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Remote Utilization Review Rn Jobs in Everett, WA

... and utilization review. • Secure contracts and agreements, where necessary or optimal, to ... remote and in-person, and manage follow-up. • Collaborate with Customer Success to onboard new ...

... and utilization review. * Secure contracts and agreements, where necessary or optimal, to ... remote and in-person, and manage follow-up. * Collaborate with Customer Success to onboard new ...

Possess Current, unrestricted license in the State of Washington as a registered nurse (RN) ... Reviews and revises the plan of care with the interdisciplinary care team to reflect changing ...

Clinical Documentation Specialist

Seattle, WA · Remote

$39.50 - $53.25/hr

Providence at Home with Compassus Position Summary The Clinical Documentation Specialist RN [Registered Nurse], is responsible for the quality review of all OASIS documents and review of key elements ...

Case Manager I

Seattle, WA · On-site +1

$37.96 - $58.84/hr

Possess Current, unrestricted license in the State of Washington as a registered nurse (RN) ... Reviews and revises the plan of care with the interdisciplinary care team to reflect changing ...

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 ...

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 ...

Showing results 41-60

Remote Utilization Review Rn information

See Everett, WA salary details

$23

$46

$76

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

As of Sep 2, 2026, the average hourly pay for remote utilization review rn in Everett, WA is $46.71, according to ZipRecruiter salary data. Most workers in this role earn between $36.92 and $53.65 per hour, depending on experience, location, and employer.

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

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 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 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.

What are popular job titles related to Remote Utilization Review Rn jobs in Everett, WA?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Everett, WA are:

What cities near Everett, WA are hiring for Remote Utilization Review Rn jobs?

Cities near Everett, WA with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Everett, WA as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $97,152 per year, or $46.7 per hour.

Clinical Sales Manager (Seattle)

