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Remote Utilization Review Jobs in Seattle, WA (NOW HIRING)

... 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 ...

Clinical Sales Manager (Seattle)

Seattle, WA · On-site +1

$118K - $177K/yr

... 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 ...

Showing results 21-40

Remote Utilization Review information

See Seattle, WA salary details

$24

$48

$78

How much do remote utilization review jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for remote utilization review 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 a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What are the most commonly searched types of Utilization Review jobs in Seattle, WA?

The most popular types of Utilization Review jobs in Seattle, WA are:

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

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

Infographic showing various Remote Utilization Review job openings in Seattle, WA as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $100,085 per year, or $48.1 per hour.

Full-Time Remote Licensed Clinical Social Worker at Horsham Behavioral Health

Kent, WA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 10 days ago


Job description

Position Overview

Horsham Behavioral Health is seeking a dedicated and compassionate Licensed Independent Clinical Social Worker (LICSW) to join our dynamic team in providing essential mental health services. This full-time remote position offers a unique opportunity to make a significant impact on the lives of clients while collaborating with a committed group of professionals in a supportive environment. Our salary range for this role is USD 90,000 to 105,000 annually, commensurate with experience and qualifications.

About the Organization

Horsham Behavioral Health prides itself on delivering exceptional mental health support tailored to a diverse range of needs. Our organization is rooted in the belief that mental health is essential for overall well-being, and we strive to create a safe and nurturing atmosphere conducive to personal growth, healing, and empowerment. Our team consists of skilled and passionate professionals dedicated to providing high-quality care and fostering meaningful relationships with our clients.

Work Environment

As a remote position, our Licensed Clinical Social Worker will benefit from flexible working conditions that promote work-life balance. The Hospice Center environment encourages collaboration and creativity, allowing for continuous professional development and opportunities to engage with colleagues in various virtual settings. Our team culture values input, innovation, and a shared commitment to enhancing client well-being.

Key Responsibilities
  • Act as a vital liaison between clients, families, and outpatient providers to ensure seamless coordination of care.
  • Engage with insurance companies to facilitate pre-certification and manage utilization review processes, ensuring appropriate access to services for clients.
  • Contribute to discharge planning and aftercare strategies, ensuring clients have the necessary support and resources post-treatment.
  • Provide therapeutic meal support, modeling healthy relationships with food and assisting clients in addressing food-related challenges.
  • Deliver empathetic, affirming care tailored to individual client circumstances and their unique intersecting identities, fostering an inclusive space for healing.
Patient Population / Client Focus

This role focuses primarily on older adults who may be dealing with complex health and emotional challenges, including chronic illnesses, mental health conditions, or end-of-life issues. By employing a strengths-based perspective, the Licensed Clinical Social Worker will navigate the intricate needs of clients, ensuring they receive comprehensive and respectful care. Your expertise will contribute to optimizing their quality of life, ensuring a dignified approach to their personal and mental health needs.

Qualifications
  • A Master's degree in Social Work from an accredited institution is required.
  • A valid Licensed Independent Clinical Social Worker (LICSW) license in Washington State is essential.
  • Demonstrated experience working effectively with older adult populations is expected.
  • Strong clinical and diagnostic skills are crucial for assessing client needs accurately and recommending appropriate interventions.
  • Excellent communication abilities are necessary to build rapport with clients, families, and multidisciplinary teams.
  • Must demonstrate efficacy in working independently, while also collaborating effectively as part of a cohesive team.
Preferred Experience
  • Experience in hospice or end-of-life care settings is highly desirable.
  • Knowledge of health insurance systems and familiarity with case management protocols.
  • Prior involvement in group therapy or workshops focused on healthy relationship-building is a plus.
Compensation and Benefits

We offer a competitive salary range of USD 90,000 to 105,000 per year, along with an attractive benefits package that includes:

  • Medical, Dental, and Vision Insurance coverage.
  • 401(k) with company matching and flexible spending account options.
  • Life Insurance options to provide financial security for you and your loved ones.
  • Accident and Short-term Disability coverage to support you in unforeseen circumstances.
Career Growth Opportunities

At Horsham Behavioral Health, we are committed to fostering professional development. Our team members are encouraged to pursue continued education and training opportunities that enhance their clinical skills and knowledge. Employees may have access to mentorship programs, leadership training, and pathways to advance within the organization, ensuring a fulfilling career dedicated to the field of social work.

Why Join Our Team

By becoming part of Horsham Behavioral Health, you will not only contribute to transforming the lives of those we serve but also join a team that values compassion, collaboration, and innovation in mental health care. Your work will play a pivotal role in promoting mental wellness, and you will find personal and professional satisfaction in helping others achieve their fullest potential.

Application Information

If you are a passionate, licensed clinical social worker excited to make a meaningful difference in the lives of older adults, we invite you to apply today! Join us at Horsham Behavioral Health and become part of a team dedicated to excellence in mental health care.