... 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 ...
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 ...
Broomfield, CO · On-site
$41.43 - $62.15/hr
Obtains insurance authorizations and approvals; provides third party payors with information required for approval process. Reports on utilization review activities. Coordinates admissions with shift ...
Broomfield, CO · On-site
$41.43 - $62.15/hr
Obtains insurance authorizations and approvals; provides third party payors with information required for approval process. Reports on utilization review activities. Coordinates admissions with shift ...
Hudson, CO · On-site
$26.05/hr
The Referral Coordinator attends scheduled Utilization Review Committee (URC) meetings, tracking ... Insurance Portability and Accountability Act (HIPAA), Program Statements and GEO policy. * The ...
Hudson, CO · On-site
$26.05/hr
The Referral Coordinator attends scheduled Utilization Review Committee (URC) meetings, tracking ... Insurance Portability and Accountability Act (HIPAA), Program Statements and GEO policy. * The ...
Hudson, CO · On-site
$26.05/hr
The Referral Coordinator attends scheduled Utilization Review Committee (URC) meetings, tracking ... Insurance Portability and Accountability Act (HIPAA), Program Statements and GEO policy. * The ...
Hudson, CO · On-site
$26.05/hr
The Referral Coordinator attends scheduled Utilization Review Committee (URC) meetings, tracking ... Insurance Portability and Accountability Act (HIPAA), Program Statements and GEO policy. * The ...
Hudson, CO · On-site
$20.25 - $26.50/hr
The Referral Coordinator attends scheduled Utilization Review Committee (URC) meetings, tracking ... Insurance Portability and Accountability Act (HIPAA), Program Statements and GEO policy. * The ...
Hudson, CO · On-site
$20.25 - $26.50/hr
The Referral Coordinator attends scheduled Utilization Review Committee (URC) meetings, tracking ... Insurance Portability and Accountability Act (HIPAA), Program Statements and GEO policy. * The ...
Hudson, CO · On-site
$26.05/hr
The Referral Coordinator attends scheduled Utilization Review Committee (URC) meetings, tracking ... Insurance Portability and Accountability Act (HIPAA), Program Statements and GEO policy. * The ...
Quick apply
Hudson, CO · On-site
$26.05/hr
The Referral Coordinator attends scheduled Utilization Review Committee (URC) meetings, tracking ... Insurance Portability and Accountability Act (HIPAA), Program Statements and GEO policy. * The ...
Lakewood, CO · On-site
$20.73 - $35.17/hr
Prioritize, manage, and document communications relating to insurance requests, authorizations ... Three (3) or more years experience in health care, care coordination, utilization review, discharge ...
Lakewood, CO · On-site
$20.73 - $35.17/hr
Prioritize, manage, and document communications relating to insurance requests, authorizations ... Three (3) or more years experience in health care, care coordination, utilization review, discharge ...
Parker, CO · On-site
$30 - $35/hr
... utilization review meetings, rehabilitation meetings, etc. Participate in facility and company ... Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance ...
Parker, CO · On-site
$30 - $35/hr
... utilization review meetings, rehabilitation meetings, etc. Participate in facility and company ... Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance ...
Hudson, CO · On-site
$26.05/hr
The Referral Coordinator attends scheduled Utilization Review Committee (URC) meetings, tracking ... Insurance Portability and Accountability Act (HIPAA), Program Statements and GEO policy. * The ...
Quick apply
Hudson, CO · On-site
$26.05/hr
The Referral Coordinator attends scheduled Utilization Review Committee (URC) meetings, tracking ... Insurance Portability and Accountability Act (HIPAA), Program Statements and GEO policy. * The ...
Parker, CO · On-site
$30 - $35/hr
... patient care conferences, utilization review meetings, rehabilitation meetings, etc. • ... Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance ...
Parker, CO · On-site
$30 - $35/hr
... patient care conferences, utilization review meetings, rehabilitation meetings, etc. • ... Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance ...
Fort Collins, CO · On-site
$100K - $120K/yr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Fort Collins, CO · On-site
$100K - $120K/yr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Westminster, CO · On-site
$100 - $150/hr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Westminster, CO · On-site
$100 - $150/hr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Westminster, CO · On-site
$100K - $120K/yr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Westminster, CO · On-site
$100K - $120K/yr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Loveland, CO · On-site
$77K - $105K/yr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Loveland, CO · On-site
$77K - $105K/yr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Fort Collins, CO · On-site
$79K - $107K/yr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Fort Collins, CO · On-site
$79K - $107K/yr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Denver, CO · On-site
$82K - $112K/yr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Denver, CO · On-site
$82K - $112K/yr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Fort Collins, CO · On-site
$110 - $170/hr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Fort Collins, CO · On-site
$110 - $170/hr
Ensure impeccable and timely client documentation, collaborating with Utilization Review as ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Monitor documentation, treatment planning, and utilization review to ensure quality and efficiency ... Medical, Dental, Vision, Life Insurance + 401k with Company Match * Paid Time Off + Paid Holidays
Monitor documentation, treatment planning, and utilization review to ensure quality and efficiency ... Medical, Dental, Vision, Life Insurance + 401k with Company Match * Paid Time Off + Paid Holidays
Fort Collins, CO · On-site
$21 - $25/hr
... Utilization Review team to secure all referrals and authorizations needed prior to admissionCollaborate with Case Manager on special insurance needs (FMLA, COBRA) and creation of aftercare ...
New
Quick apply
Fort Collins, CO · On-site
$21 - $25/hr
... Utilization Review team to secure all referrals and authorizations needed prior to admissionCollaborate with Case Manager on special insurance needs (FMLA, COBRA) and creation of aftercare ...
New
Fort Collins, CO · On-site
$100K - $120K/yr
... Utilization Review as necessaryWhat We're Looking ForMaster's degree (or higher) in related field ... Insurance Dental VisionAccidentCritical IllnessHospital IndemnityVoluntary Short-Term ...
Quick apply
Fort Collins, CO · On-site
$100K - $120K/yr
... Utilization Review as necessaryWhat We're Looking ForMaster's degree (or higher) in related field ... Insurance Dental VisionAccidentCritical IllnessHospital IndemnityVoluntary Short-Term ...
$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
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.
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.
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.
The most popular types of Insurance Utilization Review jobs in Colorado are:
For Insurance Utilization Review jobs in Colorado, the most frequently searched job titles are:
The top searched job categories for Insurance Utilization Review jobs in Colorado are:
Cities in Colorado with the most Insurance Utilization Review job openings:

Dane Street is expanding our physician panel! We are seeking a skilled and board-certified Neuropsychologist in Vail, CO to join our team for Independent Medical Examinations (IMEs). This role offers flexible scheduling, allowing you to select or decline assignments based on your availability. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.
Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations.
Key Responsibilities:
Requirements
Benefits
If you are a dedicated Neuropsychologist looking for a flexible opportunity to apply your expertise in an IME capacity, we encourage you to apply.
Sourced by ZipRecruiter
Insurance actuarial and claim adjusting services
51 - 200 Employees
Boston, MA, US