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Manager, Utilization Review, Seattle, WA

Virginia Mason Medical Center


Seattle, WA

February 8, 2018

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Manager, Utilization Review

Management | Fulltime - Regular | Seattle, WA, US | 40 hours per week
Job Number: 172386
Department: Revenue Operations Management
Hours: 8:00 am - 5:00 pm

Honored as Top Hospital of the Decade by The Leapfrog Group, Virginia Mason in Seattle, WA, is internationally recognized as a preeminent organization that is focused on transforming health care. True to that vision, we spent this past decade creating and delivering a multitude of innovations. The results? Industry-changing process improvements and initiatives that have revolutionized our ability to eliminate waste, cut costs, and most importantly, improve the quality of services. Our commitment to Team Medicine and the transformation of health care is what built our reputation as a quality leader, and empowers us with the capability to provide rapid access to care through our Virginia Mason Production System.

As a key member of our leadership team, you will help to continually develop the results-driven initiatives that define our success and are transforming healthcare.

The purpose of this position is to manage and monitor the daily operations of utilization, support care delivery improve on-going access to care at Virginia Mason Hospital. The manager is accountable for the operational, financial, and human resource management of the department. The responsibilities includes utilization review, compliance with Center for Medicaid and Medicare's rules and regulations, improvement of patient flow, denial prevention and improvement of the revenue cycle.


  • This position requires a current Washington State licensure as an RN, a Bachelor's degree in nursing or healthcare related field.
  • 5 years of hospital care team experience.
  • Minimum of three years supervisory experience.
  • Advanced knowledge of insurance rules and regulations, clinical expertise, and proven proficiency in utilization management.
  • Strong written and verbal communication skills are required. Strong interpersonal and organizational skills are required.
  • A Master's degree in a healthcare related field is preferred.

Virginia Mason offers much more than competitive compensation and benefits. With continuing education opportunities and the added potential of relocation assistance, you will find our commitment to your well-being is both rewarding and refreshing.

There is also the lifestyle benefit that comes with finding yourself in the heart of the Pacific Northwest. Surrounded by the vibrancy and sophistication of one of the most livable cities in the country, finding the perfect urban or outdoor pursuit will instinctively and pleasurably become second nature.

We are an equal opportunity/affirmative action employer.

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