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Assistant Remote Utilization Review Jobs in Colorado

ERC Pathlight

Utilization Review Manager

Denver, CO · On-site +1

$93K - $117K/yr

Remote : Mondays and Fridays * On-site in our Denver Office: Tuesdays, Wednesdays, and Thursdays The compensation range for this position is based upon candidate experience and market expectations.

UCHealth

Utilization Management RN

Aurora, CO · On-site +1

$38.91 - $60.31/hr

... remote option Summary: * Ensures that services are delivered and documented in a manner that ... Reviews admissions and service requests within assigned unit for prospective, concurrent, and ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Aurora, CO · On-site +1

$57.25 - $69.75/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

CVS Health

Case Manager, Registered Nurse

Denver, CO · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

SRS Acquiom

Contract Review Attorney

Denver, CO · On-site +1

$105K - $120K/yr

This is a Remote position with some travel to the Denver, CO office required (Up to 25 ... * Assist the Compliance Team with various tasks as designated overflow. * Execution of special ...

Wing Assistant

Sales Development Representative

Denver, CO · On-site +1

$40K - $50K/yr

At Wing, we give growing businesses access to the top tier of global remote talent supercharged by ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...

Solid Rock Recruiting LLC

Remote Tax Manager

Denver, CO · On-site +1

$135K - $195K/yr

Prepare and review: * Individual (1040), business (1120S, 1065), and basic corporate returns ... * Assist with year-end planning and projections * Ensure compliance with federal and state tax ...

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Assistant Remote Utilization Review information

What is the difference between Assistant Remote Utilization Review vs Utilization Review Nurse?

AspectAssistant Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, certification in case management or utilization reviewRegistered Nurse (RN) license, often with additional certifications in case management or utilization review
Work EnvironmentRemote, administrative setting, telehealth or telecommutingRemote or hospital/clinic settings, primarily telehealth or administrative
Employer & IndustryHealth insurance companies, managed care organizations, healthcare providersHospitals, insurance companies, healthcare organizations

Both roles involve reviewing patient cases to determine appropriate care and resource utilization. The Assistant Remote Utilization Review typically supports the process with administrative tasks and basic review, while the Utilization Review Nurse performs more in-depth clinical assessments. Both require nursing credentials and often work remotely within healthcare or insurance industries.

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Assistant Remote Utilization Review jobs near you

Utilization Review Manager

ERC Pathlight

Denver, CO • On-site, Remote

$93K - $117K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago

Be an early applicant

Job description

Who We Are

At ERC Pathlight, we're on a mission to change lives—and we're looking for people who feel called to do the same.

As one of the nation's leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country. With multiple locations nationwide and extensive virtual programming, we meet patients exactly where they are and help them move toward lasting recovery.

Founded in 2008 by renowned psychiatrists and psychologists, ERC Pathlight now supports more than 6,000 patients each year. And as the need for world-class mental health care continues to rise, our commitment is stronger than ever: to expand access, elevate the standard of care, and empower every patient to rebuild their life with dignity and hope.

Why Join Us

When you join ERC Pathlight, you become part of a team that shows up every day to make a real difference. You'll work alongside passionate clinicians, dedicated support staff, and mission-driven leaders who believe in collaboration, growth, and doing the right thing—always.

Here, your work matters. Your ideas matter. You matter.

If you're energized by purpose, motivated by impact, and ready to help transform the future of mental health treatment, you belong here.

Come build hope. Come save lives. Come grow with us.

What You'll Be Doing:

As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review Specialists and oversee Utilization Review operations. This role coordinates with Clinical Managers and Directors, Physicians, Business Office, and Managed Care Organizations to assure the smooth operation of Utilization Review functions and the provision of optimal patient care.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Clinically supervises teammates in 1:1 and group settings; provides in-moment assistance on escalated issues. Provides oversight to assigned team by supervising, guiding, and directing employees to be effective team members. Ensures that everyone is equipped with the right skills, tools, and talents necessary for executing their duties. Using the established people processes (performance, development, succession, and career) to ensure that the team's level of performance and capabilities meet current and future standards.
  • Advocates for optimal patient care in clinical care determination reviews by proactively reviewing and synthesizing the medical record for discussion with licensed mental health counselors and social workers and RNs at managed care organizations
  • Liaison with regional management teams to discuss clinical issues and facilitate solutions to situations that involve the UR process
  • Oversees regional caseload allocation
  • Attends treatment team meetings to share information and represent UR department; shares clinical documentation quality concerns

Education Requirements:

  • Graduate Degree - Master's degree in psychology, counseling or social work. Alternatively, a bachelor's in Nursing

License and Certification Requirements

  • RN, IF nurse (Required)
  • Full clinical licensure, if mental health. (Required)

Knowledge, Skills and Abilities:

  • 4 to 6 years Utilization review experience (Required)
  • 2 years post-degree mental health experience in direct patient care (Required)
  • 2 years management experience (Preferred)
  • Willingness to work occasional night/weekends

Location & Schedule:

This position is posted as remote; however, per company policy, candidates residing within a 35‑mile radius of ZIP code 80230 will be required to follow a hybrid schedule, even if they applied to the remote posting.
  • Remote: Mondays and Fridays
  • On-site in our Denver Office: Tuesdays, Wednesdays, and Thursdays

The compensation range for this position is based upon candidate experience and market expectations.

Colorado pay range
$93,000—$117,000 USD

What We Offer

At ERC Pathlight, caring for people is our mission and that begins with caring for our own team. Your well-being matters, and our benefit program is designed to support every part of your life.

We offer competitive compensation; comprehensive medical, dental, and vision coverage; generous Paid Time Off; Parental Leave benefits; Retirement benefits; and tuition reimbursement to help you continue growing in your career.

We also recognize that mental health is part of every person's experience. That's why we strive to create a workplace where you feel supported, seen, and encouraged—personally, professionally, and at home.

When you thrive, you can do your best work. And your best work changes lives.