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

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 ...

... 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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Utilization Case Manager information

See Seattle, WA salary details

$18

$41

$68

How much do utilization case manager jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for utilization case manager in Seattle, WA is $41.52, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $43.75 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.

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 degree do I need for utilization review?

Utilization case managers typically need at least a bachelor's degree in healthcare, nursing, social work, or a related field. Some positions may require a master's degree or professional certification, such as a Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ), to advance in the role or handle complex cases.

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.

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 Seattle, WA? For Utilization Case Manager jobs in Seattle, WA, the most frequently searched job titles are:
What job categories do people searching Utilization Case Manager jobs in Seattle, WA look for? The top searched job categories for Utilization Case Manager jobs in Seattle, WA are:
What cities near Seattle, WA are hiring for Utilization Case Manager jobs? Cities near Seattle, WA with the most Utilization Case Manager job openings:
Infographic showing various Utilization Case Manager job openings in Seattle, WA as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution, with an average salary of $86,366 per year, or $41.5 per hour.

Organ Utilization Coordinator

LifeCenter Northwest

Bellevue, WA • On-site

$36.50 - $52.94/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago


Job description

Salary Range $36.50 - $52.94 Hourly

Position Type Full Time

Description and Qualifications

GENERAL SUMMARY

The Organ Utilization Coordinator (OUC) is accountable for the allocation of organs recovered from donors and the seamless coordination of all related activities. This includes managing allocation processes for transplantation and research, scheduling surgical recovery teams and operating rooms, arranging transportation logistics for teams and organs, and collaborating with organ perfusion partners to maximize organ viability and drive successful utilization outcomes.

The OUC ensures transparent communication with transplant programs, internal teams, and external stakeholders, while executing all aspects of allocation and logistics with precision. Through operational excellence, accurate documentation, and proactive coordination, this position plays a critical role in increasing organ utilization and advancing LifeCenter Northwest’s mission to save and improve lives through transplantation.

ESSENTIAL JOB FUNCTIONS

Clinical Responsibilities

  • Analyzes donor clinical information and provides data-driven recommendations guidance to Organ Donation Services (ODS) regarding organ allocation.

  • Serves as an organ allocation subject expert, applying critical thinking to develop allocation strategies that prevent organ loss and maximize utilization.

  • Communicates pertinent donor information transparently to transplant programs to ensure patient safety and drive acceptance decisions.

  • Allocates abdominal organs in accordance with organizational policies and national regulations, and best practices, serving as source of donor information throughout the allocation and procurement process.

  • Coordinates the allocation, recovery, and delivery of research organs and tissues; collaborate with ODS and recovery teams to promote research recovery opportunities.

  • Arrange ground and air transportation for recovery teams and oversees proper chain of custody for organs, developing case-specific transportation strategies to minimize ischemia time.

  • Dispatches Surgical Recovery staff for organ recovery and perfusion activities.

  • Strategically identifies organ perfusion and preservation technologies, collaborates with internal and external partners to arrange organ perfusion and preservation support.

  • Proactively identify and address barriers to organ utilization, escalating medically complex cases or high-risk scenarios as appropriate.

  • Collaborate with stakeholders to mitigate risks to organ placement and ensure optimal clinical decision-making.

  • Authorizes waivers and logistics with transplant centers as necessary to optimize organ utilization.

  • Maintains in-depth knowledge of Organ Procurement & Transplant Network (OPTN) policy and provides guidance to the ODS team to ensure compliance

  • Participate in case reviews and continuous process improvement initiatives to increase utilization rates.

Collaborative Responsibilities

  • Collaborate with transplant programs, ODS, and recovery teams to facilitate successful transplant outcomes.

  • Partner with Quality Assurance, Training, and Process Improvement teams to enhance allocation processes, efficiency, and overall OUC performance.

  • Actively participate in departmental meetings and contribute to team-driven allocation improvement strategies.

Administrative & Quality Responsibilities

  • Ensure timely and accurate completion of donor chart reviews, including closure of Potential Transplant Recipient (PTR) reports and other case-related documentation.

  • Participate in the resolution of non-conformance investigations and contribute to the development of corrective and preventive actions.

  • Assist other staff as needed in allocation activities and in identifying strategies to improve utilization outcomes.