Karius

Seattle, WA • On-site, Remote

Full-time

Medical, Vision, Life

Re-posted 5 days ago


Job description

About Karius
Karius is a life science, venture-backed clinical metagenomics company, focused on elevating patient care through microbial insights. We are committed to advancing diagnostic science and technology to optimize the diagnosis and treatment of infectious diseases. Through the use of genomics and AI, we are driven to improve the diagnostic landscape for infectious diseases. Karius delivers unprecedented diagnostic insight detecting microbial cell-free DNA circulating in the body to assist physicians to make rapid treatment decisions.
Position Summary
This represents an incredible opportunity to join a growing life sciences company poised to revolutionize the Infectious Disease diagnostics market. We are expanding the launch of our proprietary, Next-Generation Sequencing test in hospitals and health systems across the U.S. Joining Karius in our commercialization effort will both accelerate your career and advance our vision to see a world where infectious disease is no longer a major threat to human health. The Clinical Sales Manager is responsible for the sales efforts of Karius in a defined regional territory, focusing on relationships with infectious disease physicians, lab directors, C-level executives, and other clinical leaders throughout a hospital system.
Why Should You Join Us?
Karius aims to conquer infectious diseases through innovations around genomic sequencing and machine learning. The company's platform is already delivering unprecedented insights into the microbial landscape, providing clinicians with a comprehensive test capable of identifying more than a thousand pathogens directly from blood, and helping industry accelerate the development of therapeutic solutions. The Karius test we provide today is one of the most advanced solutions available to physicians who aim to deliver better care to many otherwise ineffectively treated patients. Our test is the result of some incredible work done by our scientists, statisticians, engineers, and physicians, all driven by the same mission. You, as part of the Karius team, will be able to see how directly your work has a life-changing impact on people, and at scale.
Reports to: Regional Sales Director
Territory: Pacific Northwest, including Alaska, Idaho, Montana, Oregon, Washington, and Hawaii, with deep knowledge and experience in the greater metropolitan area health systems.
Primary Responsibilities
• Grow sales revenue and test volume in territory by establishing new business in hospitals while increasing volume in existing hospitals. Introduce a transformational, life-saving diagnostic technology which will change the world of infectious disease by engaging key stakeholders in the hospital that are involved with the decision process to implement new diagnostic tests.
• Collaboration with Inside Sales, Customer Success, Medical Affairs, and Marketing to achieve territory and company goals.
• Develop thought leaders and early adopters for this new approach to infectious disease diagnosis.
• Help establish the foundation and culture of a world-class commercial organization.
• Build, manage and nurture market-based/regional territory, comprising hospital & health system accounts.
• Prioritize and segment hospital & health system accounts to maximize opportunity and growth.
• Present product features and benefits to key stakeholders and clinical call points, utilizing consultative sales techniques (qualifying leads, assessing needs, supporting evaluations, and closing). Manage early evaluations to activate initial adoption of Karius test/solutions and drive increased utilization over time.
• Serve as a subject matter expert, speaking with clinicians of all levels regarding the science and technology of the Karius test and how to best leverage its capabilities. Speak fluently on the unique merits and value of our proprietary test, positioning our differentiation from the competition.
• Build deep relationships, educate and drive consensus across multiple stakeholders among both prospective and existing partners.
• Develop a 'trusted advisor' relationship and establish oneself as fully accountable for demonstrating ROI to the partner account, ensuring both regular interaction and utilization review.
• Secure contracts and agreements, where necessary or optimal, to memorialize long-term relationships with partners, define an exchange of value, and augment predictability into revenue.
• Manage and secure renewals of partner agreements.
• Collaborate with Sales, Marketing, and Product leadership to provide valuable market feedback, to inform all functions.
• Partner, and co-present, with Karius' Clinical/Medical Affairs teams (including Medical Science Liaisons) to support partner interactions, both remote and in-person, and manage follow-up.
• Collaborate with Customer Success to onboard new accounts, share feedback, proactively address risks, immediately address concerns/problems, manage expectations, promote successes, and maintain close pulse on the health of the partner.
• Partner with Marketing to identify and co-manage regional meeting opportunities, develop Key Opinion Leader (KOL) panels, and other local market activities.
• Participate in broader sales meetings, training programs, conventions, and industry trade shows as required.
• Complete paperwork and administrative duties in a timely and accurate fashion, including documentation in SalesForce, expense reporting, speaker program information, etc.
What's Fun About the Job?
Karius is operating at the edge of what is now known to be possible in infectious disease diagnostics. With that, comes a wave of new and incredible challenges and opportunities. To deliver on that value, you will be tapping into some of the most advanced technologies, architecting and innovating where the current solutions simply don't suffice. You will get to see how much your work really matters.
Travel: Up to 70%.
Physical Requirements
Subject to extended periods of sitting and/or standing, vision to monitor and moderate noise levels. Work is generally performed remotely in the field.
Position Requirements
• Bachelor's degree; advanced degree or MBA a plus.
• 5 years of sales/business development experience in Life Sciences / Biotech, Medical Device, Diagnostic Equipment, and/or Pharmaceutical industries.
• Valid driver's license.
• Previous success in introducing transformational, novel products or services to physicians and hospitals which have changed clinical practice prior to significant peer-reviewed publications or inclusion in guidelines for support.
• Robust network of existing relationships in hospitals and health systems, across microbiology labs, send-out labs, physician groups, C-level executives, and administrators of clinical functions.
• Strong vision and planning capabilities to grow the territory.
• Excellent business acumen combined with outstanding analytical aptitude and problem-solving skills.
• Strong ability to develop relationships from C-level executives to physicians and lab directors, building credibility through subject matter and industry expertise.
• Demonstrated track record of top sales achievement, meeting and exceeding sales objectives.
• Experience with multi-level account management.
Personal Qualifications
• Entrepreneurial spirit and is comfortable multitasking and working in a fast-paced, ambiguous, growth-oriented environment.
• Team player willing to collaborate with all customer facing teams to share best practices.
• Ability to set priorities, allocate resources, take accountability and achieve results.
• Strong presentation acumen and negotiation skills, ability to manage and facilitate engaging discussions with both small and large groups.
• Unquestionable personal code of ethics, integrity, confidentiality and ability to build trusting and professional relationships.
• Passionate about the mission and reputation of Karius while investing in the culture as the company grows.
Disclaimer
The above job description is intended to describe the general nature and level of work being performed by individuals assigned to this position. It is not intended to be an exhaustive list of all duties, responsibilities, and skills required. Responsibilities and duties may change or be adjusted to meet the needs of the company, and additional duties may be assigned as necessary. The job description is subject to change at any time at the discretion of Karius.
At Karius, we value a diverse and inclusive workplace and provide equal employment opportunities for all applicants and employees and are committed to honor and invest in the full diversity of people, in our hiring, recruiting and development of employees across the Company. All qualified applicants for employment are encouraged to apply and will be considered without regard to an individual's race, color, sex, gender identity and gender expression (including transgender individuals who are transitioning, have transitioned, or are perceived to be transitioning to the gender with which they identify), religion, age, national origin or ancestry, citizenship, physical or mental disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military or veteran status, or any other basis protected by federal, state or local laws. If you are unable to submit your application due to a disability, please contact us at [email protected] and we will accommodate qualified individuals with disabilities.
$118,337 - $177,505 a year