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Remote Utilization Review Rn Jobs in Seattle, WA

... 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 ...

Denial Management Specialist

Kirkland, WA ยท 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 ...

Appeals Pharmacist (Remote)

Bothell, WA ยท 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 ...

Appeals Pharmacist (Remote)

Redmond, WA ยท 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 ...

Registered Dietitian, Remote

Jersey City, NJ ยท On-site +1

$32.50 - $43.75/hr

Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...

Registered Nurse

Everett, WA ยท Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Registered Nurse

Federal Way, WA ยท Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Registered Nurse

Renton, WA ยท Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

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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 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:
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.
Hybrid Clinic Triage RN (Remote)

Hybrid Clinic Triage RN (Remote)

Cardiac Study Center

Tacoma, WA โ€ข Remote

$39 - $60.03/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago


Job description

Registered Nurse Hybrid

Cardiac Study Center, Tacoma, WA

We are currently offering a $7,500 sign-on bonus!

Who We Are

At Cardiac Study Center, our mission is to elevate patient health through compassionate, innovative cardiology care.

We are a dedicated team at the forefront of cardiovascular medicine, empowering patients with the knowledge and treatment they need to lead heart-healthy lives. As a growing organization with deep roots in the Pacific Northwest, we are looking for passionate individuals to join us in making a real impact on our patients' heart health and well-being. Here, you will have the opportunity to collaborate with top professionals, advance in your career, and make a meaningful difference every day.

Why should you work with us?

Innovative technology: At Cardiac Study Center, we embrace innovative cardiology tools and advanced technology to provide the best possible care. As part of our team, you will work with the latest innovations in healthcare, enhancing both patient outcomes and your professional skill set.

Professional growth and development: We believe in nurturing talent and fostering continuous learning. Whether it is attending conferences, receiving advanced certifications, or participating in internal training programs, we invest in your growth as a healthcare professional so you can advance your career with confidence.

A collaborative culture: At Cardiac Study Center, you will work with a team that is always learning, sharing knowledge, and supporting one another. Our collaborative approach ensures that we are always improvingfor both our patients and our people.

Make a real impact: Though we are a growing organization, every member of our team plays a critical role in shaping the future of cardiovascular care. You will have the chance to make a meaningful contribution and grow your career in a rapidly evolving field.

A growing, diverse team: Based in the Pacific Northwest, with clinics across Washington, Oregon, and Idaho, we are continually expanding. We value diversity and welcome team members from all backgrounds to help us provide inclusive care to our communities.

The Position

As a Registered Nurse at our cardiology outpatient clinic, you will be instrumental in assessing and educating patients on their cardiac health, guided by our physicians. Your role includes telephone triage, emergency assistance, individualized patient education, and collaboration with the healthcare team to ensure optimal patient care and outcomes. This position is a blend of clinical excellence and compassionate patient interaction, offering nursing professionals a dynamic and fulfilling work environment.
It's a vibrant period for nurses at Cardiac Study Center/ Pulse Heart Institute as we embark on a path toward becoming a premier nursing organization. We are fostering a culture where nurses play a pivotal role in clinical decisions, enjoy strong connections and open dialogue with peers, and receive ample support for professional growth, all while gaining a clear vision of nursing's future at Cardiac Study Center/ Pulse Heart Institute.

Your Day-to-Day work

  • Conduct telephone triage to assess patient needs, prioritize calls based on urgency, and respond promptly to emergent, urgent, and non-urgent inquiries.
  • Develop and deliver individualized patient education programs focused on diagnosis, procedures, and treatment plans to enhance patient understanding and care.
  • Collaborate closely with physicians and healthcare teams to ensure seamless communication and the highest standards of patient care.
  • Serve as a cardiac health resource and educator for office staff and the broader community, promoting awareness and understanding.
  • Monitor and manage abnormal test results, facilitating appropriate referrals and follow-ups while maintaining meticulous documentation of all patient interactions and care provided.

Environment and Shift details:

This role is full-time, Monday Fridayclosed weekends and holidays.

Experience

Must-Haves

  • Educational Background: Completion of an accredited nursing program.
  • Licensing: An active Washington Registered Nurse License at the time of hire.
  • Certification: National Provider BLS certification from the American Heart Association, obtained before starting.
  • Experience: Ideally, you have at least 1 year of nursing experience.

Nice-to-Haves (You will still be considered, even if you do not have the experience below)

  • Specialized Experience: 1 year of experience in cardiology, PCU, ICU, or ER/ED
  • Additional Experience: 2 years of RN experience in an outpatient or hospital setting

Pay and Benefit Expectations

While you're focused on taking excellent care of our patients, we will be focused on taking care of you with benefits such as:

  • Comprehensive health insurance (with zero-cost premiums)
  • Dental & vision plans
  • FSA/ HSA
  • Retirement matching
  • Paid vacation & floating holidays
  • Mental health perks, and more!

The pay scale for this position is: $39.00 - $60.03 USD.

However, pay is influenced by factors specific to applicants, including skill set, level of experience, and certification(s) and/or education.

Seat ID: 00894