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Remote Utilization Review Nurse Jobs in Bothell, WA

VP, Delivery & Customer Success

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 ...

... 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 ...

... 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 ...

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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 Clinical Social Worker (LCSW) - Remote Opportunity

Moonlit Horizon Rehabilitation and Counseling, LLC

Everett, WA โ€ข On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Job description

Position Overview

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 Organization

At 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 Environment

This 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 Responsibilities
  • Conduct comprehensive intake interviews and psychosocial assessments to understand clients' needs and formulate effective treatment plans.
  • Collaborate with the Clinical Decision Review Process (CDRP) or Treatment Team to present treatment plans, ensuring they meet the standards and receive timely recommendations and revisions.
  • Participate actively in clinical case conferences, contributing insights and updates relevant to client progress and treatment adjustments.
  • Facilitate educational workshops focused on addiction and chemical dependence, enhancing community awareness and understanding.
  • Provide individual and group counseling services tailored to clients working through chemical dependency issues, utilizing best practice techniques.
  • Deliver family and multi-family therapy sessions as needed, supporting relationships and structures vital to clients' recovery journeys.
  • Offer comprehensive case management services, including resource and referral coordination, to ensure clients access additional support systems.
Patient Population / Client Focus

In 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.

Qualifications
  • A Masterโ€™s Degree in Social Work (MSW) or a closely related field, equipping you with the necessary theoretical and practical foundation.
  • Valid licensure as a Licensed Clinical Social Worker (LCSW) in Washington State is mandatory to practice in this capacity.
  • A minimum of two years of relevant supervised experience in addiction medicine therapy is required, ensuring that you possess hands-on skills to address clients' needs effectively.
Preferred Experience
  • Experience with integrated behavioral health programs, delivering services in both individual and group settings.
  • Utilization of electronic health record (EHR) systems to maintain accurate patient documentation and case management.
  • Familiarity with evidence-based practices specific to substance use and mental health treatment.
Compensation and Benefits

The 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:

  • Health, Dental, and Vision Insurance packages for you and your family.
  • A 401(k) plan with company matching contributions to support your future financial security.
  • Generous paid time off (PTO) and sick leave to promote a healthy work-life balance.
  • Life insurance coverage to ensure peace of mind for you and your loved ones.
  • Employee discounts available from an array of vendors.
  • Flexible spending accounts (FSAs) to assist with healthcare and dependent care expenses.
  • Tuition reimbursement programs to support your ongoing professional development.
  • Flexible work schedules to accommodate your personal and professional commitments.
  • Referral bonuses when you successfully refer new talent to our organization.
Career Growth Opportunities

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 Team

Choosing 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 Information

If 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.