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

Kaiser Permanente

Liaison Nurse

Bellevue, WA · On-site

Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management. * Bachelors of science in nursing. COMPANY: KAISER TITLE: Liaison ...

New

Kaiser Permanente

Liaison Nurse

Renton, WA · On-site

$48.57 - $81.90/hr

... this case,, including medication management of specific chronic conditions, focus on achievement of optimal patient health care outcomes while ensuring appropriate utilization of health care ...

New

Kaiser Permanente

Liaison Nurse

Seattle, WA · On-site

Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management. * Bachelors of science in nursing.

Kaiser Permanente

Liaison Nurse

Bellevue, WA · On-site

Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management. * Bachelors of science in nursing.

New

Kaiser Permanente

Liaison Nurse

Bellevue, WA · On-site

Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management. * Bachelors of science in nursing.

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

Utilization Case Manager information

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$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, Transitions of Care

Overlake Medical Center

Bellevue, WA • On-site

$111K - $177K/yr

Other

Medical, Life, Retirement

Re-posted 14 days ago

Overlake Medical Center rating

9.2

Company rating: 9.2 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

6th of 1,065 rated hospitals

Job description

Welcome to a medical center where you're the center of attention.
Pay range:
Salary
$111,155.00 - $177,840.00
The Manager of Transitions of Care (ToC) is responsible for the leadership, management, and operational oversight of the Utilization Review and Care Management teams, ensuring the delivery of high-quality, patient-centered care across the continuum.
This role directs daily departmental operations, drives process improvement initiatives, and implements industry best practices to optimize care coordination, resource utilization, regulatory compliance, and patient throughput. The Manager collaborates with interdisciplinary teams, physicians, and organizational leaders to ensure departmental strategies and performance align with organizational goals, quality outcomes, and financial objectives.
The role is accountable for promoting effective care transitions, reducing barriers to care, and supporting efficient patient progression throughout the healthcare journey. The Manager ensures continuity, coordination, and appropriate utilization of services before admission, throughout hospitalization, and during discharge planning, facilitating safe and timely transitions to the next level of care.
Minimum Qualifications:
  • Bachelor's degree in Nursing or Master's Degree in Social Work required. Master's degree preferred.
  • Current Washington RN or Social Work independent license required. 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 managerial experience is also required.
Why join Overlake?
We're proud to offer benefits that support you in every stage of your career and life. But it's our inspirational culture that has made us one of America's Top 150 places to work in healthcare for several years in a row.
  • Local, visible leaders who care about you.
  • A values-based work environment.
  • Medical insurance premiums as low as $0 per month.
  • Many Overlake services covered at 100%.
  • Tuition reimbursement up to $10,000 per year.
  • Generous retirement plan matching starting at 5% and increasing to 7% after five years with immediate vesting.
  • Pre-tax and Roth after tax retirement savings plans.
  • An expanded Employee Assistance Program.
  • A caregiver support program to help with everything from childcare to eldercare.
  • Free parking and Orca transit passes.

If this sounds like an environment where you'll thrive, we'd love to hear from you.
How much will this job pay?
Posted pay ranges represent the entire pay scale, from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional pay based on shift, certification or level of education. Job offers are determined based on a candidate's years of relevant experience and internal equity. If you have questions about Overlake's pay practices, employee benefits or the pay for a specific position, please contact HR@overlakehospital.org

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