Join a dynamic healthcare team in the Pacific Northwest as a Registered Nurse Care Manager specializing in Utilization Review. This role involves coordinating care and managing the utilization of ...
Join a dynamic healthcare team in the Pacific Northwest as a Registered Nurse Care Manager specializing in Utilization Review. This role involves coordinating care and managing the utilization of ...
Join a dynamic healthcare team in the Pacific Northwest as a Registered Nurse Care Manager specializing in Utilization Review. This role involves coordinating care and managing service utilization ...
Join a dynamic healthcare team in the Pacific Northwest as a Registered Nurse Care Manager specializing in Utilization Review. This role involves coordinating care and managing service utilization ...
Join a dynamic healthcare team in the Pacific Northwest region as an RN Care Manager specializing in utilization review. This role involves coordinating care and managing service utilization for ...
Join a dynamic healthcare team in the Pacific Northwest region as an RN Care Manager specializing in utilization review. This role involves coordinating care and managing service utilization for ...
Concurrent Review RN
Tacoma, WA · On-site
... RN license & associate's degree in Nursing Must have discharge planning experience Must have ... Interqual or Milliman experience Utilization review experience Case Management experience Hours for ...
Concurrent Review RN
Tacoma, WA · On-site
... RN license & associate's degree in Nursing Must have discharge planning experience Must have ... Interqual or Milliman experience Utilization review experience Case Management experience Hours for ...
Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience ... Conduct review of hospital notification or prior authorization care requests against established ...
Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience ... Conduct review of hospital notification or prior authorization care requests against established ...
Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience ... Conduct review of hospital notification or prior authorization care requests against established ...
Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience ... Conduct review of hospital notification or prior authorization care requests against established ...
Behavioral Health Utilization Management Clinician I (RN)
Olympia, WA · On-site
$35.92 - $55.67/hr
Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience ... Conduct review of hospital notification or prior authorization care requests against established ...
Behavioral Health Utilization Management Clinician I (RN)
Olympia, WA · On-site
$35.92 - $55.67/hr
Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience ... Conduct review of hospital notification or prior authorization care requests against established ...
Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience ... Conduct review of hospital notification or prior authorization care requests against established ...
Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience ... Conduct review of hospital notification or prior authorization care requests against established ...
Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience ... Conduct review of hospital notification or prior authorization care requests against established ...
Quick apply
Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience ... Conduct review of hospital notification or prior authorization care requests against established ...
Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience ... Conduct review of hospital notification or prior authorization care requests against established ...
Quick apply
Have a current, unrestricted license as an RN or LPN. * Have at least two years clinical experience ... Conduct review of hospital notification or prior authorization care requests against established ...
ICU RN
Tacoma, WA · On-site
$70/hr
... utilization review or in broad-based clinical nursing and clinical case management working with ... practice as a Registered Nurse If interested, send resume and CPR card to allison.argueta ...
Quick apply
ICU RN
Tacoma, WA · On-site
$70/hr
... utilization review or in broad-based clinical nursing and clinical case management working with ... practice as a Registered Nurse If interested, send resume and CPR card to allison.argueta ...
Daily Responsibilities of RN Manager of Utilization Management: Position Purpose: Perform duties to ... Review analyses of activities, costs, operations and forecast data to determine progress toward ...
Daily Responsibilities of RN Manager of Utilization Management: Position Purpose: Perform duties to ... Review analyses of activities, costs, operations and forecast data to determine progress toward ...
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
We are aggressively seeking a RN Case Manager/ RN Care Manager to join a large Healthcare ... Utilization review experience * Case management experience highly preferred! Advantages of this ...
We are aggressively seeking a RN Case Manager/ RN Care Manager to join a large Healthcare ... Utilization review experience * Case management experience highly preferred! Advantages of this ...
RN Discharge Planning Case Manager
Tacoma, WA · On-site
$32 - $36/hr
Utilization Review or Discharge Planning experience * Inpatient hospital experience (MED-SURG is ideal) * Computer skills! Some specific software they'll be using: TrueCare, Word & Outlook (email ...
