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

Pacs

Case Manager - LVN (I)

Pacific, WA · On-site

$30.25 - $40.75/hr

Performs utilization review activities to provide resident appropriate, timely and cost-effective ... Registered Nurse (RN) license preferred. Licensed (LVN or LPN) nurse acceptable. * Two (2) years of ...

CommonSpirit Health

Ambulatory RN

Federal Way, WA

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 ...

CommonSpirit Health

Ambulatory RN

Seattle, WA

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 ...

Virginia Mason Medical Center

Ambulatory RN

Federal Way, WA · On-site

$43.51 - $71.12/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 license as an RN * CPR certification is required every two (2) years

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 license as an RN * CPR certification is required every two (2) years

CommonSpirit Health

RN - GI Endoscopy

Bellevue, WA · On-site

RN - GI Endoscopy Job Summary and Responsibilities As our Ambulatory RN, you will thoughtfully ... service utilization, and maintain vital communication with patients, providers, and staff. To be ...

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 license as an RN * CPR certification is required every two (2) years

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 ...

CommonSpirit Health

OR Circulator RN

Bellevue, WA

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 ...

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 ...

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 ...

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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 Sep 2, 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.

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.

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.

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 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 case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

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 August 2026, with employment types broken down into 80% Full Time, 10% Part Time, and 10% Contract. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $99,282 per year, or $47.7 per hour.

Registered Nurse Case Manager

Healthcare Support Staffing

Tacoma, WA • On-site

Full-time

Re-posted 16 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

We are aggressively seeking a RN Case Manager for a Healthcare organization. As the Year 2016 is in full swing, this organization is very busy, and they need YOUR help.


Take advantage of flexible hours,a competitive salary, and be a RN Case Manager  with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!


This exciting opportunity will require a RN Case Manager who can provide a high level of service and attention to their members. If you are seasoned, and you meet the qualifications listed below, please send your updated resume to Alex Bennewitz for immediate consideration.


Daily Responsibilities: 


Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations

Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings

Collaborate with various staff within provider networks and discharge planning team electronically, telephonically, or onsite to coordinate member care

Conduct discharge planning

Educate providers on utilization and medical management processes

Provide clinical knowledge and act as a clinical resource to non-clinical team staff

Enter and maintain pertinent clinical information in various medical management systems

Qualifications

Requirements:


2 years RN experience in acute care with some utilization management, prior authorization, concurrent review, and proficient with Excel

Experience using TruCare system

Strong Excel experience  background in diverse populations/environments (e.g. Critical care, ICU, cardiac, neonatal, pediatric, Case Management

Experience processing 10-15 authorizations a day

Additional Information

Interested in hearing more about this great opportunity? Please click Apply or call Alex Bennewitz  at 513-996-1192


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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