Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Manager, Transitions of Care
Bellevue, WA · On-site
... Utilization Review and Care Management teams, ensuring the delivery of high-quality, patient ... Current Washington RN or Social Work independent license required. Certified Case Manager (CCM), or ...
Manager, Transitions of Care
Bellevue, WA · On-site
... Utilization Review and Care Management teams, ensuring the delivery of high-quality, patient ... Current Washington RN or Social Work independent license required. Certified Case Manager (CCM), or ...
Care Review Clinician (RN)
Bothell, WA · On-site
$26.41 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Care Review Clinician (RN)
Bothell, WA · On-site
$26.41 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Registered Nurse - Utilization Management Discharge Nurse
Seattle, WA · On-site +1
$87K - $161K/yr
Summary The Utilization Management Discharge Nurse uses the nursing process and nursing expertise ... Reviews inpatient charts, using third party criteria (currently InterQual), and collaborates with ...
Registered Nurse - Utilization Management Discharge Nurse
Seattle, WA · On-site +1
$87K - $161K/yr
Summary The Utilization Management Discharge Nurse uses the nursing process and nursing expertise ... Reviews inpatient charts, using third party criteria (currently InterQual), and collaborates with ...
Summary The Utilization Management Discharge Nurse uses the nursing process and nursing expertise ... Reviews inpatient charts, using third party criteria (currently InterQual), and collaborates with ...
Summary The Utilization Management Discharge Nurse uses the nursing process and nursing expertise ... Reviews inpatient charts, using third party criteria (currently InterQual), and collaborates with ...
Current unrestricted RN license required. * This position is part of our Wellpoint Federal division ... Medical management or Utilization Review experience is preferred. For candidates working in person ...
New
Current unrestricted RN license required. * This position is part of our Wellpoint Federal division ... Medical management or Utilization Review experience is preferred. For candidates working in person ...
New
RN Care Manager in Port Orchard, WA
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
RN Care Manager in Port Orchard, WA
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Review Clinician (RN)
Bothell, WA · On-site
$26.41 - $59.21/hr
... to utilization management (UM) policies and procedures. Required Qualifications • At least 2 ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Care Review Clinician (RN)
Bothell, WA · On-site
$26.41 - $59.21/hr
... to utilization management (UM) policies and procedures. Required Qualifications • At least 2 ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Current unrestricted RN license required. * This position is part of our Wellpoint Federal division ... Medical management or Utilization Review experience is preferred. For candidates working in person ...
New
Current unrestricted RN license required. * This position is part of our Wellpoint Federal division ... Medical management or Utilization Review experience is preferred. For candidates working in person ...
New
Reviews inpatient charts, using third party criteria (currently InterQual), and collaborates with ... May refer specific cases to the Physician Utilization Management Advisors (PUMA). * Excellent fact ...
Reviews inpatient charts, using third party criteria (currently InterQual), and collaborates with ... May refer specific cases to the Physician Utilization Management Advisors (PUMA). * Excellent fact ...
... utilization management and/ or review, discharge planning, documentation of interventions ... Washington Registered Nurse License upon hire. * 2 years - Acute care experience in a Medical ...
... utilization management and/ or review, discharge planning, documentation of interventions ... Washington Registered Nurse License upon hire. * 2 years - Acute care experience in a Medical ...
... utilization management and/ or review, discharge planning, documentation of interventions ... Washington Registered Nurse License upon hire. * 2 years - Acute care experience in a Medical ...
Posted today
... utilization management and/ or review, discharge planning, documentation of interventions ... Washington Registered Nurse License upon hire. * 2 years - Acute care experience in a Medical ...
Posted today
... utilization management and/ or review, discharge planning, documentation of interventions ... Washington Registered Nurse License upon hire. * 2 years - Acute care experience in a Medical ...
Posted today
... utilization management and/ or review, discharge planning, documentation of interventions ... Washington Registered Nurse License upon hire. * 2 years - Acute care experience in a Medical ...
Posted today
Care Manager RN - 1.0 FTE Day
Everett, WA · On-site
... utilization management and/ or review, discharge planning, documentation of interventions ... Washington Registered Nurse License * 2 years Acute care experience in a Medical Surgical or ...
Care Manager RN - 1.0 FTE Day
Everett, WA · On-site
... utilization management and/ or review, discharge planning, documentation of interventions ... Washington Registered Nurse License * 2 years Acute care experience in a Medical Surgical or ...
Home Health Clinical Manager
Seattle, WA · On-site
As a Registered Nurse Clinical Manager, you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...
Home Health Clinical Manager
Seattle, WA · On-site
As a Registered Nurse Clinical Manager, you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...
Care Manager RN - 1.0 FTE Day
Everett, WA · On-site
... utilization management and/ or review, discharge planning, documentation of interventions ... Washington Registered Nurse License * 2 years Acute care experience in a Medical Surgical or ...
