengthen customer ... Own delivery financials, including project profitability, margin targets, utilization, forecasting ...
Tukwila, WA ยท Remote
$98K - $151K/yr
The Washington State Nurses Association is the leading voice and advocate for registered nurses ... Proven ability to manage multiple assignments, deadlines, and review processes with strong ...
New
Quick apply
Tukwila, WA ยท Remote
$98K - $151K/yr
The Washington State Nurses Association is the leading voice and advocate for registered nurses ... Proven ability to manage multiple assignments, deadlines, and review processes with strong ...
New
Seattle, WA ยท Remote
$50K - $120K/yr
... Firefighters, Nurses, and now, Veterans. For over 60 years, we have been the #1 provider of ... Review agreements regularly to develop cost-effective plans. What We're Looking For:
Quick apply
Seattle, WA ยท Remote
$50K - $120K/yr
... Firefighters, Nurses, and now, Veterans. For over 60 years, we have been the #1 provider of ... Review agreements regularly to develop cost-effective plans. What We're Looking For:
Seattle, WA ยท On-site +1
Washington-- Remote (CKD) (Would prefer the RN to be based in Seattle or surrounding cities) This is a primarily remote position requiring a dedicated home office and the ability to travel to meet ...
Seattle, WA ยท On-site +1
Washington-- Remote (CKD) (Would prefer the RN to be based in Seattle or surrounding cities) This is a primarily remote position requiring a dedicated home office and the ability to travel to meet ...
Seattle, WA ยท On-site +1
Washington-- Remote (CKD) (Would prefer the RN to be based in Seattle or surrounding cities) This is a primarily remote position requiring a dedicated home office and the ability to travel to meet ...
Seattle, WA ยท On-site +1
Washington-- Remote (CKD) (Would prefer the RN to be based in Seattle or surrounding cities) This is a primarily remote position requiring a dedicated home office and the ability to travel to meet ...
Poulsbo, WA ยท Remote
$90K - $100K/yr
Continuously review and adjust treatment plans based on client feedback and progress to promote ... Utilization of advanced tools, including a comprehensive therapist dashboard, to streamline session ...
New
Poulsbo, WA ยท Remote
$90K - $100K/yr
Continuously review and adjust treatment plans based on client feedback and progress to promote ... Utilization of advanced tools, including a comprehensive therapist dashboard, to streamline session ...
New
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... Support adoption and utilization of new technologies through best practices, training, and ...
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... Support adoption and utilization of new technologies through best practices, training, and ...
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... Support adoption and utilization of new technologies through best practices, training, and ...
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... Support adoption and utilization of new technologies through best practices, training, and ...
Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Seattle, WA ยท Remote
$86K - $173K/yr
... utilization in current accounts. Understands and assesses customer's business issues and objectives ... This is a remote sales opportunity and will cover the West Region (AZ/NV/CA/ID/OR/WA) estimated 70 ...
Seattle, WA ยท Remote
$86K - $173K/yr
... utilization in current accounts. Understands and assesses customer's business issues and objectives ... This is a remote sales opportunity and will cover the West Region (AZ/NV/CA/ID/OR/WA) estimated 70 ...
Seattle, WA ยท Remote
$86K - $173K/yr
... utilization in current accounts. Understands and assesses customer's business issues and objectives ... This is a remote sales opportunity and will cover the West Region (AZ/NV/CA/ID/OR/WA) estimated 70 ...
Seattle, WA ยท Remote
$86K - $173K/yr
... utilization in current accounts. Understands and assesses customer's business issues and objectives ... This is a remote sales opportunity and will cover the West Region (AZ/NV/CA/ID/OR/WA) estimated 70 ...
Seattle, WA ยท Remote
$155K - $165K/yr
Scale Remote Operations Centers to support global, autonomous fleet growth without operational ... Base pay ranges are reviewed each year. We are committed to the principle of pay equity - paying ...
Quick apply
Seattle, WA ยท Remote
$155K - $165K/yr
Scale Remote Operations Centers to support global, autonomous fleet growth without operational ... Base pay ranges are reviewed each year. We are committed to the principle of pay equity - paying ...
Seattle, WA ยท Remote
$2.4K - $10K/mo
Ability to practice autonomously in a remote clinical environment, including independently ... Complete comprehensive, accurate and thorough review of the assigned member population, including ...
Seattle, WA ยท Remote
$2.4K - $10K/mo
Ability to practice autonomously in a remote clinical environment, including independently ... Complete comprehensive, accurate and thorough review of the assigned member population, including ...
Seattle, WA ยท On-site +1
$2.4K - $10K/mo
Ability to practice autonomously in a remote clinical environment, including independently ... Complete comprehensive, accurate and thorough review of the assigned member population, including ...
Seattle, WA ยท On-site +1
$2.4K - $10K/mo
Ability to practice autonomously in a remote clinical environment, including independently ... Complete comprehensive, accurate and thorough review of the assigned member population, including ...
Bremerton, WA ยท On-site +1
$2.4K - $10K/mo
Ability to practice autonomously in a remote clinical environment, including independently ... Complete comprehensive, accurate and thorough review of the assigned member population, including ...
Bremerton, WA ยท On-site +1
$2.4K - $10K/mo
Ability to practice autonomously in a remote clinical environment, including independently ... Complete comprehensive, accurate and thorough review of the assigned member population, including ...
