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

Virginia Mason Medical Center

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

Brookside Rehab and Nursing

Registered Nurse

Tacoma, WA · On-site

$45 - $49.22/hr

) Registered Nurses (RNs) - Be the Heart of Skilled Care! Birch Creek Post Acute & Rehabilitation ... Annual performance reviews and competitive bi-annual pay reviews * Support for personal well-being ...

Virginia Mason Medical Center

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

Virginia Mason Medical Center

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

First Connect Health

RN (Registered Nurse)

Burien, WA · On-site

Clinical Profile Review and the manager will call for the interview** MUST HAVE ERCP Experience ... Workload spread over 1 Admit RN, 1 Recovery RN, and 1 Procedure RN Required Certifications BLS ...

Park Rose Care Center

Registered Nurse (RN)

Tacoma, WA · On-site

$49.56 - $58.67/hr

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 ...

Park Rose Care Center

Registered Nurse (RN)

Tacoma, WA · On-site

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 ...

Park Rose Care Center

Registered Nurse (RN)

Tacoma, WA · On-site

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 ...

Park Rose Care Center

Registered Nurse (RN)

Tacoma, WA · On-site

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 ...

Virginia Mason Medical Center

RN Asthma Allergy

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

Ballard Center

RN - Registered Nurse

Seattle, WA · On-site

RN - Registered Nurse Are you looking for your new career? Ballard Center is now hiring a ... For further information, please review the Know Your Rights notice from the Department of Labor.

Santa Clara Post Acute

Case Manager RN

Tacoma, WA · On-site

$125K/yr

... coordination and utilization of services to ensure the highest quality care. Your key ... For further information, please review the Know Your Rights notice from the Department of Labor.

Intermountain Health

Registered Nurse

Seattle, WA · On-site

The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability ... Evaluates patient response to interventions through review of achievement of goals, clinical ...

New

Intermountain Health

Registered Nurse

Tacoma, WA · On-site

The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability ... Evaluates patient response to interventions through review of achievement of goals, clinical ...

New

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Showing results 41-60

All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Kent, WA

Utilization Review Rn information

See Kent, WA salary details

$24

$47

$77

How much do utilization review rn jobs pay per hour?

As of Jul 24, 2026, the average hourly pay for utilization review rn in Kent, WA is $47.73, according to ZipRecruiter salary data. Most workers in this role earn between $37.74 and $54.81 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 popular job titles related to Utilization Review Rn jobs in Kent, WA? For Utilization Review Rn jobs in Kent, WA, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Kent, WA look for? The top searched job categories for Utilization Review Rn jobs in Kent, WA are:
What cities near Kent, WA are hiring for Utilization Review Rn jobs? Cities near Kent, WA with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Kent, WA as of July 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $99,282 per year, or $47.7 per hour.
Ambulatory RN

Ambulatory RN

Virginia Mason Medical Center

Seattle, WA

$45.49 - $74.35/hr

Full-time

Posted 5 days ago

Job description


Job Summary and Responsibilities

As our Ambulatory RN, you will thoughtfully coordinate and oversee the clinical team, ensuring compassionate, high-quality care for clinic patients and families.
Every day, you will actively support patients in meeting health goals, monitor outcomes, optimize service utilization, and maintain vital communication with patients, providers, and staff.
To be successful in this role, you will combine strong clinical skills with leadership, excellent communication, and a patient-centered approach, driving optimal health outcomes.

Job Requirements

Required

  • Current Washington state licensure as an RN
  • CPR certification is required every two (2) years
  • Graduation from an accredited school of nursing approved by the Washington State Board of Nursing
  • Strong patient assessment skills, phone skills, ability to work collaboratively in team setting, current working
    knowledge of electronic medical records
Where You'll Work

Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.  We are an equal opportunity employer. 


Pay Range
$45.49 - $74.35 / hour

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