Care Manager RN - 1.0 FTE Day
Everett, WA · On-site
... utilization management and/ or review, discharge planning, documentation of interventions ... Washington Registered Nurse License * 2 years Acute care experience in a Medical Surgical or ...
Care Manager RN - 1.0 FTE Day
Everett, WA · On-site
... utilization management and/ or review, discharge planning, documentation of interventions ... Washington Registered Nurse License * 2 years Acute care experience in a Medical Surgical or ...
Care Manager RN - 1.0 FTE Day
Everett, WA · On-site
... utilization management and/ or review, discharge planning, documentation of interventions ... Washington Registered Nurse License * 2 years Acute care experience in a Medical Surgical or ...
Utilization Review Rn information
See Bellevue, WA salary details
$23.99 - $28.85
2% of jobs
$28.85 - $33.70
9% of jobs
$37.02 is the 25th percentile. Wages below this are outliers.
$33.70 - $38.55
21% of jobs
The median wage is $42.48 / hr.
$38.55 - $43.41
23% of jobs
$43.41 - $48.26
13% of jobs
$52.03 is the 75th percentile. Wages above this are outliers.
$48.26 - $53.11
10% of jobs
$53.11 - $57.96
8% of jobs
$57.96 - $62.82
5% of jobs
$62.82 - $67.67
5% of jobs
$67.67 - $72.52
2% of jobs
$72.52 - $77.38
2% of jobs
$23
$47
$77
How much do utilization review rn jobs pay per hour?
How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?
What are the key skills and qualifications needed to thrive as a utilization review RN, and why are they important?
How to get into utilization review as a registered nurse?
What is the difference between Utilization Review Rn vs Case Manager?
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating patient care and discharge planning |
Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.
What is a utilization review RN?

$47 - $55/hr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 28 days ago
Job description
Job Type: Full-time
Wage Range: $47-55 DOE
Schedules Available: Days
On-Call Requirements: Managerial Rotation
Benefits (Full-Time)
Vacation time, 6 paid holidays, 1 personal day, and paid sick leave beginning on day one
Medical, dental, vision, and Health Savings Account (HSA) options
401(k) retirement plan with company match
Life insurance; short-term and long-term disability
Continuing Education Credits (CEUs) and state license reimbursement
(Subject to company policy and approval).
Student Loan Repayment Program (subject to company policy and approval).
Toll Reimbursement
Opportunities for career advancement and upward mobility into leadership roles
Setting & Population Served
Life Care Centers of America operates Skilled Nursing Facilities (SNFs) that provide:
Long-term care for residents needing ongoing skilled support and compassionate daily assistance
Short-term, sub-acute rehabilitation for patients recovering from surgery, illness, or injury
Collaborative, interdisciplinary care, including nursing, therapy, and medical teams working together
A diverse patient population, including individuals with orthopedic, neurological, cardiopulmonary, and post-acute needs
(Patient mix may vary slightly by facility.)
Position Summary
The RN Care Manager is responsible for the coordination of the patient's care and services. Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of patients. Works together with the patient and family, care team, payers, and external entities to promote a safe transition from the facility to the next provider or care setting care team, payers, and external entities to promote a safe transition from the facility to the next provider or care setting in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements- Nursing diploma (associate's or bachelor's degree in nursing)
- Currently licensed/registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment.
- One (1) year of clinical experience in post acute care setting preferred
- Prior case management, utilization review, and discharge planning experience preferred
- Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred
- Generate written communication that is clear, concise, and well organized
- Excellent organizational skills and be efficient in prioritizing and managing time and assignments
- Contribute to the organization's goals and objectives and support the organizational strategic plans
- Expert knowledge in field of practice
- Make independent decisions when circumstances warrant such action
- Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
- Implement and interpret the programs, goals, objectives, policies, and procedures of the department
- Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
- Maintains professional working relationships with all associates, vendors, etc.
- Maintains confidentiality of all proprietary and/or confidential information
- Understand and follow company policies including harassment and compliance procedures
- Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
- Demonstrate efficient use of relevant computer systems including but not limited to the ability to enter and retrieve data
- Serve as liaison to external case managers, family, physicians, and community resources
- Train and education patients, families, associates, and other providers of care
- Implement the standards of practice for care management, ethical performance, and functions relevant to coordination of care
- Exhibit excellent customer service and a positive attitude towards patients
- Assist in the evacuation of patients
- Demonstrate dependable, regular attendance
- Concentrate and use reasoning skills and good judgment
- Communicate and function productively on an interdisciplinary team
- Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
- Read, write, speak, and understand the English language
An Equal Opportunity Employer
About Life Care Center of Kirkland
Sourced by ZipRecruiter
Headquarters location
Kirkland, WA, US