WA · Spokane · Updated October 15, 2026

Utilization Review Nurse jobs in Spokane, WA

Utilization Review Nurses in the Spokane area earn a median of $47.73 per hour, about $99,290 a year, and the middle half of them earn between $44.58 and $59.59. That ranks 71st of 379 U.S. metro areas for utilization review nurse pay, and 64th of 335 once local prices are factored in. The CMS hospital directory lists 6 hospitals in Spokane. Tell us your role and we email current openings near Spokane.

Utilization Review Nurse pay in Spokane, WA

The metro median is 11% below the Washington statewide median of $53.93 per hour. Nationally the median is $45.00 per hour. BLS counts about 6,480 registered nurses employed in the Spokane-Spokane Valley metro area, 25.4 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.19).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$39.79$82,76012% below U.S. median
Lower quartile$44.58$92,7301% below U.S. median
Median$47.73$99,2906% above U.S. median
Upper quartile$59.59$123,95032% above U.S. median
Top 10%$65.40$136,03045% above U.S. median

How Spokane ranks

  • 71st of 379 U.S. metro areas by median hourly pay
  • 64th of 335 after adjusting for local prices
  • 7th of 8 Washington metro areas

BLS does not publish a separate figure for utilization review nurse. These numbers are for the broader category it belongs to, Registered Nurses.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Registered Nurses (SOC 29-1141), all industries. This is what employers report paying, not an offer for a specific role.

What your pay buys in Spokane

  • Overall prices in Spokane-Spokane Valley run in line with the U.S. average (index 100.3, U.S. = 100).
  • Housing is the biggest driver: 3% below the U.S. average (index 97.1).
  • Adjusted for local prices, a $47.73 median hour buys what $47.57 buys at the national price level, 6% above the national median.

Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.

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Estimated weekly gross$1,718
  • Per year: $85,914
  • Per month: $7,160
  • Washington has no state income tax on wages.

Gross pay before taxes and benefits, from BLS pay levels for the Spokane-Spokane Valley metro area. For take-home pay use the take-home pay calculator.

Hospitals in Spokane

CMS lists 6 hospitals in Spokane.

HospitalTypeOwnershipCMS ratingEmergency
Spokane Va Medical Center
Spokane, WA
Acute Care - Veterans AdministrationGovernment and federal4 of 5Yes
Deaconess Medical Center
Spokane, WA
Acute careNonprofit3 of 5Yes
Prov Sacred Hrt Med Ctr & Childs Hosp.
Spokane, WA
Acute careNonprofit3 of 5Yes
Providence Holy Family Hospital
Spokane, WA
Acute careNonprofit3 of 5Yes
Shriners Hospital For Children
Spokane, WA
Children'sNonprofitNot ratedNo
Inland Northwest Behavioral Health
Spokane, WA
PsychiatricFor-profitNot ratedNo

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Utilization Review Nurse pay in nearby cities

CityDistanceMedian payPopulation
Spokane Valley, WA9 mi$47.73/hr108,267
Coeur d'Alene, ID30 mi$45.61/hr57,355
Pasco, WA125 mi$48.34/hr81,724
Richland, WA130 mi$48.34/hr64,372
Kennewick, WA131 mi$48.34/hr86,728
Yakima, WA164 mi$47.23/hr97,390

Utilization Review Nurse jobs in Washington · Utilization Review Nurse jobs nationwide

What employers ask for, and tax basics in Washington

Utilization review nurses assess admissions and services for medical necessity and coordinate with payers.

  • Active RN license
  • Clinical experience in acute care
  • InterQual or MCG experience

Washington does not tax wage income at the state level, so take-home pay is higher than the same gross pay in a state that does.

Washington state guide · Nurse Licensure Compact guide

Other healthcare roles in Spokane

Spokane city guide: hospitals, employers and licensing

Common questions

How much do utilization review nurses make in Spokane, WA?

Utilization Review Nurses in the Spokane-Spokane Valley metro area have a median pay of $47.73 per hour, about $99,290 a year. The middle half earn between $44.58 and $59.59 per hour (BLS, May 2024).

Is Spokane a good place for utilization review nurses once cost of living is counted?

Spokane-Spokane Valley ranks 64th of 335 metro areas for utilization review nurse pay after adjusting for local prices, and 71st of 379 before adjusting. Overall prices run in line with the U.S. average.

Where do utilization review nurses work in Spokane?

CMS lists 6 hospitals in Spokane, led by Spokane Va Medical Center. Ask for the free report to see current openings and pay.

Do I need a Washington license to work in Spokane as an utilization review nurse?

Washington is not in the Nurse Licensure Compact as of October 15, 2026, so a nurse licensed elsewhere applies to the Washington board for a license by endorsement before working here. Confirm with the board before you accept a role.

Does Valorem Health place utilization review nurses in Spokane?

Yes. We place healthcare staff in Spokane and across Washington. Tell us your profession and we email the roles open near Spokane.

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Pay report · UR Nurse near Spokane, WA
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1Pay for your role at other hospitals

  • Emanate HealthCovina, CA · 1 posting$66.34/ hr$52–$81
  • Veterans Health AdministrationPhiladelphia, PA · 1 posting$56.65/ hr$39–$74
  • MaineGeneral HealthAugusta, ME · 1 posting$53.62/ hr$39–$68
  • Trinity HealthConnecticut · 1 posting$48.05/ hr$36–$60

Median posted pay per hour, with the range each employer published. Request your Washington list

2What they are offering now

Low$36Median$45.44High$66

11 UR Nurse postings with published pay in the US, 10 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

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Open UR Nurse roles near Spokane, WA, each with pay, shift and start date, arrive with your report.

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