ZipRecruiter

Log In

1

Utilization Case Manager Jobs in Federal Way, WA

Kaiser Permanente

Liaison Nurse

Renton, WA · On-site

$48.57 - $81.90/hr

... this case,, including medication management of specific chronic conditions, focus on achievement of optimal patient health care outcomes while ensuring appropriate utilization of health care ...

New

Kaiser Permanente

Liaison Nurse

Renton, WA · Hybrid

... this case,, including medication management of specific chronic conditions, focus on achievement of optimal patient health care outcomes while ensuring appropriate utilization of health care ...

New

Kaiser Permanente

Liaison Nurse

Renton, WA · On-site

... this case,, including medication management of specific chronic conditions, focus on achievement of optimal patient health care outcomes while ensuring appropriate utilization of health care ...

Kaiser Permanente

Liaison Nurse

Renton, WA · Hybrid

... in this case including medication management of specific chronic conditions, focus on achievement of optimal patient health care outcomes while ensuring appropriate utilization of health care ...

New

Kaiser Permanente

Liaison Nurse

Renton, WA · Hybrid

... this case,, including medication management of specific chronic conditions, focus on achievement of optimal patient health care outcomes while ensuring appropriate utilization of health care ...

New

previous pagenext page

Showing results 21-40

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 Sep 7, 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.

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.

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 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 degree do I need for utilization case manager?

Utilization case managers typically need at least a bachelor's degree in healthcare, social work, nursing, or a related field. Some positions may prefer or require a master's degree or relevant certifications, such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ).

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

Care Manager RN ACO

VMFH Division Support Services

Tacoma, WA • On-site

$50.25 - $97.78/hr

Full-time

Posted 3 days ago

New

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 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.
  • Registered Nurse: WA


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 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.
  • Registered Nurse: WA


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

Apply