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

myLaurel

Care Navigator, Level 1

Seattle, WA · On-site +1

$22/hr

Fully Remote (U.S.) Reports To: Care Navigator Supervisor Pay: $22.00 per hour Classification: Non ... For high-risk populations, myLaurel achieves 33% lower ED utilization, a 49% absolute reduction in ...

Prime Therapeutics LLC

Pricing Analyst - Remote

Home, WA · Remote

$66K - $106K/yr

Evaluates the utilization and financial experience of customers and prospects, leading to analysis ... Tracks and reviews RFP information, data, and potential issues that apply to all RFPs, not just the ...

Archgroup

AVP, Construction

Home, WA · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...

Exodigo

Enterprise Account Manager

Seattle, WA · Remote

Conduct regular business reviews to align on goals, performance, and ROI. * Understand evolving ... Remote-first culture with flexibility and autonomy Our mission is to power the next era of ...

Annie Aesthetic

PE Portfolio Operations

Seattle, WA · Remote

... review Operational Leadership * Oversee day-to-day operations across multiple clinic locations and ... Build and maintain the meeting cadences, documentation systems, SOPs, and remote management ...

Archgroup

AVP, Construction

Home, WA · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...

Annie Aesthetic

PE Portfolio Operations

Seattle, WA · Remote

... review Operational Leadership * Oversee day-to-day operations across multiple clinic locations and ... Build and maintain the meeting cadences, documentation systems, SOPs, and remote management ...

University of Washington

Outpatient Analyst

Seattle, WA · On-site +1

$90K/yr

WORK SCHEDULE 100% FTE, Days 8:00 am - 5:00 pm Mondays - Fridays 100% REMOTE POSITION HIGHLIGHTS ... Review DRG and CPT claim denials for commercial payers. Maintain written documentation of actions ...

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

Remote Utilization Review information

See Seattle, WA salary details

$24

$48

$78

How much do remote utilization review jobs pay per hour?

As of Aug 11, 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 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 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 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 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 are popular job titles related to Remote Utilization Review jobs in Seattle, WA? For Remote Utilization Review jobs in Seattle, WA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Seattle, WA look for? The top searched job categories for Remote 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:
Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Seattle, WA as of August 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.

Care Navigator, Level 1

myLaurel

Seattle, WA • On-site, Remote

$22/hr

Full-time

Posted 13 days ago

Job description

Care Navigator, Level 1
Job Type:
Full-Time
Location:
Fully Remote (U.S.)
Reports To:
Care Navigator Supervisor
Pay:
$22.00 per hour
Classification:
Non-Exempt / Hourly
Are you a healthcare professional who thrives in a fast-paced environment and wants more than "just a call center job"? myLaurel is hiring a Care Navigator, Level 1 to serve as the critical first connection our patients have with the myLaurel care team.
This is a specialized role for someone who wants to build foundational skills in healthcare navigation, clinical problem-solving, and cross-functional collaboration - with real room to grow. You'll be the voice patients and caregivers turn to for scheduling, education, and support as they navigate their care journey at home.
We're looking for high-performers who are proactive, adaptable, and eager to grow within a high-impact startup environment.
Key Responsibilities
  • Primary Point of Contact: Serve as the lead contact for patients and caregivers via high-volume inbound and outbound calls.
  • Scheduling: Coordinate and schedule in-home and virtual care visits efficiently and accurately.
  • Patient Education: Educate patients on myLaurel program services and set clear, empathetic expectations for their care journey.
  • Post-Visit Support: Manage critical post-visit needs, including equipment coordination, pharmacy requests, and clinical documentation.
  • Systems Management: Maintain high-integrity documentation of every interaction within our internal systems and Electronic Health Record (EHR).
  • Cross-Functional Partnership: Collaborate daily with clinical and operations teams to deliver a seamless, "white-glove" patient experience.

What You Bring
  • 2+ years of professional experience in a healthcare call center or patient facing environment.
  • Proficiency with Electronic Health Record (EHR) platforms (e.g., Epic, Athena, Cerner, or similar) required.
  • A dedicated, private, HIPAA-compliant workspace with a door.
  • Reliable high-speed internet (minimum 20 Mbps download / 5 Mbps upload).
  • Exceptional active listening skills and the ability to multitask across multiple software systems while maintaining an empathetic phone presence.
  • High school diploma or GED required.

Why Work With Us
  • Join a mission-driven team bringing hospital-level care into patients' homes.
  • Step onto a defined Care Navigator career path, with room to grow into senior and specialist roles.
  • Fully remote role with a supportive, collaborative team culture.
  • Be part of a high-growth startup transforming acute and transitional care for frail, elderly, and medically complex patients.

$22 - $22 an hour
About myLaurel
myLaurel was founded on the belief that a meaningful portion of hospital care can - and should - be delivered in the comfort of home. As a tech-enabled medical group, we provide on-demand acute and transitional care to frail, elderly, or medically complex patients at home, helping them avoid the traditional pathway of ambulance, emergency department, hospital admission, and post-acute facility care.
For high-risk populations, myLaurel achieves 33% lower ED utilization, a 49% absolute reduction in readmissions, and a Net Promoter Score of 97. myLaurel has been named to Fast Company's Most Innovative Companies and the New York Digital Health 100. Learn more at mylaurelhealth.com.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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