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Utilization Review Rn Jobs in Bothell, WA (NOW HIRING)

The level I UM Coordinator is responsible for administrative functions in processing Utilization ... nurse reviewer. * Reviews completed denial letters for accuracy and adherence to compliance ...

New

Bethany is seeking a passionate and motivated RN MDS Nurse to join our team at Bethany in Everett. Come join our family and find out what the "Heart of Bethany" is. Bethany of the Northwest offers a ...

RN MDS Nurse

Everett, WA · On-site

$50 - $60/hr

Bethany is seeking a passionate and motivated RN MDS Nurse to join our team at Bethany in Everett. Come join our family and find out what the "Heart of Bethany" is. Bethany of the Northwest offers a ...

RN Clinical Liaison

Seattle, WA · On-site

$100K - $105K/yr

RN Clinical Liaison Location: Greater Seattle Area (On-Site / Embedded at Partner Medical Facility ... planning, or utilization review is highly preferred. * Relationship Builder: Excellent ...

New

RN Clinical Liaison Location: Greater Seattle Area (On-Site / Embedded at Partner Medical Facility ... planning, or utilization review is highly preferred. * Relationship Builder: Excellent ...

New

RN Clinical Liaison

Seattle, WA · On-site

$100K - $105K/yr

RN Clinical Liaison Location: Greater Seattle Area (On-Site / Embedded at Partner Medical Facility ... planning, or utilization review is highly preferred. * Relationship Builder: Excellent ...

New

MDS Coordinator - Avamere Burien

Burien, WA · On-site

$39.25 - $50/hr

MDS Coordinator (RN or LPN) Status : Full-Time (on-site 5 days per week) Wage: $82,000 - $130,000 ... Manage the Utilization Review (UR) process. * Oversee MAR's treatment, flow sheets and physician ...

As our Ambulatory RN, you will thoughtfully coordinate and oversee the clinical team, ensuring ... service utilization, and maintain vital communication with patients, providers, and staff. To be ...

Ambulatory RN

Seattle, WA · On-site

$45.49 - $74.35/hr

... service utilization, and maintain vital communication with patients, providers, and staff. To be ... Current Washington state licensure as an RN * CPR certification is required every two (2) years

Ambulatory RN

Seattle, WA

$45.49 - $74.35/hr

... service utilization, and maintain vital communication with patients, providers, and staff. To be ... Current Washington state licensure as an RN * CPR certification is required every two (2) years

Ambulatory RN

Seattle, WA

$45.49 - $74.35/hr

... service utilization, and maintain vital communication with patients, providers, and staff. To be ... Current Washington state licensure as an RN * CPR certification is required every two (2) years

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Utilization Review Rn information

See Bothell, WA salary details

$23

$47

$77

How much do utilization review rn jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for utilization review rn in Bothell, WA is $47.27, according to ZipRecruiter salary data. Most workers in this role earn between $37.36 and $54.28 per hour, depending on experience, location, and employer.

How to get into utilization review as a nurse?

To become a utilization review RN, candidates typically need a valid nursing license and experience in clinical settings. Additional certifications such as Certified Professional in Healthcare Quality (CPHQ) or case management credentials can enhance prospects, and familiarity with electronic health records and insurance policies is beneficial.

How does a Utilization Review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a Utilization Review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

How to make $300,000 as a nurse?

A Utilization Review RN can earn $300,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-paying settings like insurance companies or managed care organizations, and taking on leadership or specialized roles that offer higher compensation. Advanced skills in clinical assessment, documentation, and understanding of healthcare policies can also contribute to higher earnings.

What does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the necessity, appropriateness, and efficiency of healthcare services. They ensure compliance with insurance policies and clinical guidelines, often using electronic health records and requiring knowledge of coding and documentation standards. This role supports cost-effective patient care and involves collaboration with healthcare providers and insurance companies.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating 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.

How to make $150,000 as a nurse?

A Utilization Review RN can earn $150,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-demand settings, and possibly taking on leadership or specialized roles. Increasing your workload, working overtime, or pursuing advanced education can also contribute to higher earnings within this field.

What is a Utilization Review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.
What are the most commonly searched types of Utilization Review Rn jobs in Bothell, WA? The most popular types of Utilization Review Rn jobs in Bothell, WA are:
What are popular job titles related to Utilization Review Rn jobs in Bothell, WA? For Utilization Review Rn jobs in Bothell, WA, the most frequently searched job titles are:
What cities near Bothell, WA are hiring for Utilization Review Rn jobs? Cities near Bothell, WA with the most Utilization Review Rn job openings:
Infographic showing various Utilization Review Rn job openings in Bothell, WA as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, and 4% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $98,314 per year, or $47.3 per hour.

