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Utilization Management Jobs in Seattle, WA (NOW HIRING)

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Utilization Management information

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$44.4K

$101.8K

$185.5K

How much do utilization management jobs pay per year?

As of Aug 30, 2026, the average yearly pay for utilization management in Seattle, WA is $101,841.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,400.00 and $118,900.00 per year, depending on experience, location, and employer.

What is utilization management?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a utilization management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

What are the key skills and qualifications needed to thrive in utilization management, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What degree is needed for utilization management?

Utilization management professionals typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Some roles may require a master's degree or professional certifications such as Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Experience in healthcare settings and knowledge of medical terminology and insurance processes are also important.

What are the most commonly searched types of Utilization Management jobs in Seattle, WA?

The most popular types of Utilization Management jobs in Seattle, WA are:

What are popular job titles related to Utilization Management jobs in Seattle, WA?

For Utilization Management jobs in Seattle, WA, the most frequently searched job titles are:

What job categories do people searching Utilization Management jobs in Seattle, WA look for?

The top searched job categories for Utilization Management jobs in Seattle, WA are:

What cities near Seattle, WA are hiring for Utilization Management jobs?

Cities near Seattle, WA with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Seattle, WA as of August 2026, with employment types broken down into 98% Full Time, and 2% Part Time. Highlights an 76% In-person, 5% Hybrid, and 19% Remote job distribution, with an average salary of $101,841 per year, or $49 per hour.

RN Manager of Utilization Management

Tacoma, WA • On-site

Healthcare Support Staffing
Recruiting and Staffing Services • 201 - 500 employees
Learn more about Healthcare Support Staffingexternal

Full-time

Re-posted 26 days ago

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

Daily Responsibilities of RN Manager of Utilization Management: 


Position Purpose: Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department functions.

Review analyses of activities, costs, operations and forecast data to determine progress toward stated goals and objectives.

Promote compliance with federal and state regulations and contractual agreements.

Develop, implement and maintain compliance, policies and procedures regarding medical utilization management functions.

Develop, implement, and maintain utilization management programs to facilitate the use of appropriate medical resources and decrease the business unit's financial exposure.

Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make recommendations to management.

Facilitate on-going communication between utilization management staff and contracted providers.

Develop staff skills and competencies through training and experience.


Qualifications

Requirements of RN Manager of Utilization Management:


RN license, current in Washington

Bachelor's Degree

3+ years of utilization management

Recent nursing experience in an acute care setting (med/surge, peds, OB) and/or rehab/SNF/LTAC

Management experience (progressive discipline, workflows, productivity reports, team building)

Needs to be organized

Must have good computer skills - Excel, Outlook, etc

Soft skills needed - these are crucial:


Needs to be able to kindly keep a team on track - must be both firm and kind.

Not looking for a "task master" but a previous manager was too much of a pushover. Need to be comfortable redirecting people.

The Director of this department is direct, but polite and fair & that's what she's looking for in her managers.

Hours for this Position:


M-F 8-5




Advantages of this Opportunity:


Competitive salary

Fun and positive work environment

Additional Information

Want More Information?

If you are interested in applying to this position, please contact Ashley Greene @ 407-478-0332 ext 169 or email and click the Green "I'm Interested" Button to email your resume. 


Healthcare Support logo

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

Social media

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