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Registered Nurse - Utilization Review – UHC Staffing

Registered Nurse - Utilization Review

Location: Everett, WA

Start Date: 05-04-2026

End Date: 08-03-2026

Contract Type: Travel Contract

Shift Type: Monday-Friday, 8:00 AM - 4:30 PM (Day, 5x8)

Hours per Week: 40

Candidate Pay Rate: $64 per hour

About United Health Care Staffing

At United Health Care Staffing (UHC Staffing), we believe healthcare staffing should be more than just finding a job. We are here to connect amazing professionals with opportunities that make their careers exciting, rewarding, and meaningful. With us, you're not just signing up for a contract you are joining a team that's got your back, answers your calls, and maybe even cracks a joke or two to brighten your day. Think of us as the travel buddy who handles the logistics while you focus on what you do best helping people heal.

Roles & Responsibilities

  • Perform utilization review activities including concurrent review, continued stay reviews, and retrospective review
  • Apply InterQual and Milliman criteria to determine medical necessity and appropriate level of care
  • Review clinical documentation and code diagnoses and procedures using ICD-10 and CPT standards
  • Collaborate with care teams and case managers to support timely, patient-centered decisions
  • Document findings and decisions accurately in EPIC and ensure compliance with regulatory standards
  • Support regulatory and quality initiatives related to CMS, NCQA, HEDIS, DRG, HIPAA, OSHA, and The Joint Commission
  • Communicate clearly and compassionately with clinicians, patients, and payers to facilitate safe transitions of care
  • Contribute to process improvement and best practices in utilization management

Qualifications

  • Active WA RN License required (pending licenses are not accepted)
  • BLS certification required
  • Minimum 1 year of clinical or relevant utilization review experience; first-timers accepted — we welcome motivated learners
  • Proficiency with EPIC charting required
  • Familiarity with ICD-10 and CPT coding and with InterQual or Milliman guidelines preferred
  • Ability to work fully remote and provide any RTO (return-to-office) restrictions at time of submittal

Knowledge & Skills

  • Utilization Review principles and workflows
  • Concurrent, continued stay, and retrospective review processes
  • InterQual criteria and Milliman guidelines
  • ICD-10 diagnosis coding and CPT procedure coding
  • DRG, HEDIS measures, CMS regulations, and NCQA standards
  • HIPAA compliance and documentation best practices
  • EPIC electronic health record navigation and charting
  • Strong clinical judgment, communication, and collaboration skills

Benefits

  • Fully remote role so you can skip the commute and work from your favorite home office setup
  • Facility-paid parking available for any required onsite visits
  • Guaranteed 72 hours every two weeks for predictable scheduling
  • Work with a Level II Trauma Center team while charting in EPIC — great exposure and learning
  • Hands-on experience with InterQual and Milliman guidelines to build your utilization review expertise
  • Observed major holidays are listed by the facility for planning purposes
  • Supportive team culture focused on quality, compliance, and professional growth

Travel Perks: Explore Everett, WA

This role is based in the Everett area. When you have downtime, explore the Boeing Future of Flight and the Everett Aviation attractions, stroll the waterfront and boardwalk, visit Mukilteo Lighthouse Park and its ferry to Whidbey Island for a quick day trip, sample local breweries and farmers markets, or head into nearby Seattle for museums, dining, and city sights. Outdoor lovers will enjoy easy access to Puget Sound recreation and Cascade foothill hiking.

Apply Now

Ready to start your next adventure as a Registered Nurse - Utilization Review? Let's get you moving forward!

Send your resume to [email protected] or call us at 408-441-9200 today.

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