Registered Nurse (RN) - Part-Time Swing

Northpoint Recovery Holdings, LLC

Edmonds, WA • On-site

$42 - $50/hr

Other

Retirement

Posted 18 days ago


Job description

Registered Nurse (RN) - Part-Time Swing

Edmonds, WA

Job Title: Registered Nurse (RN) - Part-Time Swing

Reports To: Director of Nursing

Location: Northpoint Washington (Adult inpatient in Edmonds, WA)

Schedule: Friday and Saturday 4pm-12:30am

Compensation: $42-50/hour + Shift Differential

Northpoint Recovery Holdings, LLC began 2009 as Ashwood Outpatient and officially launched the Northpoint platform in 2015. Now celebrating 10 years of growth in 2025, Northpoint is a leading behavioral healthcare provider offering evidence-based treatment for adults with substance use and co-occurring disorders through the Northpoint Recovery brand, and mental health treatment for adolescents through Imagine by Northpoint. Operating under an in-network, commercial insurance model, Northpoint has grown exclusively through de novo expansion—from two facilities to seventeen across the Western U.S.—with more planned in both existing and new markets. We're guided by core values of humility, heart, inspiration, and conviction. Our mission is simple: saving lives and restoring relationships by helping people get their lives back, and treating every individual with empathy and respect.

Position Summary: As a key member of the Northpoint team, the Registered Nurse (RN) will provide and oversee the medical services provided to a caseload of patients. This licensed nursing professional will act as the medical treatment plan coordinator for the multi-disciplinary team in the development and implementation of the master treatment plan and the discharge plan for each patient. This person will actively communicate with support staff, treatment teams, providers, and outside agencies on treatment and safety issues pertaining to patients and their family members. The Registered Nurse (RN) will work under the supervision of a Registered Nurse or provider, and will perform duties according to established patient care protocols, standards, and procedures. This position is expected to complete all documentation associated with these duties in a professional and timely manner.

Essential Responsibilities and Duties:

  • Interact routinely with patients, observe behaviors and communicate significant observations to multidisciplinary team as necessary
  • Administer medications to patients, and engage in education process
  • Utilize de-escalation skills when exposed to volatile patients to maintain personal safety for the patient and other individuals in our care
  • Provide admission, orientation, education and discharge plans to patients, families and others to aid in the treatment process
  • Consult with the multidisciplinary treatment team in the development of treatment plans and discharge planning to strive for excellent patient care
  • Participate in the maintenance of a clean, orderly and safe environment, and report needs for repairs and maintenance to appropriate staff
  • Admissions and discharges of patients
  • Obtain vital signs, monitor symptoms and document in the patient record
  • Comply with all laws, regulations, and scope of licensure
  • Monitor patients on an ongoing basis to continually assess needs and facilitate medical treatment and interventions
  • Document medical assessment, diagnosis, progress notes, roundings, and other treatment planning items in a timely manner to assure comprehensive and quality patient care
  • Actively participate as a member of the multidisciplinary treatment team and maintain effective working relationships with employees and peers
  • Maintain professional boundaries with patients at all times
  • Oversee and participate in the quality assurance and compliance activities of the facility
  • Provide medical updates to utilization review and representatives of managed care to best coordinate reimbursement of treatment services
  • Adhere to all company policies and procedures
  • Maintain confidentiality in accordance with established policies and procedures and standards of care
  • Other clinically appropriate services and special projects as assigned

Qualifications/Requirements:

  • Current, unencumbered, active license to practice as a Registered Nurse in the state where services are rendered
  • Must be at least twenty-one (21) years of age
  • Current and nationally accredited CPR/First Aid/AED certification
  • Knowledge of computer and electronic medical records systems (KIPU preferred)
  • Enthusiasm, passion for working with people, and an internal drive to improve the lives of individuals in our care
  • Must maintain applicable state licensure requirements throughout duration of employment
  • Ability to work with a diverse population along with interpersonal skills and knowledge required for treating patients in area of assigned specialty
  • Demonstrated ability to hold strong personal boundaries and ability to build rapport with patients
  • Must understand and adhere to the ethical standards of the respective licensure governing board

Preferred Knowledge and Skills:

  • Excellent organizational abilities
  • Excellent written and oral communication skills
  • Attention to detail and accuracy
  • Patient service oriented (both internal and external)
  • Creative and persistent problem solver
  • Able to handle confidential material in a reliable manner
  • Ability to interact and communicate with individuals at all levels of organization
  • Strong interpersonal skills to handle sensitive situations and confidential information
  • Ability to multi-task and prioritize workload in a fast-paced environment
  • Proficiency with Microsoft Office Suite

Part-Time Benefits Include:

  • Sick Leave
  • Employee Referral Bonuses
  • 401K Retirement Plan & Employer Match

This job description is not intended, and should not be construed, to be exhaustive lists of all responsibilities, skills, efforts or working conditions associated with this job. It is meant to be an accurate reflection of the principal job elements essential for making fair pay decisions about jobs.

Employees with potential access to protected health information must comply with all procedures and guidelines governed by HIPAA.

Northpoint is an Equal Opportunity Employer. Northpoint is an At-Will employer. Employment may be terminated at any time by employee, or employer with or without notice.

Compensation:

$42 - $50 USD