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Remote Utilization Review Rn Jobs in Seattle, 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 ...

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

Remote Utilization Review Rn information

See Seattle, WA salary details

$24

$48

$78

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

As of Jun 12, 2026, the average hourly pay for remote utilization review rn in Seattle, WA is $48.12, according to ZipRecruiter salary data. Most workers in this role earn between $38.03 and $55.24 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 the most commonly searched types of Utilization Review Rn jobs in Seattle, WA? The most popular types of Utilization Review Rn jobs in Seattle, WA are:
What are popular job titles related to Remote Utilization Review Rn jobs in Seattle, WA? For Remote Utilization Review Rn jobs in Seattle, WA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Seattle, WA look for? The top searched job categories for Remote Utilization Review Rn jobs in Seattle, WA are:
What cities near Seattle, WA are hiring for Remote Utilization Review Rn jobs? Cities near Seattle, WA with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Seattle, WA as of June 2026, with employment types broken down into 2% As Needed, 80% Full Time, 13% Part Time, and 5% Contract. Highlights an 3% In-person, and 97% Remote job distribution, with an average salary of $100,084 per year, or $48.1 per hour.
Utilization Management Asst

Utilization Management Asst

CommonSpirit Health

Bremerton, WA • Remote

$45K - $52K/yr

Full-time

Posted 8 days ago

CommonSpirit Health rating

7.0

Company rating: 7.0 out of 10

Based on 505 frontline employees who took The Breakroom Quiz

403rd of 871 rated healthcare providers

Job description


Job Summary and Responsibilities

As our Utilization Management (UM) Assistant, you will provide essential administrative and clerical support to the UM team, playing a crucial role in maintaining efficient and organized operations.
Every day you will manage documentation, process incoming requests, facilitate communication between team members and external parties, and assist with data entry and record-keeping to ensure smooth UM workflows.
To be successful in this role you will possess excellent organizational skills, a keen eye for detail, strong communication abilities, and a proactive approach to supporting the daily functions of the Utilization Management department.

  • Manage timely post-acute care referrals, to assist with length of stay management and mitigation of denials.
  • Communicate and collaborate with interdisciplinary team, patients, and family to facilitate care progression.
  • Ensure post-acute follow-up appointments for identified patients to assist with readmission prevention and ensuring continuity of care.
  • Deliver required patient notifications and letters, and obtain patient or family signatures on required documentation as needed to meet regulatory compliance.
  • Manage transportation referrals as requested.
  • Comply with confidentiality policies, HIPAA regulations, and organizational standards when transmitting protected patient information to external agencies and vendors as needed for placement, payment or referral.
Job Requirements

This is a remote position.

Education and Experience:

  • Associates Other in Business/Health-Related field, upon hire required or
  • High School Graduate General Studies, upon hire required and
  • Medical Assistant or Certified Nursing Assistant certificate upon hire or Experience in a healthcare setting required, upon hire and
  • At least 3 years previous experience in health care, care coordination, utilization review, discharge planning or similar healthcare setting required and
  • Experience supporting clinicians in demanding and fast paced patient care environments required. and

Preferred

  • Bachelors Other, upon hire

Licensures and Certifications:

    • None, upon hire required 
Where You'll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.
Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.
Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.
We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Qualifications:

This is a remote position.

Education and Experience:

  • Associates Other in Business/Health-Related field, upon hire required or
  • High School Graduate General Studies, upon hire required and
  • Medical Assistant or Certified Nursing Assistant certificate upon hire or Experience in a healthcare setting required, upon hire and
  • At least 3 years previous experience in health care, care coordination, utilization review, discharge planning or similar healthcare setting required and
  • Experience supporting clinicians in demanding and fast paced patient care environments required. and

Preferred

  • Bachelors Other, upon hire

Licensures and Certifications:

    • None, upon hire required 
Employment Type: Full Time

What CommonSpirit Health employees say

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