We are aggressively seeking a RN Case Manager for a Healthcare organization. As the Year 2016 is in ... utilization and medical management processes Provide clinical knowledge and act as a clinical ...
We are aggressively seeking a RN Case Manager for a Healthcare organization. As the Year 2016 is in ... utilization and medical management processes Provide clinical knowledge and act as a clinical ...
RN Case Manager JD -Seattle, WA
Seattle, WA · On-site
Medical
Retirement
As a Case Manager / CM you will : • Coordinate management of care for a specified patient ... utilization of resources, service delivery and compliance with external review agencies. • ...
RN Case Manager JD -Seattle, WA
Seattle, WA · On-site
Medical
Retirement
As a Case Manager / CM you will : • Coordinate management of care for a specified patient ... utilization of resources, service delivery and compliance with external review agencies. • ...
RN Case Manager JD -Seattle, WA
Seattle, WA · On-site
Retirement
As a Case Manager / CM you will: * Coordinate management of care for a specified patient population ... Follows patients throughout the continuum of care and ensures optimum utilization of resources ...
RN Case Manager JD -Seattle, WA
Seattle, WA · On-site
Retirement
As a Case Manager / CM you will: * Coordinate management of care for a specified patient population ... Follows patients throughout the continuum of care and ensures optimum utilization of resources ...
RN Case Manager JD -Seattle, WA
Seattle, WA · On-site
Medical
Retirement
As a Case Manager / CM you will: * Coordinate management of care for a specified patient population ... Follows patients throughout the continuum of care and ensures optimum utilization of resources ...
RN Case Manager JD -Seattle, WA
Seattle, WA · On-site
Medical
Retirement
As a Case Manager / CM you will: * Coordinate management of care for a specified patient population ... Follows patients throughout the continuum of care and ensures optimum utilization of resources ...
RN Case Manager/ RN Care Manager
Medical
Dental
Vision
Life
Retirement
PTO
Assess the member's current health status, resource utilization, past and present treatment plan ... Case management experience highly preferred! Advantages of this Opportunity: * Competitive salary ...
RN Case Manager/ RN Care Manager
Medical
Dental
Vision
Life
Retirement
PTO
Assess the member's current health status, resource utilization, past and present treatment plan ... Case management experience highly preferred! Advantages of this Opportunity: * Competitive salary ...
Case Manager RN
Tacoma, WA · On-site
$125K/yr
Medical
Dental
Vision
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 ...
Case Manager RN
Tacoma, WA · On-site
$125K/yr
Medical
Dental
Vision
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 ...
Adult Services Clinician/Case Manager
Redmond, WA · On-site
$30.84 - $32.41/hr
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Adult Services Clinician/Case Manager
Redmond, WA · On-site
$30.84 - $32.41/hr
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Nurse Case Mgr II (US)
Seattle, WA · On-site
$79K - $130K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Assists with development of utilization/care management policies and procedures. Minimum ... Case Management experience is preferred. * Certification as a Case Manager is preferred. * Minimum ...
Nurse Case Mgr II (US)
Seattle, WA · On-site
$79K - $130K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Assists with development of utilization/care management policies and procedures. Minimum ... Case Management experience is preferred. * Certification as a Case Manager is preferred. * Minimum ...
Nurse Case Mgr II (US)
$79K - $130K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Assists with development of utilization/care management policies and procedures. Minimum ... Case Management experience is preferred. * Certification as a Case Manager is preferred. * Minimum ...
Nurse Case Mgr II (US)
$79K - $130K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Assists with development of utilization/care management policies and procedures. Minimum ... Case Management experience is preferred. * Certification as a Case Manager is preferred. * Minimum ...
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 ...
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 ...
Nurse Case Mgr II (US)
Seattle, WA · On-site
$79K - $130K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Assists with development of utilization/care management policies and procedures. Minimum ... Case Management experience is preferred. * Certification as a Case Manager is preferred. * Minimum ...
Nurse Case Mgr II (US)
Seattle, WA · On-site
$79K - $130K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Assists with development of utilization/care management policies and procedures. Minimum ... Case Management experience is preferred. * Certification as a Case Manager is preferred. * Minimum ...
Supervisor Utilization Management
Renton, WA · Hybrid
Medical
Dental
Vision
Retirement
PTO
Supervisor Utilization Management Hybridrole(3days/weekin office)atourBurlington, Renton, Spokane ... Collaborates with physician advisors on complex case and coverage determination processes.
Supervisor Utilization Management
Renton, WA · Hybrid
Medical
Dental
Vision
Retirement
PTO
Supervisor Utilization Management Hybridrole(3days/weekin office)atourBurlington, Renton, Spokane ... Collaborates with physician advisors on complex case and coverage determination processes.
Organ Utilization Coordinator
Bellevue, WA · On-site
$36.50 - $52.94/hr
Medical
Dental
Vision
Life
Retirement
PTO
This includes managing allocation processes for transplantation and research, scheduling surgical ... Participate in case reviews and continuous process improvement initiatives to increase utilization ...
Organ Utilization Coordinator
Bellevue, WA · On-site
$36.50 - $52.94/hr
Medical
Dental
Vision
Life
Retirement
PTO
This includes managing allocation processes for transplantation and research, scheduling surgical ... Participate in case reviews and continuous process improvement initiatives to increase utilization ...
Organ Utilization Coordinator
Bellevue, WA · On-site
$36.50 - $52.94/hr
Medical
Dental
Vision
Life
Retirement
PTO
This includes managing allocation processes for transplantation and research, scheduling surgical ... Participate in case reviews and continuous process improvement initiatives to increase utilization ...
