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Utilization Review Jobs in Seattle, WA (NOW HIRING)

Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8 ...

The level I UM Coordinator is responsible for administrative functions in processing Utilization ... Reviews completed denial letters for accuracy and adherence to compliance deadlines. Edits and ...

Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of interventions, regulatory compliance and ...

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Utilization Review information

See Seattle, WA salary details

$24

$48

$78

How much do utilization review jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for utilization review in Seattle, WA is $48.15, according to ZipRecruiter salary data. Most workers in this role earn between $38.03 and $55.29 per hour, depending on experience, location, and employer.

Is utilization review work from home?

Utilization review jobs can often be performed remotely, especially with the increased adoption of telecommuting in healthcare and insurance industries. Many employers offer work-from-home options, provided the reviewer has the necessary certifications and access to electronic health records or claims systems. However, some positions may require on-site presence for meetings or audits.

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.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, which can be stressful due to strict deadlines, high accuracy requirements, and the need to balance patient care with insurance policies. The job often requires strong attention to detail, communication skills, and the ability to handle complex cases under time pressure.

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 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, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Relevant skills include knowledge of medical coding, insurance policies, and strong analytical abilities.
What are the most commonly searched types of Utilization Review jobs in Seattle, WA? The most popular types of Utilization Review jobs in Seattle, WA are:
What cities near Seattle, WA are hiring for Utilization Review jobs? Cities near Seattle, WA with the most Utilization Review job openings:
Infographic showing various Utilization Review job openings in Seattle, WA as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, and 4% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $100,142 per year, or $48.1 per hour.

RN - UTILIZATION REVIEW

Pacer Group

Everett, WA • On-site

$65/hr

Other

Re-posted 6 hours ago


Job description

Fully Remote Position
Job Title : RN - UTILIZATION REVIEW
Location: Everett, WA 98201
Start Date: 05/04/2026
Duration: 13 weeks
Schedule Shift: Day 5x8-Hour (08:00 - 16:30)
Shift Notes: Days (5×8) | 08:00 - 16:30PAY DETAILS (72 HOURS / 2 WEEKS)
Pay Rate: $65/hr
Description:
Start date: ASAP
Shift:5x8 Days Monday-Friday
Years of Experience Required: 1 year
First-timers accepted: Yes
Weekends Required: No
Certs Required: BLS, WA RN License
Will this traveler need to float between like units? No
Locals accepted? No.
Pending License accepted: No
Fully Remote Position
RTO Restrictions: Please include all RTO at the time of submittal.
Guaranteed Hours: 72 hours per 2 week period
Hospital Highlights
Type of Facility: Level II Trauma Center
Total Staffed Beds: 571 total for both campuses
Scrub Color: Any (no reddish orange permitted)
Charting: EPIC
Parking Cost: Facility Paid