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

The Emily Program

Case Manager

Seattle, WA · On-site

$25 - $30/hr

The case manager also facilitates the admission and discharge process, coordinates outpatient care ... Partner with the Utilization Review team to ensure that all necessary clinical documentation is ...

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 ...

CHPW

Utilization Management Coordinator I

Seattle, WA · On-site +1

$21 - $28.98/hr

... processing Utilization Management (UM) organization determinations for services requiring ... The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to ...

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

Utilization Case Manager information

See Kent, WA salary details

$18

$41

$67

How much do utilization case manager jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for utilization case manager in Kent, WA is $41.19, according to ZipRecruiter salary data. Most workers in this role earn between $33.37 and $43.41 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 does a utilization case manager do?

A utilization case manager reviews and authorizes healthcare services to ensure they are necessary and appropriate, often working with insurance companies and healthcare providers. They analyze patient records, coordinate care plans, and ensure compliance with policies, typically using case management software and requiring strong communication skills.

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 jobs pay 4000 a week without a degree?

Utilization Case Managers typically do not earn $4,000 weekly without relevant experience or certifications; most roles in healthcare or social services pay less. High-paying jobs that can reach this level without a degree are rare and often involve specialized skills, sales, or entrepreneurship. Generally, achieving such income without a degree requires significant experience, licensing, or working in high-demand fields like real estate or certain trades.

What is the highest paid case manager?

The highest paid case managers are often those with advanced certifications, specialized skills, or experience in high-demand fields such as healthcare or insurance. Senior or managerial roles, such as Utilization Review Managers, can earn salaries exceeding $80,000 to $100,000 annually. Compensation varies based on location, industry, and level of responsibility.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative and clinical skills. It provides experience with medical records, patient communication, and office procedures, which can serve as a foundation for advancing in healthcare careers. However, the job's suitability depends on individual career goals and the specific workplace environment.

What are the key skills and qualifications needed to thrive as a Utilization Case Manager, and why are they important?

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 are popular job titles related to Utilization Case Manager jobs in Kent, WA? For Utilization Case Manager jobs in Kent, WA, the most frequently searched job titles are:
What job categories do people searching Utilization Case Manager jobs in Kent, WA look for? The top searched job categories for Utilization Case Manager jobs in Kent, WA are:
What cities near Kent, WA are hiring for Utilization Case Manager jobs? Cities near Kent, WA with the most Utilization Case Manager job openings:
Utilization Case Manager jobs near you
Case Manager

Case Manager

The Emily Program

Seattle, WA • On-site

$25 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

The Emily Program rating

6.3

Company rating: 6.3 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

Job description

Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That's why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care.
Position Summary
Case Managers work in collaboration with the clinical team to identify, coordinate, and secure community-based resources to support the client's ongoing treatment and recovery. The case manager also facilitates the admission and discharge process, coordinates outpatient care, and maintains up-to-date knowledge of relevant community resources and the procedures for accessing services from external providers and social agencies.
Compensation Range:
  • $25.00 - $30.00/hour

Final compensation offered will be within pay range based on qualifications/experience met for position.
Schedule
  • Full Time 32 hours/week
  • Sunday 7:30am - 4:00pm
  • Monday, Tuesday, and Friday 8:30am - 5:00pm

How Case Managers Empower Recovery
Admissions and Discharge Coordination:
  • Facilitate the client admission process by collaborating with the admissions team and on-site staff, ensuring all client needs are addressed before and during the intake.
  • Assess clients' post-discharge needs, including ongoing treatment, lodging, and community resources.
  • Communicate discharge needs and plans with the treatment team to ensure cohesive care.
  • Partner with clients' families or other support systems to assist with the development and execution of discharge plans.

Case Management and Client Support:
  • Meet with clients weekly to assess post-discharge needs, providing ongoing support in planning and coordinating access to community-based resources.
  • Manage unplanned discharges, ensuring timely documentation and appropriate follow-up.
  • Coordinate the client's conditional return to treatment, addressing any needs or challenges that arise.
  • Obtain necessary Releases of Information (ROIs) to facilitate communication with external providers, facilities, and client support networks.

Collaboration and Communication:
  • Maintain a close working relationship with the treatment team to communicate updates, coordinate discharge dates, and address any evolving client needs.
  • Act as a liaison between the client, the treatment team, external providers, and social service agencies, ensuring all parties are aligned in the client's care plan.
  • Partner with the Utilization Review team to ensure that all necessary clinical documentation is provided for continued stay reviews and insurance approvals.
  • Network with external organizations to build referral relationships, facilitating smooth transitions for clients needing additional or continued care post-discharge.

Administrative and Clinical Duties:
  • Provide backup coverage for client admissions, including welcoming new clients, managing the intake process, answering questions, and ensuring a smooth experience on admission .
  • Offer backup group coverage when needed and assist in navigating new clients through the site on admission .
  • Coordinate the gathering of outcome measures and client self-reports as needed.
  • Actively participate in team meetings, collaborating with the clinical team to enhance client care and contribute to broader organizational goals.
  • Assist in maintaining client records in compliance with The Emily Program's standards and all relevant regulatory requirements.
  • Complete referral paperwork for internal and external providers and social agencies to support client needs and care transitions.

Qualifications:
  • Bachelor's degree in mental health, healthcare, psychology, sociology, related field required.
  • Licensed Social Worker preferred
  • Mental health case management experience preferred
  • Must have a valid driver's license and be authorized to drive

What we offer:
Employee Benefits: We understand the importance of a well-rounded benefits package. That's why we're dedicated to providing a range of plans to meet your needs.
For full-time employees, we offer:
  • HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
  • Dental insurance (Delta Dental)
  • Vision insurance (EyeMed)
  • Short-term and long-term disability insurance
  • Company-paid life insurance
  • 401(k) plan available two months after start date
  • Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation

Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.

What The Emily Program employees say

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