Bremerton, WA ยท On-site +1
$2.4K - $10K/mo
Ability to practice autonomously in a remote clinical environment, including independently ... Complete comprehensive, accurate and thorough review of the assigned member population, including ...
Bremerton, WA ยท On-site +1
$2.4K - $10K/mo
Ability to practice autonomously in a remote clinical environment, including independently ... Complete comprehensive, accurate and thorough review of the assigned member population, including ...
Seattle, WA ยท On-site +1
$2.4K - $10K/mo
Ability to practice autonomously in a remote clinical environment, including independently ... Complete comprehensive, accurate and thorough review of the assigned member population, including ...
Seattle, WA ยท On-site +1
$2.4K - $10K/mo
Ability to practice autonomously in a remote clinical environment, including independently ... Complete comprehensive, accurate and thorough review of the assigned member population, including ...
Seattle, WA ยท Remote
$2.4K - $10K/mo
Ability to practice autonomously in a remote clinical environment, including independently ... Complete comprehensive, accurate and thorough review of the assigned member population, including ...
Seattle, WA ยท Remote
$2.4K - $10K/mo
Ability to practice autonomously in a remote clinical environment, including independently ... Complete comprehensive, accurate and thorough review of the assigned member population, including ...
$23.92 - $28.75
2% of jobs
$28.75 - $33.59
9% of jobs
$36.90 is the 25th percentile. Wages below this are outliers.
$33.59 - $38.43
21% of jobs
The median wage is $42.34 / hr.
$38.43 - $43.26
23% of jobs
$43.26 - $48.10
13% of jobs
$51.86 is the 75th percentile. Wages above this are outliers.
$48.10 - $52.94
10% of jobs
$52.94 - $57.78
8% of jobs
$57.78 - $62.61
5% of jobs
$62.61 - $67.45
5% of jobs
$67.45 - $72.29
2% of jobs
$72.29 - $77.12
2% of jobs
$23
$47
$77
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.
| Aspect | Remote Utilization Review Nurse | Remote Case Manager |
|---|---|---|
| Certifications | RN license, possibly CCM or UR certifications | RN license, CCM or case management certifications |
| Work Environment | Healthcare facilities, insurance companies, telehealth | Insurance companies, healthcare organizations, telehealth |
| Job Focus | Review medical necessity, approve or deny services | Coordinate 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.
For Remote Utilization Review Nurse jobs in Bothell, WA, the most frequently searched job titles are:
The top searched job categories for Remote Utilization Review Nurse jobs in Bothell, WA are:
Cities near Bothell, WA with the most Remote Utilization Review Nurse job openings:

Everett, WA โข On-site, Remote
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 2 days ago
New
Moonlit Horizon Rehabilitation and Counseling, LLC is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our innovative team. As a full-time LCSW, you will play a critical role in enhancing the mental health and well-being of our clients by providing high-quality, evidence-based therapeutic interventions. This position offers the flexibility of remote work while being an integral part of a community health clinic dedicated to fostering positive change in the lives of individuals and families.
About the OrganizationAt Moonlit Horizon Rehabilitation and Counseling, LLC, our mission is to empower individuals facing the challenges of mental health and addiction disorders. We pride ourselves on delivering comprehensive healthcare services to our community in Everett, Washington, through a patient-centered approach that emphasizes holistic treatment and recovery. Our team is composed of skilled professionals who are committed to fostering a collaborative environment that supports both employees and clients alike.
Work EnvironmentThis remote role provides the opportunity to work from the comfort of your home while being part of a robust virtual support system. Our organization utilizes various digital tools and platforms to facilitate effective communication and collaboration among team members. You will connect with clients through secure telehealth services, ensuring that they receive timely interventions regardless of their location. We prioritize a balanced work-life dynamic and empower our staff with flexible scheduling options.
Key ResponsibilitiesIn this role, you will engage with a diverse population, including adolescents, adults, and families experiencing challenges related to mental health and substance use disorders. Your contributions will not only impact individual client outcomes but also influence the overall health of the community. You will provide culturally competent care and are encouraged to approach every client with empathy, tailoring interventions to their specific backgrounds and experiences.
QualificationsThe annual salary for this position ranges from USD 115,000 to 130,000, based on experience and qualifications. In addition to a competitive salary, our employees enjoy a comprehensive benefits package that includes:
At Moonlit Horizon Rehabilitation and Counseling, LLC, we believe in the professional development of our employees. As a part of our organization, you will have access to mentorship programs, in-house training sessions, and opportunities to attend conferences and workshops relevant to your field. We encourage our LCSWs to pursue continued education and specialization in their areas of interest, enabling you to advance your career and expand your expertise.
Why Join Our TeamChoosing to join Moonlit Horizon means becoming a valued member of a passionate team committed to changing lives for the better. You will have the chance to work with like-minded professionals who share your enthusiasm for helping individuals and families overcome mental health and addiction challenges. The remote work setting gives you the flexibility to maintain personal commitments while extending your reach in community healthcare. Help us make a positive impact in Everett and beyond!
Application InformationIf you are ready to embark on a rewarding journey with Moonlit Horizon Rehabilitation and Counseling, LLC, and meet the qualifications stipulated above, we encourage you to apply now! Please submit your application, including a resume and cover letter, to outline your interest and qualifications for the role.