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 ...
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 ...
Montrose, CO · On-site
$36.17 - $57.87/hr
Knowledge of criteria for Medicare, Medicaid, and private insurance coverage * Minimum of three (3) ... years Utilization Review experience preferred. * Certification as a Certified Clinical ...
Montrose, CO · On-site
$36.17 - $57.87/hr
Knowledge of criteria for Medicare, Medicaid, and private insurance coverage * Minimum of three (3) ... years Utilization Review experience preferred. * Certification as a Certified Clinical ...
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 ...
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 ...
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 ...
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 ...
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 ...
Montrose, CO · On-site
$36.17 - $57.87/hr
Knowledge of criteria for Medicare, Medicaid, and private insurance coverage * Minimum of three (3) ... years Utilization Review experience preferred. * Certification as a Certified Clinical ...
Quick apply
Montrose, CO · On-site
$36.17 - $57.87/hr
Knowledge of criteria for Medicare, Medicaid, and private insurance coverage * Minimum of three (3) ... years Utilization Review experience preferred. * Certification as a Certified Clinical ...
Denver, CO · On-site
$37 - $39/hr
... through utilization review, data evaluation and coordination of input from users, management and ... The employee must be 21 years old at a minimum (for insurance provision) and possess a valid in ...
Denver, CO · On-site
$37 - $39/hr
... through utilization review, data evaluation and coordination of input from users, management and ... The employee must be 21 years old at a minimum (for insurance provision) and possess a valid in ...
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 ...
$37 - $39/hr
... through utilization review, data evaluation and coordination of input from users, management and ... The employee must be 21 years old at a minimum (for insurance provision) and possess a valid in ...
Quick apply
$37 - $39/hr
... through utilization review, data evaluation and coordination of input from users, management and ... The employee must be 21 years old at a minimum (for insurance provision) and possess a valid in ...
$37 - $39/hr
... through utilization review, data evaluation and coordination of input from users, management and ... The employee must be 21 years old at a minimum (for insurance provision) and possess a valid in ...
$37 - $39/hr
... through utilization review, data evaluation and coordination of input from users, management and ... The employee must be 21 years old at a minimum (for insurance provision) and possess a valid in ...
Denver, CO · On-site +1
$22.84 - $27.40/hr
Experience supporting continued stay, utilization management, or regulatory eligibility reviews in ... Our extensive benefits package includes medical/dental/vision insurance, short and long-term ...
Denver, CO · On-site +1
$22.84 - $27.40/hr
Experience supporting continued stay, utilization management, or regulatory eligibility reviews in ... Our extensive benefits package includes medical/dental/vision insurance, short and long-term ...
$19.75 - $26.75/hr
Experience supporting continued stay, utilization management, or regulatory eligibility reviews in ... Our extensive benefits package includes medical/dental/vision insurance, short and long-term ...
$19.75 - $26.75/hr
Experience supporting continued stay, utilization management, or regulatory eligibility reviews in ... Our extensive benefits package includes medical/dental/vision insurance, short and long-term ...
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 ...
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
... utilization review (UR) teams Ensure compliance with state regulations, JCAHO, CARF, and ASAM ... Life insurance and AD&D * Employee Assistance Program (EAP) * Flexible Spending Account (FSA) and ...
... utilization review (UR) teams Ensure compliance with state regulations, JCAHO, CARF, and ASAM ... Life insurance and AD&D * Employee Assistance Program (EAP) * Flexible Spending Account (FSA) and ...
... utilization review (UR) teams Ensure compliance with state regulations, JCAHO, CARF, and ASAM ... Life insurance and AD&D * Employee Assistance Program (EAP) * Flexible Spending Account (FSA) and ...
... utilization review (UR) teams Ensure compliance with state regulations, JCAHO, CARF, and ASAM ... Life insurance and AD&D * Employee Assistance Program (EAP) * Flexible Spending Account (FSA) and ...
Aurora, CO · On-site
$18.25 - $25/hr
Collaborate with Utilization Review team to secure all referrals and authorizations needed prior to admission * Collaborate with Case Manager on special insurance needs (FMLA, COBRA) and creation of ...
Aurora, CO · On-site
$18.25 - $25/hr
Collaborate with Utilization Review team to secure all referrals and authorizations needed prior to admission * Collaborate with Case Manager on special insurance needs (FMLA, COBRA) and creation of ...
Fort Collins, CO · On-site
$75K - $93K/yr
Provide Utilization Review support to drive authorization and retention throughout treatment What ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
New
Quick apply
Fort Collins, CO · On-site
$75K - $93K/yr
Provide Utilization Review support to drive authorization and retention throughout treatment What ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
New
Provide Utilization Review support to drive authorization and retention throughout treatment What ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Provide Utilization Review support to drive authorization and retention throughout treatment What ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Provide Utilization Review support to drive authorization and retention throughout treatment What ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
Provide Utilization Review support to drive authorization and retention throughout treatment What ... Medical Insurance * Dental * Vision * Accident * Critical Illness * Hospital Indemnity * Voluntary ...
$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
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.
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.
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.
$62K - $101K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 29 days ago
Sourced by ZipRecruiter
Software development
11 - 50 Employees
San Francisco, CA, US
2017
