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Utilization Case Manager Jobs in Federal Way, WA

AHG MASTER

Case Manager

Lacey, WA · On-site

$20/hr

Case Manager | Royal Life Center Lacey | Full-Time | Wednesday - Sunday Starting at $20/hour We are ... Provides ASAM-specific reviews as needed and reports findings to the Utilization Review Specialist ...

Santa Clara Post Acute

Case Manager RN

Tacoma, WA · On-site

$125K/yr

Are You Ready to Lead in Healthcare? We are currently seeking a Full-Time Case Manager (RN) to join ... coordination and utilization of services to ensure the highest quality care. Your key ...

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 ...

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 ...

Spectrum Healthcare Resources

UMRN-Hybrid

Bremerton, WA · On-site

Completion of an accredited Certified Professional Utilization Review (CPUR) program * Certified Case Manager (CCM) issued by the Commission for Case Manager Certification. * Must have access to ...

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Spectrum Healthcare Resources

UMRN-Hybrid

Bremerton, WA · On-site

Completion of an accredited Certified Professional Utilization Review (CPUR) program * Certified Case Manager (CCM) issued by the Commission for Case Manager Certification. * Must have access to ...

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All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Federal Way, WA

Utilization Case Manager information

See Federal Way, WA salary details

$18

$40

$67

How much do utilization case manager jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for utilization case manager in Federal Way, WA is $40.75, according to ZipRecruiter salary data. Most workers in this role earn between $33.03 and $42.93 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 Federal Way, WA look for?

The top searched job categories for Utilization Case Manager jobs in Federal Way, WA are:

What cities near Federal Way, WA are hiring for Utilization Case Manager jobs?

Cities near Federal Way, WA with the most Utilization Case Manager job openings:

Utilization Case Manager jobs near you

Case Manager

AHG MASTER

Lacey, WA • On-site

$20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

Aliya Health Group is a nationwide network of addiction treatment centers known for diverse, evidence-based programs for substance use disorders and co-occurring mental health disorders. With a highly personalized clinical approach to treatment and a full continuum of care, we provide clients with the tools needed to build a life in recovery that’s enjoyable, fulfilling, and hopeful. Our nationally accredited treatment centers include Vogue Recovery Center, Footprints to Recovery, Royal Life Centers, and South Coast Behavioral Health.

Position: Case Manager | Royal Life Center Lacey | Full-Time |

Wednesday - Sunday

Starting at $20/hour

We are looking for a dynamic Case Manager to support clinical, non-clinical, and medical staff in the provision of technical and auxiliary clinical services to ensure comprehensive and effective daily programming and functionality. Specific responsibilities include conducting initial assessments, group counseling, case management services, and aftercare planning.

Job Duties: Case Manager

  • Assists in the development, implementation, and revision of Case Manager treatment plans; assures that services provided are specified in the Treatment Plan and monitors progress toward treatment goals
  • Meet with patients weekly for Case Management
  • Completes all case management documentation in accordance with regulatory standards
  • Collect, monitor, and document urinalysis samples and breathalyzer screenings for all CLIA-approved waived testing
  • Facilitates referrals to physicians, dentists, and other healthcare professionals as indicated by the assessed needs of each individual patient
  • Provides transportation in accordance with transportation policy and procedures
  • Conducts Vocational Assessments for clients and ensures follow through
  • Provides group counseling services in accordance with the established clinical program and completes all documentation accordingly.
  • Collaborates with individual counselors to ensure coordination of appropriate aftercare planning for each client
  • Facilitates the completion of discharge surveys for clients upon coordination of aftercare planning
  • Gathers completed admission, mid-treatment, and discharge surveys with the purpose to aggregate data and compiling a monthly report.
  • Facilitates groups as scheduled by Clinical Supervisor/Clinical Director
  • Maintains an active case management caseload providing interventions as needed and within the area of expertise and limits of credential
  • Provides ASAM-specific reviews as needed and reports findings to the Utilization Review Specialist in a timely and efficient manner
  • Other duties as assigned

Requirements:

  • HS Diploma or GED
  • A valid driver’s license and a clean driving record
  • Fingerprint Clearance Card
  • Strong interpersonal skills
  • Case Management experience
  • Knowledge of all Microsoft office suites including, but not limited to: Word, Excel, PowerPoint, Outlook etc.
  • Versed in the use of Electronic Medical Records
  • Clinical knowledge pertaining to substance use disorders

Preferred Qualifications:

  • Experience in detox, residential, or inpatient medical/behavioral health preferred.
  • Experience performing intake, assessment, treatment planning, and coordination of multidisciplinary services.
  • Familiarity with care coordination involving medical providers, therapists, MAT programs, probation/parole, and community resources.
  • Knowledge of withdrawal management, substance use disorders, cooccurring disorders, and relapseprevention support.
  • EHR proficiency 
  • Ability to handle highvolume communication (email/fax/scanning)
  • Microsoft Office (Word/Excel) proficiency
  • High emotional resilience and calm under crisis
  • Strong organization/time management
  • Ability to work in fastpaced detox environment
  • Reliability and followthrough (critical for legal/medical coordination)
  • Willing to run group with up to 15 clients

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

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