ZipRecruiter

Log In

1

Utilization Case Manager Jobs in Everett, WA (NOW HIRING)

Intermedia Group

Manager - Case Management RN

Everett, WA · On-site

$141K - $223K/yr

... utilization management, social work services, and pre-admission case management. * The Manager acts as a liaison between patients and families, department staff, physicians and the healthcare team ...

ProMed Healthcare PLLC

Case Management RN

Everett, WA · On-site

Care Manager RN ED - Permanent Position - FT Shift: Multiple shifts available Days and Nights ... Accountabilities include assessment and planning, coordination of care, resource utilization ...

Sound

Adult Services Clinician/Case Manager

Redmond, WA · On-site

$30.84 - $32.41/hr

This is a case management-focused position. Sound clinicians are focused on demonstrating ... utilization of services and the success of outcome measures. • Participates in team member ...

New

Elevance Health

Nurse Case Mgr II (US)

Seattle, WA

$79K - $130K/yr

Assists with development of utilization/care management policies and procedures. Minimum ... Case Management experience is preferred. * Certification as a Case Manager is preferred. * Minimum ...

LanceSoft

Travel Nurse RN - Case Management

Seattle, WA · On-site

Pediatric Case Manager RNOn Call: PotentialWeekend: NOFloating: YESContract Length: UP TO 9 MONTHS ... Utilization Review Special Procedures/Unit Details : Most shifts are 8-9-hour regular business ...

Elevance Health

Nurse Case Mgr II (US)

Seattle, WA · On-site

$79K - $130K/yr

Assists with development of utilization/care management policies and procedures. Minimum ... Case Management experience is preferred. * Certification as a Case Manager is preferred. * Minimum ...

New

Sound

Adult Services Clinician/Case Manager

Redmond, WA · On-site

$30.84 - $32.41/hr

This is a case management-focused position. Sound clinicians are focused on demonstrating ... utilization of services and the success of outcome measures. • Participates in team member ...

next page

Showing results 1-20

All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Everett, WA

Utilization Case Manager information

See Everett, WA salary details

$18

$40

$66

How much do utilization case manager jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for utilization case manager in Everett, WA is $40.31, according to ZipRecruiter salary data. Most workers in this role earn between $32.64 and $42.50 per hour, depending on experience, location, and employer.

What is a utilization case manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

How does a utilization case manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

What degree do I need for utilization review?

Utilization case managers typically need at least a bachelor's degree in healthcare, nursing, social work, or a related field. Some positions may require a master's degree or professional certification, such as a Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ), to advance in the role or handle complex cases.

What are the key skills and qualifications needed to thrive as a utilization case manager?

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

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

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What job categories do people searching Utilization Case Manager jobs in Everett, WA look for? The top searched job categories for Utilization Case Manager jobs in Everett, WA are:
What cities near Everett, WA are hiring for Utilization Case Manager jobs? Cities near Everett, WA with the most Utilization Case Manager job openings:
Utilization Case Manager jobs near you

Manager - Case Management RN

Intermedia Group

Everett, WA • On-site

$141K - $223K/yr

Full-time

Re-posted 15 days ago

Job description

OPEN JOB: Manager - Case Management RN
LOCATION: Everett, Washington
SALARY: $141,461 to $223,288
JOB DESCRIPTION
  • The Manager RN Case Management is responsible for the daily management and organization of all activities and staff within the Case Management Department including care coordination, case management, discharge planning, utilization management, social work services, and pre-admission case management.
  • The Manager acts as a liaison between patients and families, department staff, physicians and the healthcare team, community agencies, managed care representatives, skilled nursing facilities, and community agencies.
  • Responsibilities include establishing, implementing and monitoring best practice and established clinical standards to assure the quality of patient care and the financial integrity of the organization.

Required qualifications:
  • Master's degree in business/social work/nursing/healthcare related field from accredited school.
  • Washington Registered Nurse License upon hire
  • 6 years of experience in Case Management.
  • 2 years of Supervisory/management experience, preferably in Case Management.
  • Previous nursing experience within a variety of complex client care areas.
  • Experience in problem-solving and conflict resolution.
  • Experience in providing adult education to multi-disciplinary staff.

Preferred qualifications:
  • Certified Case Manager (CCM) or Accredited Case Manager (ACM) upon hire.
  • Case Management and supervisory/management experience in an acute care hospital.

If you are interested in pursuing this opportunity, please respond back and include the following:
  • MS WORD Resume
  • required compensation.
  • Contact information.
  • Availability

Upon receipt, one of our managers will contact you to discuss the position in full detail.
STEPHEN FLEISCHNER
Recruiting Manager
INTERMEDIA GROUP, INC.
EMAIL: sfleischner@intermediagroup.com

Apply