KNOWLEDGE, SKILLS, ABILITIES

  • Demonstrated knowledge of organ allocation processes, clinical evaluation, and regulatory requirements

  • Ability to problem solve sometimes complex situations

  • Ability to foster an organizational culture based on collaboration, support, and constructive communication.

  • Analytical skills to assess situations, solve problems, and motivate others to continually improve the processes necessary to meet organizational deliverables.

  • Ability to identify problems and collaborate with others to solve the problems in a timely and professional fashion.

  • Ability to learn new tools, applications, and technologies quickly, easily, and independently.

  • This individual must demonstrate operating knowledge of computers and smart phones with demonstrable, intermediate level skills (at a minimum) with email, Word, Excel, and other comparable software programs.

  • Must be compassionate, conscientious, ethical, and possess effective interpersonal skills that allow them to have effective communication with health care professionals and donor families.

  • Must have the ability to keep accurate records, perform calculations, and follow written Standard Operating Procedures (SOP’s), Work Instructions (WIs), and guidelines.

  • Requires the ability to work under stress with numerous interruptions, distractions, and changing priorities.

  • Must have a clear understanding and practice of universal precautions.

BEHAVIORAL REQUIREMENTS

The employee in this position must uphold the core values of LifeCenter; these include:

  • Integrity : We are trustworthy, reliable, respectful, and accountable.

  • Collaboration : We work in partnership with others, seeking to understand and be understood, and finding common ground and shared goals to build upon together.

  • Courage : We take personal responsibility and face challenges head-on.

  • Service : Through professionalism and dedication, we honor our commitment to serve others and our obligation to be good stewards of the gift of life.

EDUCATION, EXPERIENCE & JOB REQUIREMENTS

  • Bachelor's degree required, preferably in healthcare-related sciences; equivalent combination of education and relevant experience may substitute.

  • Two or more years of experience in a clinical healthcare environment, transplant operations, donation/referral coordination, or related clinical workflow.

  • Skills typically gained through working in nursing, clinical operations, transplant coordination, or advanced healthcare practitioner roles strongly preferred.

  • Ability to interpret medical terminology and donor clinical information, including EMR-based chart review.

  • Prior experience in an OPO, transplant program, critical care, or emergency care preferred.

  • Proof of COVID-19 vaccination, or applicable medical or religious exemption, will be required as a condition of employment upon offer.

  • Although this position is remote, you must reside in or relocate to an area within LifeCenter's donation service area (DSA) which includes Washington State, Alaska, Northern Idaho, and Montana by date of hire.

Benefits and Compensation

LifeCenter Northwest offers medical, dental, vision, basic life insurance, accidental death & dismemberment insurance, long-term disability insurance, and travel accident insurance. Employees have the option of enrolling in the following supplemental or voluntary plans: life insurance, short-term disability, accident insurance, hospital indemnity, critical illness coverage and pet insurance. Employees enrolled in our 403(b) program will receive an employer match of up to 7% after one year, employees are auto enrolled at 3% and may change their enrollment at any time. LifeCenter encourages all employees to find balance and well-being and provides all employees access to an Employee Assistance Program (EAP) and provides a quarterly Wellness Reimbursement. Employees enjoy paid holidays throughout the calendar year and earn 119 hours of PTO annually (to start) as well as Health Time Off hours that is earned 1 hour per 30 worked, paid living donor leave, two weeks paid jury duty leave after 6 months of service, and three weeks of paid parental leave after one year of service is complete. A comprehensive review of benefits can be found at https://lcnw.org/about/employment-opportunities/ .

PAY RANGE

  • OUC I: $36.50 - $52.94 Hourly

  • OUC II: $40.35 - $58.52 Hourly

  • OUC III: $45.46 - $68.19 Hourly

The pay range for this role is provided above. Where a candidate’s compensation falls within this range is based on several bona fide factors such as experience, tenure, and other specialized knowledge. LifeCenter Northwest is committed to providing its employees equitable and competitive compensation.

This position is eligible for additional compensation to the base pay rate, in the form of Overtime, Extra Call Pay, Extra Call Worked, Overnight Differential, and Holiday Stipend Pay.

LifeCenter Northwest is proud to be an Equal Opportunity Employer.