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

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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Utilization Case Manager information

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$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?

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 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

Manager Case Management

MultiCare Health System

Tacoma, WA

$154K - $213K/yr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 29 days ago

MultiCare Health System rating

7.7

Company rating: 7.7 out of 10

Based on 275 frontline employees who took The Breakroom Quiz

159th of 888 rated healthcare providers

Job description

Join a team that shares your calling

At MultiCare, you're more than just a job title - you're part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.

Position: Manager Case Management

Job Duties:

  • Organizing patient care by prioritizing, delegating, delivering and evaluating on and ongoing basis.
  • Engage critical thinking skills in making decisions regarding patient care including knowledge and integration of relevant standards resources and data
  • Utilize the knowledge base of nursing education and experience to deliver nursing care using the nursing process according to the hospital policy procedures and protocols
  • Collaborate with the nursing team to facilitate overall improvement quality of care patient experience and cost reduction
  • Collaborate with the physician team to facilitate overall improvement in quality of care and patient experience
  • Advocate or ethical and holistic care promoting the autonomy dignity and health of patients from diverse ethnic and social backgrounds
  • Coordinate with external agencies to provide a continuum of care for the pediatric patient and their family
  • Navigate and collaborate with utilization management team to ensure proper billing and reimbursement
  • Monitor patient progress and provide education and support to patients and their families to ensure they receive the best possible care tailored to their specific needs
  • Create comprehensive individual care plans based on the patient's need including medical treatment medication management therapy services and community support
  • Identify and excess appropriate community resources like transportation housing assistance and support groups
  • Responsible for day-to-day leadership activities managing a team of clinical professionals and the execution of exemplary cross continuum care coordination
  • Lead and attend daily patient progression rounds to ensure appropriate resources are being used to care for patients
  • Lead and attend weekly long stay patient meeting with a multidisciplinary group of providers to ensure that patients who are hospitalized over 7 days are appropriately resourced while they are admitted and when they are being prepared for discharge
  • Lead, evaluate, set goals and objectives, monitor performance and provide feedback to the pediatric care managers
  • Clearly communicate expectations policies and update the team actively listening to the employees concerns and feedback
  • Identify and address conflicts facilitate productive discussions and reach solutions

Requirements:

  • Bachelor's Degree in Nursing (or foreign equivalent)
  • Current Registered Nurse license in Washington State or Multistate License endorsement (MLS)
  • 2 years of clinical experience as a registered nurse
  • 2 years leadership experience in progressive management role as a charge nurse

Location: Tacoma, WA

For this specific position, the salary offered will be no less than $174,436.28 per year. The pay scale for similar roles is $154,939.20-$213,969.60 per year.

#LI-DNI

FTE: 1.0, Shift: day , Schedule: M-F

Position Summary

Why MultiCare?

Rooted in the local community

Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.

Growth and education

Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.

Well-being and support

Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.

Living our values

Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.

Belonging for all

Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.

Pacific Northwest lifestyle

Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. Pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant's years of experience align.

Associated benefit information can be viewed here.

What MultiCare Health System employees say

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Hours and flexibility

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About MultiCare

Sourced by ZipRecruiter

MultiCare’s roots in the Pacific Northwest go back to 1882, with the founding of Tacoma’s first hospital. Over the years, we’ve grown from a Tacoma-centric, hospital-based organization into the largest, community-based, locally governed health system in the state of Washington. Today, our comprehensive system of health includes more than 300 primary, urgent, pediatric and specialty care locations across Washington, Idaho and Oregon, as well as 12 hospitals. We welcome patients from the entire Pacific Northwest region and our 20,000-plus team members — including employees, providers and volunteers — proudly care for the communities we serve. Without a doubt, our organization has changed over the years. But what has never changed, throughout our long history, has been our dedication to the health and wellness of the people of the Pacific Northwest. Guided by our mission, vision and values, we are on a continuous journey to deliver the services that our communities need, and to ensure access to those services, now and in the future.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Tacoma, WA, US

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