Life Insurance Options * Accidental Insurances * Paid Time Off + Paid Holidays * Employee ... Previous Utilization Review experience in a behavioral healthcare facility preferred. JOB ...
Life Insurance Options * Accidental Insurances * Paid Time Off + Paid Holidays * Employee ... Previous Utilization Review experience in a behavioral healthcare facility preferred. JOB ...
Utilization Review RN
Aurora, CO · On-site
The Utilization Review RN participates as a member of a multidisciplinary team to support medical ... vision insurance, company provided life and disability insurance, paid parental leave, 403b ...
New
Utilization Review RN
Aurora, CO · On-site
The Utilization Review RN participates as a member of a multidisciplinary team to support medical ... vision insurance, company provided life and disability insurance, paid parental leave, 403b ...
New
Utilization Review RN
Aurora, CO · On-site
... Utilization Review RN participates as a member of a multidisciplinary team to support medical ... vision insurance, company provided life and disability insurance, paid parental leave, 403b ...
New
Utilization Review RN
Aurora, CO · On-site
... Utilization Review RN participates as a member of a multidisciplinary team to support medical ... vision insurance, company provided life and disability insurance, paid parental leave, 403b ...
New
Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other ...
Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other ...
Utilization Review Coordinator - Behavioral Health Setting
Highlands Ranch, CO · On-site
$33.33 - $49.99/hr
Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other ...
Utilization Review Coordinator - Behavioral Health Setting
Highlands Ranch, CO · On-site
$33.33 - $49.99/hr
Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other ...
Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other ...
Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other ...
Completes clinical review to determine whether a request can be approved using nationally ... Typically, three years of medical utilization management experience working with a health insurance ...
Completes clinical review to determine whether a request can be approved using nationally ... Typically, three years of medical utilization management experience working with a health insurance ...
Registered Nurse, Utilization Coordinator - Hybrid - Must Reside in Colorado
Denver, CO · On-site
$77K - $116K/yr
This includes all commercial insurance, Medicare, Medicaid and self-pay. These will be reviewed on ... Utilization Review for Insurance Companies * Documents clinical information as required for ...
Registered Nurse, Utilization Coordinator - Hybrid - Must Reside in Colorado
Denver, CO · On-site
$77K - $116K/yr
This includes all commercial insurance, Medicare, Medicaid and self-pay. These will be reviewed on ... Utilization Review for Insurance Companies * Documents clinical information as required for ...
Registered Nurse, Utilization Coordinator - Hybrid - Must Reside in Colorado
Denver, CO · On-site
$77K - $116K/yr
This includes all commercial insurance, Medicare, Medicaid and self-pay. These will be reviewed on ... Utilization Review for Insurance Companies • Documents clinical information as required for ...
Registered Nurse, Utilization Coordinator - Hybrid - Must Reside in Colorado
Denver, CO · On-site
$77K - $116K/yr
This includes all commercial insurance, Medicare, Medicaid and self-pay. These will be reviewed on ... Utilization Review for Insurance Companies • Documents clinical information as required for ...
UR Coordinator
$18 - $25/hr
Sierra Vista is seeking a detail-oriented and knowledgeable Utilization Review (UR) Coordinator to support clinical documentation, insurance authorization processes, and regulatory compliance. This ...
UR Coordinator
$18 - $25/hr
Sierra Vista is seeking a detail-oriented and knowledgeable Utilization Review (UR) Coordinator to support clinical documentation, insurance authorization processes, and regulatory compliance. This ...
Serves as liaison for clients, referral sources, stakeholders, and insurance companies. Negotiates and advocates for client length of stay and level of care. Oversees utilization review activities to ...
Serves as liaison for clients, referral sources, stakeholders, and insurance companies. Negotiates and advocates for client length of stay and level of care. Oversees utilization review activities to ...
Manager, Medical Utilization and Care Management
Denver, CO · On-site
$95K - $130K/yr
... self-insured employers, * Judi Health , which offers full-service health benefit management ... Oversee vendor execution of utilization reviews, including prospective, concurrent, and ...
New
Manager, Medical Utilization and Care Management
Denver, CO · On-site
$95K - $130K/yr
... self-insured employers, * Judi Health , which offers full-service health benefit management ... Oversee vendor execution of utilization reviews, including prospective, concurrent, and ...
New
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 ...
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 ...
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 ...
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 ...
Physician Reviewer-Radiology (Part Time)
Denver, CO · On-site
$95 - $100/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... insurance benefits) to qualifying employees. All compensation determinations are based on the ...
Physician Reviewer-Radiology (Part Time)
Denver, CO · On-site
$95 - $100/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... insurance benefits) to qualifying employees. All compensation determinations are based on the ...
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Quick apply
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Quality Improvement Registered Nurse (Quality RN), Full-Time
Grand Junction, CO · On-site
$43 - $49.45/hr
... utilization review, or a related field within a healthcare setting. * Certified Professional in ... Life Insurance * Free Parking * Paid time off * Education assistance * 403(b) with employer ...
