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Insurance Utilization Review Jobs in Colorado (NOW HIRING)

Lifepoint Health

Utilization Review Director

Englewood, CO · On-site

$110K - $148K/yr

Utilization Review Director Job Type: Onsite, Full-time Pay rate: $$110,000 -$148,000 Work Schedule ... insurance or other funding source. * Be available to educate staff members from other relevant ...

Sierra Vista

UR Coordinator

Johnstown, CO

$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 ...

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 ...

Incredible Health

Nurse Case Manager (RN)

Parker, CO · On-site

$62K - $101K/yr

... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...

Incredible Health

Nurse Case Manager (RN)

Aurora, CO · On-site

$62K - $101K/yr

... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...

Incredible Health

Nurse Case Manager (RN)

Parker, CO

$62K - $101K/yr

... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...

Incredible Health

Nurse Case Manager (RN)

Parker, CO

$62K - $101K/yr

... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...

Incredible Health

Nurse Case Manager (RN)

Parker, CO · On-site

$62K - $101K/yr

... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...

Incredible Health

Nurse Case Manager (RN)

Aurora, CO

$62K - $101K/yr

... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...

Incredible Health

Nurse Case Manager (RN)

Aurora, CO

$62K - $101K/yr

... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...

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Insurance Utilization Review information

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How much do insurance utilization review jobs pay per hour?

As of Jul 6, 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 24% Full Time, 72% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $92,477 per year, or $44.5 per hour.
Utilization Review Director

Utilization Review Director

Lifepoint Health

Englewood, CO

$110K - $148K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 25 days ago

LifePoint Health rating

5.9

Company rating: 5.9 out of 10

Based on 264 frontline employees who took The Breakroom Quiz

753rd of 877 rated healthcare providers

Job description

Job Title: Utilization Review Director
Job Type: Onsite, Full-time

Pay rate: $$110,000 -$148,000

Work Schedule: Monday-Friday 8am-5pm MST

Your experience matters Denver Springs 

At Denver Springs, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve. 

How you'll contribute 

The responsibility of the Utilization Review Director is to ensure the utilization review activities are completed accurately and timely. This includes the precertification and recertification, peer to peer process, and appeals. The UR Director will report consistently and accurately to the CEO or delegate the authorization status of current patients and appeals. The Director will ensure that all UR staff members follow department and facility procedures. The Director will further ensure that communication with all relevant departments, but especially CBO and Business Office, meets staff and patient needs. The UR Director will report consistently and accurately to the CEO or delegate the authorization status of current patients and appeals

Other Duties Include: 

  • Oversees the UR department, ensuring staff has completed all assignments and monitors performance.
  • Ensures all pre-certifications are completed for inpatient and outpatient services.
  • Ensures all re-certifications are completed for inpatient and outpatient services and reports status to the CEO or delegate.
  • Assists with creation of treatment team agenda and participates to ensure team is aware of coverage info as well as collecting information for communication with insurance or other funding source.
  • Be available to educate staff members from other relevant departments on documentation requirements / medical criteria and does so in a professional, organized, and understandable manner.
  • Works with DON to ensure documentation requirements are met.
  • Ensure appeals are completed thoroughly and on a timely basis.
  • Interface with managed care organizations, external reviews, and other payers.
  • Participates in Administrator on call rotation
  • Communicate with physicians to schedule peer to peer reviews.
  • Accurately report denials.
  • Is available to proctor staff members at other Springstone facilities on relevant policies and procedures. 

What we offer 

We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, PTO, medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. 

Qualifications and requirements 

  • Education: Bachelor's degree required.
  • Experience: Previous utilization review experience in a psychiatric healthcare facility preferred.
  • License: Current unencumbered clinical license strongly preferred. RN license preferred. 
  • Additional Requirements: CPI and CPR preferred within 30 days of hire. May be required to work flexible hours.

About Us 
Denver Springs hospital located in Englewood, CO, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters 

EEOC Statement 

"Denver Springs is an Equal Opportunity Employer. Denver Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." 

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

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About LifePoint Health

Sourced by ZipRecruiter

Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

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