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

InstantServe LLC

RN Circulator- Day Shift

Hermiston, OR · On-site

They will work to ensure provision of quality care of surgical patients through utilization of the ... The RN is responsible to the Unit Nurse Manager, House Supervisor, or RN Team Leader. This position ...

Reliant Rehabilitation

Physical Therapist

Pasco, WA · On-site

$1.7K - $2.2K/wk

... case management responsibilities. Maintains professional conduct that represents Reliant ... utilization of resources and facilitates the ongoing development of clinical skills in accordance ...

Reliant Rehabilitation

Physical Therapist

Pasco, WA · On-site

$1.7K - $2.2K/wk

... case management responsibilities. Maintains professional conduct that represents Reliant ... utilization of resources and facilitates the ongoing development of clinical skills in accordance ...

Reliant Rehabilitation

Physical Therapist

Pasco, WA · On-site

$48 - $62/hr

... case management responsibilities. Maintains professional conduct that represents Reliant ... utilization of resources and facilitates the ongoing development of clinical skills in accordance ...

Reliant Rehabilitation

Physical Therapist

Pasco, WA · On-site

$48 - $62/hr

... case management responsibilities. Maintains professional conduct that represents Reliant ... utilization of resources and facilitates the ongoing development of clinical skills in accordance ...

Reliant Rehabilitation

Occupational Therapist

Pasco, WA · On-site

$45 - $65/hr

... case management responsibilities. Maintain professional conduct that represents Reliant ... utilization of resources and facilitates the ongoing development of clinical skills in accordance ...

Reliant Rehabilitation

Occupational Therapist

Pasco, WA · On-site

$45 - $65/hr

... case management responsibilities. Maintain professional conduct that represents Reliant ... utilization of resources and facilitates the ongoing development of clinical skills in accordance ...

Reliant Rehabilitation

Physical Therapist

Pasco, WA

$48 - $62/hr

... case management responsibilities. Maintains professional conduct that represents Reliant ... utilization of resources and facilitates the ongoing development of clinical skills in accordance ...

Reliant Rehabilitation

Physical Therapist

Pasco, WA · On-site

$1.7K - $2.2K/wk

... case management responsibilities. Maintains professional conduct that represents Reliant ... utilization of resources and facilitates the ongoing development of clinical skills in accordance ...

Reliant Rehabilitation

Physical Therapist

Pasco, WA · On-site

$1.6K - $2.1K/wk

... case management responsibilities. Maintains professional conduct that represents Reliant ... utilization of resources and facilitates the ongoing development of clinical skills in accordance ...

Reliant Rehabilitation

Occupational Therapist

Pasco, WA · On-site

$40.75 - $53.75/hr

... case management responsibilities. Maintain professional conduct that represents Reliant ... utilization of resources and facilitates the ongoing development of clinical skills in accordance ...

Reliant Rehabilitation

Occupational Therapist

Pasco, WA · On-site

$42 - $55.25/hr

... case management responsibilities. Maintain professional conduct that represents Reliant ... utilization of resources and facilitates the ongoing development of clinical skills in accordance ...

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

Utilization Case Manager information

See Kennewick, WA salary details

$16

$36

$60

How much do utilization case manager jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for utilization case manager in Kennewick, WA is $36.98, according to ZipRecruiter salary data. Most workers in this role earn between $29.95 and $38.99 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 Kennewick, WA look for?

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

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

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

Utilization Case Manager jobs near you

RN Case Manager - Home Health

Hermiston, OR • On-site

TEEMA Group
Recruiting and Staffing Services • 51 - 200 employees
Learn more about TEEMA Groupexternal

Full-time

Re-posted 7 days ago

Job description

RN Case Manager 

Schedule: Monday–Friday | 8:00 AM – 4:30 PM

Overview

We are seeking a compassionate and highly organized Case Manager to join our team and play a critical role in coordinating patient care across the continuum. In this role, you will partner with patients, families, and an interdisciplinary healthcare team to ensure safe, efficient, and high-quality care from admission through discharge and beyond.

This is an ideal opportunity for a clinician who thrives in a collaborative environment, enjoys problem-solving, and is passionate about advocating for patients and improving outcomes.

What You’ll Do

  • Conduct comprehensive patient assessments, including clinical, psychosocial, functional, and financial needs

  • Develop and manage individualized care plans in collaboration with physicians, nurses, therapists, and social services

  • Coordinate transitions of care (hospital to home, rehab, or long-term care) to ensure continuity and safety

  • Partner with insurance providers to secure authorizations and ensure appropriate utilization of services

  • Identify and remove barriers to discharge, including social, financial, and logistical challenges

  • Serve as a patient advocate, ensuring needs and preferences are represented in care decisions

  • Educate patients and families on diagnoses, treatment plans, and post-discharge care

  • Connect patients with community resources, support services, and post-acute providers

  • Facilitate referrals to specialized services such as housing, behavioral health, and legal resources

  • Monitor patient progress, adjust care plans, and track outcomes and quality metrics

  • Maintain accurate, timely documentation of assessments, interventions, and care plans

  • Participate in interdisciplinary rounds and care conferences

What You Bring

Required:

  • Active Oregon RN License or degree in Social Work, Nursing, or related healthcare field

  • Clinical experience in acute care or home health

  • Strong care coordination, discharge planning, or patient assessment experience

  • Excellent communication and collaboration skills

Preferred:

  • BSN or MSN

  • Case Management Certification (CCM or equivalent)

  • Experience with discharge planning or case management

  • Bilingual (English/Spanish)