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Insurance Utilization Review Jobs in Colorado (NOW HIRING)

Delta Health

Case Manager

Delta, CO · On-site

$33.19 - $47.97/hr

Description Position Summary The Case Manager / Utilization Review (UR) is responsible for ... Life & Disability Insurance - Employer-paid coverage for your peace of mind. * Time Off - Over 4 ...

Delta Health

Case Manager

Delta, CO · On-site

$18.75 - $24.25/hr

Position Summary The Case Manager / Utilization Review (UR) is responsible for utilization review ... Life & Disability Insurance - Employer-paid coverage for your peace of mind. * Time Off - Over 4 ...

UCHealth

Utilization Management RN

Aurora, CO · On-site +1

$38.91 - $60.31/hr

Reviews admissions and service requests within assigned unit for prospective, concurrent, and ... Voluntary benefits such as accident insurance, critical illness insurance, group legal plan ...

UCHealth

Utilization Management RN

Aurora, CO · On-site

$38.91 - $60.31/hr

Reviews admissions and service requests within assigned unit for prospective, concurrent, and ... Voluntary benefits such as accident insurance, critical illness insurance, group legal plan ...

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All JobsInsurance Utilization Review JobsInsurance Utilization Review Jobs in Colorado

Insurance Utilization Review information

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$44

$72

How much do insurance utilization review jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for insurance utilization review in Colorado is $44.46, according to ZipRecruiter salary data. Most workers in this role earn between $35.14 and $51.06 per hour, depending on experience, location, and employer.

What are the most common challenges faced by Insurance Utilization Review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

What are the key skills and qualifications needed to thrive in the Insurance Utilization Review position, and why are they important?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What is an Insurance Utilization Review job?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are popular job titles related to Insurance Utilization Review jobs in Colorado? For Insurance Utilization Review jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Review jobs in Colorado look for? The top searched job categories for Insurance Utilization Review jobs in Colorado are:
What cities in Colorado are hiring for Insurance Utilization Review jobs? Cities in Colorado with the most Insurance Utilization Review job openings:
Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Colorado as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $92,477 per year, or $44.5 per hour.

Utilization Review Coordinator

NRT |Foundry Treatment Center

Steamboat Springs, CO • On-site

$63K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

Description:

Utilization Review Coordinator


Reports to: Utilization Review Manager

Job Category: Salaried | Exempt | Full-Time

Salary Range: $63,000-$85,000 per year (depending on experience and licensure)

Job Site: Remote

Schedule: Business hours, with potential for weekend rotation


Job Summary:

The Utilization Review Coordinator supports utilization review functions by obtaining and tracking authorizations, maintaining accurate documentation, and ensuring timely communication with payors and clinical staff. This role plays a key part in supporting continuity of care, regulatory compliance, and reimbursement for behavioral health services.


Education and Experience:

  • Bachelor’s degree required, Master’s degree preferred.
  • Professional clinical or nursing license strongly preferred (LPC, LCSW, LMFT, LPN, RN).
  • Experience in utilization review, care coordination, or healthcare administration preferred.
  • Behavioral health experience strongly preferred.
  • Knowledge of insurance authorization processes and medical necessity criteria a plus.

Required Skills/Abilities:

  • Strong organizational and time management skills.
  • Attention to detail and accuracy.
  • Ability to manage multiple tasks and deadlines.
  • Clear and professional communication skills.
  • Ability to work collaboratively with clinical and administrative teams.
  • Problem-solving and follow-up skills.
  • Familiarity with electronic health records and healthcare documentation standards.
  • Proficient with Google Workspace or related software.

Duties/Responsibilities:

  • Submit initial and continued stay authorization requests to insurance payors.
  • Track authorization approvals, denials, and expiration dates.
  • Maintain accurate and timely documentation in the electronic health record.
  • Communicate authorization status to clinical and administrative staff.
  • Assist with gathering clinical information for utilization reviews and audits.
  • Follow up with insurance companies to ensure timely determinations.
  • Support peer-to-peer reviews by coordinating required documentation and scheduling.
  • Identify potential authorization issues and escalate to the Utilization Review Manager as needed.
  • Ensure compliance with payor requirements, timelines, and internal policies.
  • Assist with data tracking and reporting related to utilization and denials.
  • Other duties as assigned.

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer.
  • Standing, sitting, bending, reaching.
  • Must be able to see, hear, talk, read, write, type.
  • Exposure to clinical and medical environments.

Benefits & Perks:

Health and Wellness

  • Medical, dental and vision insurance*
  • Supplemental accident and hospital indemnity coverage*
  • Voluntary Term Life insurance*
  • Employee Assistance Program
  • Monthly wellness reimbursement*

Financial

  • Competitive salary
  • Employee recognition and rewards programs
  • Employee referral incentive program
  • Employer-sponsored 401(k) plan

Work/Life Perks

  • Professional growth and development
  • Continuing education reimbursement
  • Unlimited paid time off (exempt employees) + sick days
  • Paid time off policy (non-exempt employees) + sick days
  • Paid holidays (exempt) or ability to earn 1.5x base hourly rate (non-exempt)

*Full-time employees


This description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.


Requirements: