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Utilization Care Manager Jobs in Seattle, WA (NOW HIRING)

Care Manager RN

Tacoma, WA

$50.25 - $97.78/hr

Job Summary and Responsibilities As our Care Manager RN, you will be a dynamic leader, shaping ... Experience with utilization management, discharge planning and/or case management * Accredited Case ...

Care Manager RN

Tacoma, WA · On-site

$50.25 - $97.78/hr

Job Summary and Responsibilities As our Care Manager RN, you will be a dynamic leader, shaping ... Experience with utilization management, discharge planning and/or case management * Accredited Case ...

Building upon a legacy of compassionate care and innovation, our organization has evolved over the ... Experience with utilization management, discharge planning and/or case management * Accredited Case ...

Care Manager RN

Tacoma, WA · On-site

$50.25 - $97.78/hr

Building upon a legacy of compassionate care and innovation, our organization has evolved over the ... Experience with utilization management, discharge planning and/or case management * Accredited Case ...

Care Manager RN

Tacoma, WA · On-site

$50.25 - $97.78/hr

Building upon a legacy of compassionate care and innovation, our organization has evolved over the ... Experience with utilization management, discharge planning and/or case management * Accredited Case ...

Building upon a legacy of compassionate care and innovation, our organization has evolved over the ... Experience with utilization management, discharge planning and/or case management * Accredited Case ...

Care Manager RN

Tacoma, WA

$50.25 - $97.78/hr

Job Summary and Responsibilities As our Care Manager RN, you will be a dynamic leader, shaping ... Experience with utilization management, discharge planning and/or case management * Accredited Case ...

Care Manager RN

Tacoma, WA

$50.25 - $97.78/hr

Job Summary and Responsibilities As our Care Manager RN, you will be a dynamic leader, shaping ... Experience with utilization management, discharge planning and/or case management * Accredited Case ...

Assists with development of utilization/care management policies and procedures. Minimum Requirements: * Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any ...

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Showing results 1-20

Utilization Care Manager information

See Seattle, WA salary details

$44.4K

$103.6K

$190.6K

How much do utilization care manager jobs pay per year?

As of Sep 3, 2026, the average yearly pay for utilization care manager in Seattle, WA is $103,573.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,700.00 and $124,600.00 per year, depending on experience, location, and employer.

What is a utilization care manager?

Utilization Care Managers are healthcare professionals responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They work to ensure that patients receive the right care at the right time, while also helping healthcare organizations manage costs and comply with regulations. Utilization Care Managers often review patient cases, coordinate with medical staff, and interact with insurance companies to authorize or deny services. Their goal is to optimize healthcare delivery, reduce unnecessary procedures, and improve patient outcomes.

How does a utilization care manager collaborate with medical and administrative teams to ensure effective patient care?

Utilization Care Managers work closely with physicians, nursing staff, and administrative teams to review patient cases, determine medical necessity, and coordinate appropriate care plans. They frequently participate in interdisciplinary meetings, communicate with insurance providers regarding authorizations, and ensure compliance with regulatory guidelines. This collaborative approach helps to optimize resource utilization, improve patient outcomes, and support smooth transitions of care. Being proactive in communication and documentation is key to success in this role.

What are the key skills and qualifications needed to thrive as a utilization care manager, and why are they important?

To thrive as a Utilization Care Manager, you need a background in healthcare, typically as a registered nurse or social worker, with expertise in care coordination and utilization review. Familiarity with utilization management software, medical necessity guidelines (such as Milliman or InterQual), and knowledge of insurance regulations are important. Strong analytical thinking, attention to detail, and effective communication skills help you advocate for patients while working with healthcare teams and payers. These skills ensure appropriate resource use, quality patient outcomes, and compliance with regulatory standards.

What is the difference between Utilization Care Manager vs Utilization Review Nurse?

AspectUtilization Care ManagerUtilization Review Nurse
CredentialsRN, case management certificationRN, certification in utilization review
Work EnvironmentHealthcare facilities, insurance companiesHospitals, insurance companies, outpatient clinics
Primary FocusCoordinating patient care, managing resourcesReviewing medical necessity, approving treatments

Utilization Care Managers focus on coordinating patient care and managing resources, while Utilization Review Nurses primarily evaluate medical necessity for treatments. Both roles require nursing credentials and work within healthcare or insurance settings, but their core responsibilities differ in scope and focus.

What does a utilization care manager do in healthcare?

A utilization care manager in healthcare reviews patient cases to ensure appropriate use of medical services and resources, coordinating care plans to optimize patient outcomes and reduce unnecessary costs. They often work with healthcare providers, insurance companies, and patients, using data and clinical guidelines to make informed decisions about treatment and service utilization.

What cities near Seattle, WA are hiring for Utilization Care Manager jobs?

Cities near Seattle, WA with the most Utilization Care Manager job openings:

Infographic showing various Utilization Care Manager job openings in Seattle, WA as of August 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 85% In-person, and 15% Remote job distribution, with an average salary of $103,573 per year, or $49.8 per hour.

$50.25 - $97.78/hr

Full-time

Posted 7 days ago


Job description


Job Summary and Responsibilities

As our Care Manager RN, you will be a dynamic leader, shaping clinical excellence and empowering your frontline nursing team to deliver unparalleled patient care.
Every day, you will inspire and guide your department, translating organizational goals into action that elevates patient experiences, strengthens community ties, and ensures consistent delivery of quality care. You'll passionately advocate for your team, channeling their insights and needs directly to leadership.
To thrive in this pivotal role, you will embody confident leadership, master tough conversations with grace, and shine as an educator at heart. Your exceptional communication will transform every interaction into a powerful opportunity to elevate understanding and propel our nursing services to new heights.

  • Facilitates coordination of a multidisciplinary plan of care to guide patient progress to promote the achievement of optimal clinical, quality, and cost effective outcomes.
  • Collaborates with physician and multidisciplinary team in identifying appropriate patients for care management review, utilizing established care management criteria.
  • Assesses, plans, and coordinates care on select patient population.
  • Seeks and evaluates available options and services to meet an individual’s health needs and care team recommendations.
  • Promotes patient self-management and empowers patient/families to achieve optimal levels of wellness and independence.
  • Collaborates with the healthcare team members at hospitals, clinics, residential care facilities or other settings, and health insurance payers to facilitate care across the continuum and optimize clinical and financial outcomes.
Job Requirements

Required

  • Graduation from an accredited school of nursing and (3) three years of recent clinical work experience in the specialty area or related clinical specialty in a hospital setting within the past five years that demonstrates attainment of the requisite job knowledge skills/abilities., upon hire and
  • Registered Nurse: WA, upon hire and


Preferred

  • Experience with utilization management, discharge planning and/or case management
  • Accredited Case Manager, upon hire or
  • Case Management Nurse, upon hire or
  • Certified Case Manager, upon hire or
  • Psychiatric and Mental Health Nurse, upon hire
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:

Required

  • Graduation from an accredited school of nursing and (3) three years of recent clinical work experience in the specialty area or related clinical specialty in a hospital setting within the past five years that demonstrates attainment of the requisite job knowledge skills/abilities., upon hire and
  • Registered Nurse: WA, upon hire and


Preferred

  • Experience with utilization management, discharge planning and/or case management
  • Accredited Case Manager, upon hire or
  • Case Management Nurse, upon hire or
  • Certified Case Manager, upon hire or
  • Psychiatric and Mental Health Nurse, upon hire
Employment Type: Full Time