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

VMFH Division Support Services

Care Manager RN

Tacoma, WA · On-site

$50.25 - $97.78/hr

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

VMFH Division Support Services

Care Manager RN

Tacoma, WA · On-site

$50.25 - $97.78/hr

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

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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 Sep 7, 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 (RN or MSW)

Seattle Children's Hospital

Seattle, WA • On-site

$129K - $194K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Seattle Children's rating

8.5

Company rating: 8.5 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

55th of 1,065 rated hospitals

Job description

We’re seeking a vision-driven Clinical Manager (RN or MSW) to partner with our Care Coordination Director and shape the future of our Case Management department. If you are a compassionate leader who thrives on operational excellence, interdisciplinary collaboration, and patient-centered strategies, this is your chance to make your biggest impact yet.

What we offer:

$10,000 sign-on bonus for qualifying external candidates

Relocation Assistance to make Seattle your new home

Competitive Leadership Compensation and comprehensive benefits
Impactful Mission leading a dedicated team committed to providing hope, care, and cures for every child

For RN Manager:

Required Education and Experience
Graduate of an accredited school of nursing.
Bachelor's degree in Nursing (BSN). A Master's degree in Nursing may be substituted provided the incumbent also possesses a Bachelors degree in another field.
Minimum three (3) years of related clinical nursing experience in an acute health care setting.
Demonstrated performance improvement leadership experience.
Demonstrated knowledge, skills and experience providing day to day leadership/management to the assigned group of employees in a clinical setting.
Required Credentials
Current Washington State RN license.
National certification in case management must be obtained within three years (3) of employment.
Current Basic Life Support (BLS) for Healthcare Providers. Current PEARS or PALS certification will be accepted in lieu of BLS.
Preferred
Master’s degree in Nursing or equivalent combination of degree’s including bachelor's degree in Nursing (BSN) and master’s degree in Business Administration or Healthcare Administration.
Knowledge of and experience using improvement principles and concepts in a healthcare setting.
Clinical experience caring for children with medical complexity.
Current or previous hospital case management or utilization review experience.
Current or previous case management or utilization review leadership experience.

For MSW Manager:

Required Education and Experience
Masters in Social work from an accredited school.
Minimum of two (2) years Social Work experience in a medical setting.
Demonstrated leadership experience.
Required Credentials
Currently Licensed in Washington State as a Licensed Social Work Associate Independent Clinical (LSWAIC) OR as a Licensed Social Work Independent Clinical (LSWIC).
National certification in case management must be obtained within three years (3) of employment.
Preferred
Knowledge of and experience using improvement principles and concepts in a healthcare setting.
Clinical experience caring for children with medical complexity.
Current or previous hospital case management or utilization review experience.
Current or previous case management or utilization review leadership experience.

Compensation Range

$129,992.00 - $194,988.00 per year

Salary Information

This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided.

Disclaimer for Out of State Applicants

This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors.

Benefits Information

Seattle Children’s offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more.  Additional details on our benefits can be found on our website www.seattlechildrens.org/careers/benefits.

About Us

Hope. Care. Cure. These three simple words capture what we do at Seattle Children’s – to help every child live the healthiest and most fulfilling life possible.  Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all? #HOPECARECURE

Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region, regardless of the families’ ability to pay. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country.
 
U.S. News & World Report consistently ranks Seattle Children’s among the nation’s best children’s hospitals. For more than a decade, Seattle Children’s has been nationally recognized in key specialty areas. We are honored to be one of the nation’s very best places to care for children and the top-ranked pediatric hospital in Washington and the Pacific Northwest.

As a Magnet designated institution, we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion, Excellence, Integrity, Collaboration, Equity and Innovation. Whether it’s delivering frontline care to our patients in a kind and caring manner, practicing the highest standards of quality and safety, or being relentlessly curious as we work towards eradicating childhood diseases, these values are the fabric of our culture and community. The future starts here.

Our Commitment

Seattle Children’s welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families. Our organization recruits, employs, trains, compensates, and promotes based on merit without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The people who work at Seattle Children’s are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves.

Seattle Children’s is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.

What Seattle Children's employees say

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About Seattle Children's

Sourced by ZipRecruiter

Based in Seattle, Washington, Seattle Children’s comprises a leading pediatric hospital, research institute, and foundation dedicated to the care and cure of childhood illness. The system is internationally recognized for cutting‑edge clinical care in cardiology, oncology, genetics, and rare disease, alongside world-class translational research in areas such as immunology, neuroscience, and infectious disease.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Seattle, WA, US

Year founded

1907

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