Organ Utilization Coordinator
Bellevue, WA · On-site
$36.50 - $52.94/hr
Medical
Dental
Vision
Life
Retirement
PTO
This includes managing allocation processes for transplantation and research, scheduling surgical ... Participate in case reviews and continuous process improvement initiatives to increase utilization ...
Manager, Transitions of Care
Bellevue, WA · On-site
Certified Case Manager (CCM), or Accredited Case Manager (ACM) certification desired. * Minimum of five years experience in Care Management/Utilization Management services required. * Two years ...
Manager, Transitions of Care
Bellevue, WA · On-site
Certified Case Manager (CCM), or Accredited Case Manager (ACM) certification desired. * Minimum of five years experience in Care Management/Utilization Management services required. * Two years ...
Organ Utilization Coordinator
Bellevue, WA · On-site
$36.50 - $52.94/hr
Medical
Dental
Vision
Life
Retirement
PTO
This includes managing allocation processes for transplantation and research, scheduling surgical ... Participate in case reviews and continuous process improvement initiatives to increase utilization ...
Organ Utilization Coordinator
Bellevue, WA · On-site
$36.50 - $52.94/hr
Medical
Dental
Vision
Life
Retirement
PTO
This includes managing allocation processes for transplantation and research, scheduling surgical ... Participate in case reviews and continuous process improvement initiatives to increase utilization ...
Adult Services Clinician/Case Manager
Medical
Dental
Vision
Life
Retirement
PTO
This is a case management-focused position. Sound clinicians are focused on demonstrating ... Monitor utilization of services and the success of outcome measures. Participates in team member ...
Adult Services Clinician/Case Manager
Medical
Dental
Vision
Life
Retirement
PTO
This is a case management-focused position. Sound clinicians are focused on demonstrating ... Monitor utilization of services and the success of outcome measures. Participates in team member ...
Adult Services Clinician/Case Manager
Redmond, WA · On-site
$30.84 - $32.41/hr
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Adult Services Clinician/Case Manager
Redmond, WA · On-site
$30.84 - $32.41/hr
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Adult Services Clinician/Case Manager - Near Downtown Seattle
$30.84 - $32.41/hr
Medical
Dental
Vision
Life
Retirement
PTO
Intensive case management services with outreach and engagement services are required ... utilization of services and the success of outcome measures. • Participates in team member ...
Adult Services Clinician/Case Manager - Near Downtown Seattle
$30.84 - $32.41/hr
Medical
Dental
Vision
Life
Retirement
PTO
Intensive case management services with outreach and engagement services are required ... utilization of services and the success of outcome measures. • Participates in team member ...
Adult Services Clinician/Case Manager - Near Downtown Seattle
Medical
Dental
Vision
Life
Retirement
PTO
Intensive case management services with outreach and engagement services are required ... Monitor utilization of services and the success of outcome measures. Participates in team member ...
Adult Services Clinician/Case Manager - Near Downtown Seattle
Medical
Dental
Vision
Life
Retirement
PTO
Intensive case management services with outreach and engagement services are required ... Monitor utilization of services and the success of outcome measures. Participates in team member ...
Utilization Case Manager information
See Kent, WA salary details
$18.72 - $23.19
3% of jobs
$23.19 - $27.65
1% of jobs
$27.65 - $32.12
6% of jobs
$34.28 is the 25th percentile. Wages below this are outliers.
$32.12 - $36.59
30% of jobs
The median wage is $38.19 / hr.
$36.59 - $41.05
26% of jobs
$42.75 is the 75th percentile. Wages above this are outliers.
$41.05 - $45.52
22% of jobs
$45.52 - $49.98
3% of jobs
$49.98 - $54.45
0% of jobs
$54.45 - $58.91
5% of jobs
$58.91 - $63.38
2% of jobs
$63.38 - $67.84
1% of jobs
$18
$41
$67
How much do utilization case manager jobs pay per hour?
As of Aug 18, 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 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?
| Aspect | Utilization Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, case management certification | RN license, certification in utilization review |
| Work Environment | Case management teams, hospitals, insurance companies | Utilization review departments, hospitals, insurance providers |
| Primary Focus | Coordinating patient care, discharge planning, resource allocation | Assessing medical necessity, reviewing patient records for appropriateness |
| Common Usage | Broader case management roles, patient advocacy | Specific 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 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:
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
We are aggressively seeking a RN Case Manager for a Healthcare organization. As the Year 2016 is in full swing, this organization is very busy, and they need YOUR help.
Take advantage of flexible hours,a competitive salary, and be a RN Case Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!
This exciting opportunity will require a RN Case Manager who can provide a high level of service and attention to their members. If you are seasoned, and you meet the qualifications listed below, please send your updated resume to Alex Bennewitz for immediate consideration.
Daily Responsibilities:
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
Collaborate with various staff within provider networks and discharge planning team electronically, telephonically, or onsite to coordinate member care
Conduct discharge planning
Educate providers on utilization and medical management processes
Provide clinical knowledge and act as a clinical resource to non-clinical team staff
Enter and maintain pertinent clinical information in various medical management systems
Qualifications
Requirements:
2 years RN experience in acute care with some utilization management, prior authorization, concurrent review, and proficient with Excel
Experience using TruCare system
Strong Excel experience background in diverse populations/environments (e.g. Critical care, ICU, cardiac, neonatal, pediatric, Case Management
Experience processing 10-15 authorizations a day
Additional Information
Interested in hearing more about this great opportunity? Please click Apply or call Alex Bennewitz at 513-996-1192
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003