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Utilization Review Jobs in Pasco, WA (NOW HIRING)

Pacs

Certified Occupational Therapist (COTA)

Richland, WA · On-site

$29.75 - $39.75/hr

Participates in Resident Care conferences, Utilization Review meetings, and Rehabilitation meetings as needed. * Provides in-services on training programs for other staff in the facility as needed.

Kroger Family of Companies

Pharmacy Manager

Richland, WA · On-site

$75 - $78/hr

Direct the pharmacy team to achieve warehouse utilization goals, avoid unnecessary overstock ... Supervise and coach direct reports in the performance of their duties; complete performance reviews ...

Tri-Cities Community Health

Director of Pharmacy

Pasco, WA · On-site

$165K - $233K/yr

... reviews. Responsible for the fiscal management of TCCH Pharmacies and the Purchasing Department and assures proper utilization of organization's financial resources. * Develops Pharmacy and ...

Tri-Cities Community Health

Director of Pharmacy

Pasco, WA · On-site

$165K - $233K/yr

... reviews. Responsible for the fiscal management of TCCH Pharmacies and the Purchasing Department and assures proper utilization of organization's financial resources. * Develops Pharmacy and ...

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All JobsUtilization Review JobsUtilization Review Jobs in Pasco, WA

Utilization Review information

See Pasco, WA salary details

$21

$42

$69

How much do utilization review jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for utilization review in Pasco, WA is $42.83, according to ZipRecruiter salary data. Most workers in this role earn between $33.85 and $49.18 per hour, depending on experience, location, and employer.

What is a utilization review?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What does a utilization review do?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

What are the key skills and qualifications needed to thrive in utilization review?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.

What are the most commonly searched types of Utilization Review jobs in Pasco, WA?

The most popular types of Utilization Review jobs in Pasco, WA are:

What are popular job titles related to Utilization Review jobs in Pasco, WA?

For Utilization Review jobs in Pasco, WA, the most frequently searched job titles are:

What job categories do people searching Utilization Review jobs in Pasco, WA look for?

The top searched job categories for Utilization Review jobs in Pasco, WA are:

What cities near Pasco, WA are hiring for Utilization Review jobs?

Cities near Pasco, WA with the most Utilization Review job openings:

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Pasco, WA as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $89,096 per year, or $42.8 per hour.

OR Scheduler/ Epic Support

Hermiston, OR • On-site

Good Shepherd Health Care
See more jobs at Good Shepherd Health Careexternal

$22.93/hr

Part-time

Medical, Dental, Vision

Posted 25 days ago

Job description

Overview
Employer paid Medical. Dental & Vision benefit premiums!
Wage Scale: $22.93-$35.12
Part-Time/Day shift
Mon-Fri 3:00 p.m.- 8:00 p.m.
Definition of Position:
The OR Scheduler/Epic Support is responsible for the accurate coordination and maintenance of the surgical schedule within the Operating Room. This role is vital to the smooth functioning of perioperative services by ensuring efficient use of OR block time, scheduling procedures, and coordinating special equipment and vendor needs. The position requires close collaboration with surgeons, clinical teams, central sterile processing (SPD), and vendors. Proficiency in Epic is essential for all scheduling, documentation, and communication workflows.
Responsibilities
Essential Job Functions:
  • Manage daily and long-term OR schedules using Epic, ensuring optimal use of block time and resources.
  • Schedule surgical procedures based on surgeon availability, case complexity, and equipment requirements.
  • Monitor, escalate, and assist with optimizing block time utilization.
  • Review surgical case requests for accuracy, completeness, and special requirements.
  • Confirm and coordinate:
    • Vendor and rep attendance
    • Loaner trays or specialty instruments
    • Disposable supplies and implants
    • Special positioning or equipment needs
  • Act as a central communication point between the OR, surgeons' offices, SPD, vendors, and materials management.
  • Manage real-time schedule updates including cancellations, emergent cases, and time changes.
  • Support operational efficiency, patient safety, and preparedness of resources for each case.

Core Responsibilities:
  • Book and maintain surgical cases using Epic OpTime or other relevant Epic modules.
  • Collaborate with surgeons' offices to verify case details, CPT codes, estimated times, and documentation.
  • Ensure all special needs listed in case requests are arranged and verified in advance.
  • Confirm vendor-supplied instruments, implants, and support equipment with adequate lead time.
  • Accurately document schedule details and updates in Epic and related tracking systems.
  • Participate in daily OR scheduling huddles to ensure case readiness and identify potential issues.
  • Provide administrative support to OR leadership and nursing teams as needed.

Additional Responsibilities:
  • Review daily case assistant and overall staffing needs, comparing them against the staff calendar to ensure adequate staff availability and coverage
  • Assist with coordination of support services staffing, including:
    • Radiology and Ultrasound for pre-procedure appointments
    • Pathology services for intraoperative or postoperative needs

Qualifications
Qualifications:
Education:
  • High school diploma or equivalent required.

Experience:
  • Minimum one (1) year experience in surgical scheduling, hospital administrative support, or medical office coordination.
  • Experience with Epic (especially OpTime and scheduling modules).
  • Familiarity with surgical procedures, medical terminology, and perioperative workflow is essential.

Skills & Abilities:
  • Strong attention to detail with excellent time management and organizational skills.
  • Clear, effective communication with multidisciplinary teams and external vendors.
  • Proficient in Epic, Microsoft Office Suite, and other hospital scheduling tools.
  • Ability to prioritize tasks and adapt in a fast-paced surgical environment.
  • Working knowledge of surgical instruments, equipment, and supply chain coordination is a plus.

Physical Requirements:
Prolonged periods of sitting at a desk and working on a computer. Occasional walking, standing, bending, or lifting light office items (up to 25 pounds). Visual acuity to view computer screens and read detailed financial documents. Ability to communicate effectively in person, by phone, and electronically. May be required to move throughout the healthcare facility, including administrative and clinical areas.
Working Conditions:
This position operates in a professional office setting within a healthcare facility. The role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The office environment is climate-controlled, well-lit, and ergonomically designed for extended computer work. While this role is primarily office-based and does not involve direct patient care, the employee may occasionally be present in clinical areas or interact with staff working in clinical environments. As such, there is a potential for exposure to infectious diseases. The organization provides appropriate training and personal protective equipment (PPE) as needed to ensure safety.
25 Hours USD $22.93/Hr. USD $35.12/Hr. 01-3210 Surgery - Hospital Evening

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