Everett, WA · On-site
$65/hr
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 ...
Everett, WA · On-site
$65/hr
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 ...
About the Role The Level I Utilization Management Clinician performs utilization review for medical ... Conduct review of hospital notification or prior authorization care requests against established ...
About the Role The Level I Utilization Management Clinician performs utilization review for medical ... Conduct review of hospital notification or prior authorization care requests against established ...
About the Role The Level I Utilization Management Clinician performs utilization review for medical ... Conduct review of hospital notification or prior authorization care requests against established ...
Quick apply
About the Role The Level I Utilization Management Clinician performs utilization review for medical ... Conduct review of hospital notification or prior authorization care requests against established ...
Tacoma, WA · On-site
Interqual or Milliman experience Utilization review experience Case Management experience Hours for this Position: Flexible - roughly 8:00-5:00 or 8:30 to 5:00 Advantages of this Opportunity:
Tacoma, WA · On-site
Interqual or Milliman experience Utilization review experience Case Management experience Hours for this Position: Flexible - roughly 8:00-5:00 or 8:30 to 5:00 Advantages of this Opportunity:
Bellevue, WA · On-site
$36.50 - $52.94/hr
Participate in case reviews and continuous process improvement initiatives to increase utilization rates. Collaborative Responsibilities * Collaborate with transplant programs, ODS, and recovery ...
Bellevue, WA · On-site
$36.50 - $52.94/hr
Participate in case reviews and continuous process improvement initiatives to increase utilization rates. Collaborative Responsibilities * Collaborate with transplant programs, ODS, and recovery ...
Bellevue, WA · On-site
$36.50 - $52.94/hr
Participate in case reviews and continuous process improvement initiatives to increase utilization rates. Collaborative Responsibilities * Collaborate with transplant programs, ODS, and recovery ...
Bellevue, WA · On-site
$36.50 - $52.94/hr
Participate in case reviews and continuous process improvement initiatives to increase utilization rates. Collaborative Responsibilities * Collaborate with transplant programs, ODS, and recovery ...
Bellevue, WA · On-site
$36.50 - $52.94/hr
Participate in case reviews and continuous process improvement initiatives to increase utilization rates. Collaborative Responsibilities * Collaborate with transplant programs, ODS, and recovery ...
Bellevue, WA · On-site
$36.50 - $52.94/hr
Participate in case reviews and continuous process improvement initiatives to increase utilization rates. Collaborative Responsibilities * Collaborate with transplant programs, ODS, and recovery ...
Review analyses of activities, costs, operations and forecast data to determine progress toward ... Develop, implement, and maintain utilization management programs to facilitate the use of ...
Review analyses of activities, costs, operations and forecast data to determine progress toward ... Develop, implement, and maintain utilization management programs to facilitate the use of ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Quick apply
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Seattle, WA · On-site
$110 - $140/hr
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Seattle, WA · On-site
$110 - $140/hr
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Utilization Management Discharge Nurse The Utilization Management Discharge Nurse uses the nursing process and nursing expertise in using review criteria to determine medical necessity for inpatient ...
Utilization Management Discharge Nurse The Utilization Management Discharge Nurse uses the nursing process and nursing expertise in using review criteria to determine medical necessity for inpatient ...
Everett, WA · On-site
$50 - $60/hr
Bethany of the Northwest is a non-profit icon of the healthcare industry for nearly 100 years. Bethany is seeking a passionate and motivated RN MDS Nurse to join our team at Bethany in Everett. Come ...
Everett, WA · On-site
$50 - $60/hr
Bethany of the Northwest is a non-profit icon of the healthcare industry for nearly 100 years. Bethany is seeking a passionate and motivated RN MDS Nurse to join our team at Bethany in Everett. Come ...
Everett, WA · On-site
$50 - $60/hr
Bethany of the Northwest is a non-profit icon of the healthcare industry for nearly 100 years. Bethany is seeking a passionate and motivated RN MDS Nurse to join our team at Bethany in Everett. Come ...
Everett, WA · On-site
$50 - $60/hr
Bethany of the Northwest is a non-profit icon of the healthcare industry for nearly 100 years. Bethany is seeking a passionate and motivated RN MDS Nurse to join our team at Bethany in Everett. Come ...
$129K - $194K/yr
Current or previous case management or utilization review leadership experience. For MSW Manager: Required Education and Experience Masters in Social work from an accredited school. Minimum of two ...
$129K - $194K/yr
Current or previous case management or utilization review leadership experience. For MSW Manager: Required Education and Experience Masters in Social work from an accredited school. Minimum of two ...
Everett, WA · On-site
Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of interventions, regulatory compliance and ...
Everett, WA · On-site
Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of interventions, regulatory compliance and ...
Bellevue, WA · On-site
Manager of Transitions of Care The Manager of Transitions of Care (ToC) is responsible for the leadership, management, and operational oversight of the Utilization Review and Care Management teams ...
Bellevue, WA · On-site
Manager of Transitions of Care The Manager of Transitions of Care (ToC) is responsible for the leadership, management, and operational oversight of the Utilization Review and Care Management teams ...
Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. * Provides ongoing support and expertise ...
Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. * Provides ongoing support and expertise ...
Seattle, WA · On-site
Medical management or Utilization Review experience is preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $75,680 to $130 ...
Seattle, WA · On-site
Medical management or Utilization Review experience is preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $75,680 to $130 ...
... utilization of resources, service delivery and compliance with external review agencies. • Provides ongoing support and expertise through comprehensive assessment, care planning, plan ...
... utilization of resources, service delivery and compliance with external review agencies. • Provides ongoing support and expertise through comprehensive assessment, care planning, plan ...
$24.35 - $29.27
2% of jobs
$29.27 - $34.20
9% of jobs
$37.56 is the 25th percentile. Wages below this are outliers.
$34.20 - $39.12
21% of jobs
The median wage is $43.11 / hr.
$39.12 - $44.04
23% of jobs
$44.04 - $48.97
13% of jobs
$52.80 is the 75th percentile. Wages above this are outliers.
$48.97 - $53.89
10% of jobs
$53.89 - $58.82
8% of jobs
$58.82 - $63.74
5% of jobs
$63.74 - $68.67
5% of jobs
$68.67 - $73.59
2% of jobs
$73.59 - $78.51
2% of jobs
$24
$48
$78
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.
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.
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.
The most popular types of Utilization Review jobs in Seattle, WA are:
For Utilization Review jobs in Seattle, WA, the most frequently searched job titles are:
The top searched job categories for Utilization Review jobs in Seattle, WA are:
Cities near Seattle, WA with the most Utilization Review job openings:
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
Sourced by ZipRecruiter
Electrical equipment, appliance, and component manufacturing
11 - 50 Employees
Sarasota, FL, US
1979
