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

myLaurel

RN Clinical Liaison

Seattle, WA

$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 ...

myLaurel

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 ...

Avamere Living

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 ...

CommonSpirit Health

Ambulatory RN

Seattle, WA · On-site

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

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

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

$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 ...

Brookside Rehab and Nursing

Registered Nurse

Lynnwood, WA · On-site

$43 - $49.17/hr

Registered Nurses (RNs) - Be the Heart of Skilled Care! SNF Experience Required Alderwood Health ... pay reviews • Support for personal well-being (EAP programs, mental health resources) • ...

Brookside Rehab and Nursing

Registered Nurse

Lynnwood, WA · On-site

$43 - $49.17/hr

) Registered Nurses (RNs) - Be the Heart of Skilled Care! SNF Experience Required Alderwood Health ... pay reviews • Support for personal well-being (EAP programs, mental health resources) • ...

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 ...

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

Utilization Review Rn information

See Seattle, WA salary details

$24

$48

$78

How much do utilization review rn jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for utilization review rn in Seattle, WA is $48.12, according to ZipRecruiter salary data. Most workers in this role earn between $38.03 and $55.24 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 Seattle, WA? The most popular types of Utilization Review Rn jobs in Seattle, WA are:
What are popular job titles related to Utilization Review Rn jobs in Seattle, WA? For Utilization Review Rn jobs in Seattle, WA, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Seattle, WA look for? The top searched job categories for Utilization Review Rn jobs in Seattle, WA are:
What cities near Seattle, WA are hiring for Utilization Review Rn jobs? Cities near Seattle, WA with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Seattle, WA as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $100,085 per year, or $48.1 per hour.

RN Clinical Liaison

myLaurel

Seattle, WA

$100K - $105K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 6 days ago

Job description

RN Clinical Liaison 

Location: Greater Seattle Area (On-Site / Embedded at Partner Medical Facility)

Employment Type: Full-Time

Compensation: $100,000 - $105,000 / year + up to $10,000 in bonuses

The Role

Are you an experienced Registered Nurse, looking to step away from direct hands-on care and transition into an administrative, strategic, and business development role?

We are seeking a dynamic, mission-driven Clinical Liaison to serve as the primary bridge between our hospital partners and the myLaurel care team. In this fully on-site role, you will be embedded directly inside our partner medical facility. You will serve as the face of our Acute Care at Home program on the hospital floor, focusing on relationship-building, business development, and administrative coordination to drive referrals and ensure seamless patient handoffs.

What You'll Do

  • Drive Business Development: Act as the primary relationship manager on-site. Work alongside hospital case managers, discharge planners, emergency department staff, and physicians to generate referrals and grow our in-home care programs.

  • Lead Administrative Coordination: Manage the logistical and administrative workflows of patient transitions, ensuring that the handoff from the hospital or emergency setting to the patient's living room is flawless.

  • Identify Eligible Patients: Use your clinical background to review patient charts, assess eligibility for our acute-care-at-home model, and advocate for safe, alternative care pathways.

  • Educate & Advocate: Conduct presentations and daily one-on-one touchpoints with facility staff to educate them on myLaurel's capabilities, clinical criteria, and patient benefits.

  • Solve Problems Strategically: Identify operational barriers to patient referrals in real-time and collaborate with the myLaurel leadership team to implement high-level administrative solutions.

What You Bring

  • Active Registered Nurse License: Current, unencumbered license in the State of Washington 

  • Experience: 2+ years of experience in an acute care clinical setting. Previous experience or a strong interest in healthcare business development, clinical sales, discharge planning, or utilization review is highly preferred.

  • Relationship Builder: Excellent communication and interpersonal skills, with the natural ability to establish trust, integrate into a facility's culture, and build rapport with busy medical professionals.

  • Administrative Acumen: Strong organizational skills and a desire to manage program logistics and care transitions rather than providing direct, hands-on patient care.

  • On-Site Presence: A highly engaged professional who thrives in a bustling medical facility environment and is comfortable being the primary, in-person representative for myLaurel.

  • Tech-Savvy: Comfortable navigating various EMRs (Electronic Medical Records) and utilizing CRM software to track referral metrics and business growth.

Why Join myLaurel?

  • Competitive Base Compensation: $100,000 - $105,000 / year 

  • Lucrative Quarterly Bonuses: We want to reward your hustle! On top of your base salary, you will be eligible for a highly competitive, performance-driven quarterly bonus structure. As you drive referrals and grow the program, your earning potential grows with it!  Up to $10,000 per year.

  • Career Growth: The perfect opportunity to pivot your clinical expertise into the business, administrative, and growth side of healthcare.

  • Comprehensive Benefits: Medical, Dental, and Vision insurance.

  • Work-Life Balance: Generous Discretionary Time Off (DTO) and paid holidays.

  • Financial Wellness: 401(k) retirement plan.

  • Impact: The opportunity to be on the ground floor of a transformative healthcare model that keeps patients out of the hospital and in their homes.

$100,000 - $105,000 a year

myLaurel was founded on the belief that a meaningful portion of hospital care can-and should-be delivered in the comfort of home. As a tech-enabled medical group, we provide on-demand acute and transitional care to frail, elderly, or medically complex patients at home-helping them avoid the traditional pathway of ambulance, emergency department, hospital admission, and post-acute facility care.

Health systems, payers, and provider groups partner with myLaurel to reduce avoidable utilization, lower readmission rates, accelerate throughput, and improve the patient experience-all while maintaining the highest standards of clinical quality and safety. We stand behind our outcomes by putting our fees at risk, demonstrating both accountability and confidence in the results we deliver.

Care is delivered through a physician-led model that combines virtual oversight with in-home clinicians, advanced technology, diagnostics, and therapies. For high-risk populations, myLaurel achieves 33% lower ED utilization, a 49% absolute reduction in readmissions, and an average of 15 bed-days saved daily - alongside a Net Promoter Score of 97.

Recognized for innovation and industry leadership, myLaurel has been named to Fast Company's Most Innovative Companies and the New York Digital Health 100. The company is headquartered in New York City.

Learn more at: mylaurelhealth.com

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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