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Remote Utilization Review Rn Jobs in Bothell, WA

Evergreen Health

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

... utilization review or prior authorization in a hospital, provider, or healthcare system. Healthcare medical billing and reimbursement Remote in Washington State only Posted wage ranges represent the ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Bothell, WA · On-site +1

$66 - $80.50/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Redmond, WA · On-site +1

$64 - $78/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

EvergreenHealth

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

... utilization review or prior authorization in a hospital, provider, or healthcare system. Healthcare medical billing and reimbursement Remote in Washington State only Posted wage ranges represent the ...

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All JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Bothell, WA

Remote Utilization Review Rn information

See Bothell, WA salary details

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$47

$77

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

As of Jun 29, 2026, the average hourly pay for remote utilization review rn 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 the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What is a Remote Utilization Review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What is the meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

What are some common challenges Remote Utilization Review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.
What are popular job titles related to Remote Utilization Review Rn jobs in Bothell, WA? For Remote Utilization Review Rn jobs in Bothell, WA, the most frequently searched job titles are:
What cities near Bothell, WA are hiring for Remote Utilization Review Rn jobs? Cities near Bothell, WA with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you

Advanced Registered Nurse Practitioner (ARNP) (WA licensed) (Remote)

Nolia Health

Seattle, WA • Remote

Part-time

Posted 2 days ago

Job description

About Nolia Health

Founded in Seattle, Washington, Nolia is a healthcare company dedicated to providing personalized, clinically-supported, and virtual-first services for older adults and their family caregivers or care partners. We understand that chronic and serious illnesses related to aging impact not only those diagnosed but also those who care for them. Nolia's mission is to elevate family caregiving as a central component of healthcare. Our goal is to transform the way caregiving is perceived and valued, ensuring that family caregivers have the resources, knowledge, and support they need so no one has to navigate this journey alone.

Our Vision, Mission and Values are very important to us and can be found here.

Position Overview:

We are seeking a Part-time contract Nurse Practitioner to join our growing care practice supporting senior patients living with chronic conditions, starting with dementia, and their family caregivers. This is a unique role that provides an opportunity to strategically influence the direction of the company while positively impacting lives.

The Nurse Practitioner will provide high quality care services virtually via telehealth to patients/families living in home settings. This role will work closely with a transdisciplinary team including MD, Neuropsychologists, Social Workers, and Care Navigators to provide comprehensive care, establish and pursue goals of care and treatment plans, and offer guidance and education to both patients and their families.
Responsibilities:

  • Navigation and management of complex chronic comorbidities
  • Creating and implementing treatment plans for patients and family caregivers
  • Develop personalized care plans in collaboration with the transdisciplinary team
  • Monitor patients' progress and make necessary adjustments to care plans
  • Collaborate with other healthcare professionals to ensure coordinated holistic care
  • Stay up to date with current trends and advancements in geriatric care
  • Screenings & assessments for SDOH and behavioral needs
  • Collaboration with an transdisciplinary team in the course of care delivery
  • Provide high quality customer service
  • Provide clinical / medical education to clients and staff
  • Participate in virtual care conferencing
  • Update & maintain medical records
  • Participate in quality improvement initiatives and contribute to the development of best practices
  • Contribute to strategic direction of Nolia Care services - a leader in the field
  • Utilize strong interpersonal, leadership and problem solving skills and a strong commitment to providing excellent care that is team oriented


Experience/ Education/License Requirements:

  • Two or more years outpatient experience in independent private practice or within a larger medical center.
  • Experience in FNPs (Family Practice) & AGPCNP (Adult Geriatric Primary Care) preferred
  • Experience utilizing chronic, longitudinal care models in digital health required
  • Nurse Practitioner and Registered Nurse licenses in WA state required (CA, TX, ID, FL &/or multi state licensure is also needed)
  • Board certification as a Nurse Practitioner in geriatric care is preferred and DEA required
  • National board certification as a Nurse Practitioner from an accredited agency.
  • Master's level ARNP required with additional training or experience in Geriatric care, Dementia and Palliative specialties Doctorate of Nursing preferred.

Why you will love being a part of our team:

  • In-house billing support to coordinate benefits and eligibility and submit claims.
  • In-house scheduler to answer calls and schedule intake appointments.
  • Regular individual clinical supervision.
  • Regular case consultation.
  • Endless opportunities to learn, grow and contribute to our mission.
  • Various training programs, workshops, and resources are available to help you enhance your skills, knowledge, and expertise in the fields of caregiving and aging.
  • We are focused on caregiving and this permeates our working culture. Most of our team have lived experiences as family caregivers. We prioritize your wellbeing and provide a flexible work schedule to accommodate other life responsibilities.
  • This is a remote first position that allows for some scheduling flexibility.
  • We prioritize inclusivity, teamwork, open communication, and mutual respect, fostering a positive work environment where you can excel and contribute to our shared goals.
  • Nolia is dedicated to creating and sustaining a workplace environment that fully integrates diversity, equity and inclusion to all aspects of our operations. Consequently, we actively prioritize and welcome Black, Indigenous and people of color, a multigenerational workforce, LGBTQ+ and people with disability to join our highly talented team.

Don't meet every requirement?

Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single requirement. If you're excited about our mission and values, and the job itself, but your past experience doesn't perfectly align, we encourage you to apply anyway.