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

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 ...

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 · 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

... 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 · 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 license 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

Review, update and communicate resident care documentation. * Evaluate health emergencies to determine medical measures per RN scope of practice and state regulations You currently: * Possess a ...

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 · 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

Showing results 41-60

Utilization Review Rn information

See Bothell, WA salary details

$23

$47

$77

How much do utilization review rn jobs pay per hour?

As of Aug 12, 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 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 get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.

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.

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 job categories do people searching Utilization Review Rn jobs in Bothell, WA look for? The top searched job categories for Utilization Review Rn jobs in Bothell, WA 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 August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 89% Physical, 4% Hybrid, and 7% Remote job distribution, with an average salary of $98,314 per year, or $47.3 per hour.

Care Manager RN - 1.0 FTE Day

Providence Health and Services

Everett, WA • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago


Providence Health & Services rating

7.6

Company rating: 7.6 out of 10

Based on 841 frontline employees who took The Breakroom Quiz

186th of 887 rated healthcare providers


Job description

Description

$10,000 hiring bonus for eligible external hires that meet required qualifications and conditions for payment.

Join a dynamic and collaborative team as a Care Manager at our Everett facility, part of a highly acclaimed department recognized as the Seattle Metro Best Regional Hospital in 11 types of care! Our hospital boasts high-performing accolades in numerous specialties, offering you the opportunity to contribute to a highly respected and impactful role. With a supportive leadership team and care management assistants ready to back your efforts, you'll thrive in a unionized work environment that champions professional growth and shared team accountability. Ideal for those seeking to elevate their career in a role that values dependability and a drive for excellence. Embark on a rewarding journey where your passion for care meets professional recognition and development. Apply now and be a part of something extraordinary!The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient centric care management services for at risk patients in an acute care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of interventions, regulatory compliance and patient advocacy.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Regional Medical Center Everett and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence Regional Medical Center Everett received the Health Grades Distinguished Hospital Award for Clinical Excellence four years in a row.

Required qualifications:

  • Associate's Degree in Nursing degree/diploma upon hire
  • Upon hire: Washington Registered Nurse License
  • 2 years Acute care experience in a Medical Surgical or Inpatient setting

Preferred qualifications:

  • Bachelor's Degree in Nursing or higher within 3 years of hire
  • National Certification in area of specialty.
  • 1 year experience in care management or utilization review in any setting or successful completion of TIPS program or Case Management Orientation Program

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

\#social300

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence has been serving the Pacific Northwest since 1856 when Mother Joseph and four other Sisters of Providence arrived in Vancouver, Washington Territory. Today, Providence is the largest health care provider in Washington located in communities large and small across the state. In western Washington, Providence provides care throughout the greater Puget Sound from Snohomish County to Lewis County.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.

Requsition ID: 421574

Company: Providence Jobs

Job Category: Care Management

Job Function: Clinical Care

Job Schedule: Full time

Job Shift: Multiple shifts available

Career Track: Nursing

Department: 3002 SOCIAL WORK WA PRMCE

Address: WA Everett 1321 Colby Ave

Work Location: Everett Medical Ctr Colby-Everett

Workplace Type: On-site

Pay Range: $47.73 - $89.59

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

PandoLogic. Category:Administrative, Keywords:Medical Receptionist, Location:Everett, WA-98207

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