Quality Improvement Registered Nurse (Quality RN), Full-Time
Grand Junction, CO · On-site
$43 - $49.45/hr
... utilization review, or a related field within a healthcare setting. * Certified Professional in ... Life Insurance * Free Parking * Paid time off * Education assistance * 403(b) with employer ...
Knowledge of criteria for Medicare, Medicaid, and private insurance coverage * Minimum of three (3) ... years Utilization Review experience preferred. * Certification as a Certified Clinical ...
Knowledge of criteria for Medicare, Medicaid, and private insurance coverage * Minimum of three (3) ... years Utilization Review experience preferred. * Certification as a Certified Clinical ...
Insurance Utilization Review information
See Colorado salary details
$22.50 - $27.05
2% of jobs
$27.05 - $31.60
9% of jobs
$34.71 is the 25th percentile. Wages below this are outliers.
$31.60 - $36.15
21% of jobs
The median wage is $39.83 / hr.
$36.15 - $40.70
23% of jobs
$40.70 - $45.25
13% of jobs
$48.78 is the 75th percentile. Wages above this are outliers.
$45.25 - $49.80
10% of jobs
$49.80 - $54.35
8% of jobs
$54.35 - $58.90
5% of jobs
$58.90 - $63.45
5% of jobs
$63.45 - $67.99
2% of jobs
$67.99 - $72.54
2% of jobs
$22
$44
$72
How much do insurance utilization review jobs pay per hour?
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.
- Full Time Physician Advisor Utilization Review
- Part Time Utilization Review Nurse
- Utilization Review Physician
- Behavioral Health Utilization Review
- Utilization Review Specialist
- Utilization Management
- Per Diem Utilization Review Nurse
- Remote Utilization Management
- Remote Chart Review Nurse
- Utilization Review Nurse
- Remote Hca Utilization Review
- Remote Bcba Utilization Review
- Authorization Utilization Review
- Registered Nurse Case Review
- Full Time Bcba Utilization Review
- Utilization Review Coordinator
- Cigna Utilization Review Remote
- Remote Occupational Therapy Utilization Review
- Utilization Review
- Nurse Practitioner Utilization Review

$46K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 17 days ago
Job description
Job Address:
4770 Larimer Pkwy Johnstown, CO 80534New Vista Health and Wellnessis currently recruiting aUtilization Review Coordinator!
WHO WE ARE
The New Vista mission:Inspiring Hope, Restoring Peace of Mind, Healing Lives.At New Vista, our passionate and highly trained team of professionals inspires hope and delivers holistic care to those in need of behavioral health services in a contemporary and healing environment - one that is conducive to providing the life skills needed to regain stability and independence. With a blend of group therapy, clinical treatment, and unique surroundings, our beautiful healthcare centers provide a safe, serene, healing environment for adults and seniors with a variety of complex needs.
Our compassionate team members work in a challenging yet rewarding environment where each person is a part of making direct impact on our patient's lives.
COME JOIN OUR TEAM ASUTILIZATION REVIEW COORDINATOR ATSIERRA VISTA!
Salary: Up to $46K
PERKS AT WORK
Team Members enjoy a variety of perks in working with the NewVista brand company. We offer competitive market wages along with a full, robust package:
Healthcare + Life Balance
- Medical Packages with Rx - 3 Choices
- Flexible Spending Accounts (FSA)
- Dependent Day Care
- Spending Accounts
- Health Spending Accounts (HSA) with a company match
- Dental Care Program - 2 choices
- Vision Plan
- Life Insurance Options
- Accidental Insurances
- Paid Time Off + Paid Holidays
- Employee Assistance Programs
- 401k with a Company Match
Education + Leadership Development
- Up to $15,000 in Tuition Reimbursements OR Student Loan forgiveness
- Handle with Care Trainer - Certifications
Recognition + Rewards
- On the spot recognition
- Prizes
- Team Member of the Quarter
- Team Member of the Year
- Monthly Celebrations
- Team Member Recognition Cards
Education
- High school diploma or GED (Required)
- Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences, or related field preferred.
- Previous Utilization Review experience in a behavioral healthcare facility preferred.
JOB RESPONSIBILITIES
As Utilization Review Coordinator, you will :
- Obtain initial authorizations and provide discharge notifications for inpatient and outpatient behavioral health treatment.
- Coordinate authorization information with third party payors in a timely manner.
- Complete thorough and accurate documentation in all required systems.
- Maintain communication system based on documentation and verbal exchange regarding treatment with other UM staff and staff at the facilities as needed.
- Reports appropriate denial and authorization information to designated resource.
- Assist UM Specialists in scheduling and following up on results of Peer to Peer requests for physicians and CNP.
- Provide support to the UM Specialists.
Skills:
- Ability to multi-task
- Strong organization skills
- Strong problem-solving skills
- Ability to work well independently and as a part of a team
Qualified candidates, apply now for a chance to join our outstanding team as weInspire Hope, Restore Peace of Mind, and Heal Lives.