RN Discharge Planning Case Manager
Tacoma, WA · On-site
$32 - $36/hr
Utilization Review or Discharge Planning experience * Inpatient hospital experience (MED-SURG is ideal) * Computer skills! Some specific software they'll be using: TrueCare, Word & Outlook (email ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Care Manager (Registered Nurse/RN)
Port Orchard, WA · On-site
$47 - $55/hr
Prior case management, utilization review, and discharge planning experience preferred * Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred Specific Job ...
Utilization Review Rn information
See Tacoma, WA salary details
$22.98 - $27.62
2% of jobs
$27.62 - $32.27
9% of jobs
$35.45 is the 25th percentile. Wages below this are outliers.
$32.27 - $36.92
21% of jobs
The median wage is $40.68 / hr.
$36.92 - $41.56
23% of jobs
$41.56 - $46.21
13% of jobs
$49.82 is the 75th percentile. Wages above this are outliers.
$46.21 - $50.86
10% of jobs
$50.86 - $55.50
8% of jobs
$55.50 - $60.15
5% of jobs
$60.15 - $64.80
5% of jobs
$64.80 - $69.44
2% of jobs
$69.44 - $74.09
2% of jobs
$22
$45
$74
How much do utilization review rn jobs pay per hour?
As of Aug 21, 2026, the average hourly pay for utilization review rn in Tacoma, WA is $45.41, according to ZipRecruiter salary data. Most workers in this role earn between $35.87 and $52.16 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?
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating 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 the most commonly searched types of Utilization Review Rn jobs in Tacoma, WA?
The most popular types of Utilization Review Rn jobs in Tacoma, WA are:
What are popular job titles related to Utilization Review Rn jobs in Tacoma, WA?
For Utilization Review Rn jobs in Tacoma, WA, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Tacoma, WA look for?
The top searched job categories for Utilization Review Rn jobs in Tacoma, WA are:
What cities near Tacoma, WA are hiring for Utilization Review Rn jobs?
Cities near Tacoma, WA with the most Utilization Review Rn job openings:
Other
Medical, Dental, Vision, Retirement
Re-posted 20 days ago
Job description
Join a dynamic healthcare team in the Pacific Northwest as a Registered Nurse Care Manager specializing in Utilization Review. This role involves coordinating care and managing the utilization of services for patients in acute and post-acute skilled care settings. You will collaborate closely with interdisciplinary teams both inside and outside the organization to enhance patient outcomes and ensure cost-effective care.
Job Summary
As a vital member of the care team, you will continuously assess the appropriateness and timeliness of care levels, ensuring resources are used efficiently. Your daily activities include rounding with patients, conducting assessments, and facilitating smooth transitions from hospital to home or other care facilities. You will also identify and resolve discharge barriers, provide clear documentation, and support peer-to-peer reviews for concurrent denials.
Education and Experience
- Minimum of 2 years of Registered Nursing experience in acute care or care management/utilization review.
- Current RN license valid in the region or multistate license.
- BLS certification is required.
- Bachelor's degree in Nursing and Care Manager Certification are preferred.
- Strong organizational and prioritization skills.
- Excellent written and verbal communication tailored to diverse audiences.
- Proficiency with technology and software, including intermediate to advanced Microsoft Office skills.
- Ability to maintain confidentiality and accurate documentation.
- Demonstrated teamwork, collaboration, and customer service skills in fast-paced environments.
- Independent problem-solving and sound judgment to complete tasks effectively.
Work Environment and Benefits
This full-time exempt position offers a supportive work environment with opportunities for professional growth. Benefits include competitive compensation, comprehensive medical, dental, and vision coverage, retirement plans with employer contributions, tuition reimbursement, employee wellness programs, and more. The location provides access to numerous outdoor recreational activities such as hiking, kayaking, fishing, and cultural experiences in the Pacific Northwest region.
About McCall and Lee
Sourced by ZipRecruiter
McCall and Lee is a well-known and reputable company, headquartered in Austin, Texas, United States. Operating in the healthcare industry, their primary services center around professional recruiting and executive search. They cater to the needs of various levels of medical practitioners and executive positions for healthcare establishments. McCall and Lee is founded on the premise of filling healthcare vacancies with the most suitable and competent professionals to ensure top-quality medical service delivery. Their core value revolves around integrity, excellence, commitment, and customer satisfaction.
Industry
Recruiting and staffing services and human resources consulting services
Company size
11 - 50 Employees
Headquarters location
Austin, TX, US