Utilization Review RN
Company: Providence Health and Services
Location: Washington
Posted on: February 9, 2026
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Job Description:
Description The Utilization Review (UR) Nurse has a strong
clinical background blended with a well-developed knowledge and
skills in Utilization Management (UM), medical necessity and
patient status determination. This individual supports the UM
program by developing and maintaining effective, efficient
processes for determining the appropriate admission status based on
regulatory and reimbursement requirements of commercial and
government payers. Providence caregivers are not simply valued –
they’re invaluable. Join our team at Swedish Shared Services and
thrive in our culture of patient-focused, whole-person care built
on understanding, commitment, and mutual respect. Your voice
matters here, because we know that to inspire and retain the best
people, we must empower them. Required Qualifications: Bachelor's
Degree in Nursing degree (BSN) from an accredited school of
nursing. Upon hire: Washington Registered Nurse License 3 years of
Registered nursing experience in the clinical setting. Preferred
qualifications: Upon hire: ACM or CCM certification 1 year of Case
management experience. Why Join Providence? Our best-in-class
benefits are uniquely designed to support you and your family in
staying well, growing professionally and achieving financial
security. We take care of you, so you can focus on delivering our
mission of improving the health and wellbeing of each patient we
serve. About Providence At Providence, our strength lies in Our
Promise of “Know me, care for me, ease my way.” Working at our
family of organizations means that regardless of your role, we’ll
walk alongside you in your career, supporting you so you can
support others. We provide best-in-class benefits and we foster an
inclusive workplace where diversity is valued, and everyone is
essential, heard and respected. Together, our 120,000 caregivers
(all employees) serve in over 50 hospitals, over 1,000 clinics and
a full range of health and social services across Alaska,
California, Montana, New Mexico, Oregon, Texas and Washington. As a
comprehensive health care organization, we are serving more people,
advancing best practices and continuing our more than 100-year
tradition of serving the poor and vulnerable. Posted are the
minimum and the maximum wage rates on the wage range for this
position. The successful candidate's placement on the wage range
for this position will be determined based upon relevant job
experience and other applicable factors. These amounts are the base
pay range; additional compensation may be available for this role,
such as shift differentials, standby/on-call, overtime, premiums,
extra shift incentives, or bonus opportunities. Providence offers a
comprehensive benefits package including a retirement 401(k)
Savings Plan with employer matching, health care benefits (medical,
dental, vision), life insurance, disability insurance, time off
benefits (paid parental leave, vacations, holidays, health issues),
voluntary benefits, well-being resources and much more. Learn more
at providence.jobs/benefits. Applicants in the Unincorporated
County of Los Angeles: Qualified applications with arrest or
conviction records will be considered for employment in accordance
with the Unincorporated Los Angeles County Fair Chance Ordinance
for Employers and the California Fair Chance Act. About the Team
Providence Swedish is the largest not-for-profit health care system
in the greater Puget Sound area. It is comprised of eight hospital
campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill
(Seattle), First Hill (Seattle), Issaquah and Olympia); emergency
rooms and specialty centers in Redmond (East King County) and the
Mill Creek area in Everett; and Providence Swedish Medical Group, a
network of 190 primary care and specialty care locations throughout
the Puget Sound. Whether through physician clinics, education,
research and innovation or other outreach, we’re dedicated to
improving the wellbeing of rural and urban communities by expanding
access to quality health care for all. Providence is proud to be an
Equal Opportunity Employer. We are committed to the principle that
every workforce member has the right to work in surroundings that
are free from all forms of unlawful discrimination and harassment
on the basis of race, color, gender, disability, veteran, military
status, religion, age, creed, national origin, sexual identity or
expression, sexual orientation, marital status, genetic
information, or any other basis prohibited by local, state, or
federal law. We believe diversity makes us stronger, so we are
dedicated to shaping an inclusive workforce, learning from each
other, and creating equal opportunities for advancement. For any
concerns with this posting relating to the posting requirements in
RCW 49.58.110(1), please click here where you can access an email
link to submit your concern. Requsition ID: 413245 Company: Swedish
Jobs Job Category: Health Information Management Job Function:
Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track:
Nursing Department: 3900 SS CASE MANAGEMENT Address: WA Seattle
1730 Minor Ave Work Location: Swedish Metropolitan Park
East-Seattle Workplace Type: On-site Pay Range: $51.43 - $79.84 The
amounts listed are the base pay range; additional compensation may
be available for this role, such as shift differentials,
standby/on-call, overtime, premiums, extra shift incentives, or
bonus opportunities. PandoLogic. Category:Healthcare,
Keywords:Utilization Review Nurse, Location:Seattle, WA-98104
Keywords: Providence Health and Services, Franconia , Utilization Review RN, Healthcare , Washington, Virginia
