1

Insurance Utilization Review Jobs in Colorado (NOW HIRING)

Sierra Vista is seeking a detail-oriented and knowledgeable Utilization Review (UR) Coordinator to support clinical documentation, insurance authorization processes, and regulatory compliance. This ...

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 ...

next page

Showing results 1-20

Insurance Utilization Review information

See Colorado salary details

$22

$44

$72

How much do insurance utilization review jobs pay per hour?

As of Jul 26, 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 the most commonly searched types of Insurance Utilization Review jobs in Colorado? The most popular types of 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:
Infographic showing various Insurance Utilization Review job openings in Colorado as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $92,477 per year, or $44.5 per hour.

Utilization Review (UR) Coordinator

Communicarehealth

Johnstown, CO

$46K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago


Job description

Job Address:

4770 Larimer Pkwy Johnstown, CO 80534


New 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.