Montrose, CO · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 36 hours per week ... Short-term disability, life insurance, paid jury duty * Access to the largest network of facilities ...
Montrose, CO · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 36 hours per week ... Short-term disability, life insurance, paid jury duty * Access to the largest network of facilities ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Edwards, CO · On-site
$60K - $75K/yr
Understanding of utilization review, medical necessity, and insurance processes * Ability to facilitate financial conversations with clients and families * Strong organizational and documentation ...
Edwards, CO · On-site
$60K - $75K/yr
Understanding of utilization review, medical necessity, and insurance processes * Ability to facilitate financial conversations with clients and families * Strong organizational and documentation ...
Edwards, CO · On-site
$60K - $75K/yr
Facilitate financial conversations with clients and families, including cost of care, insurance coverage, and financial responsibility * Collaborate with admissions, billing, and utilization review ...
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Edwards, CO · On-site
$60K - $75K/yr
Facilitate financial conversations with clients and families, including cost of care, insurance coverage, and financial responsibility * Collaborate with admissions, billing, and utilization review ...
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 ...
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 ...
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... 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 ...
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 ...
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 ...
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 ...
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 ...
Aurora, CO · On-site
Demonstrated knowledge of healthcare authorization, utilization review, and payer approval processes. * Experience working directly with commercial and government healthcare insurance companies ...
Aurora, CO · On-site
Demonstrated knowledge of healthcare authorization, utilization review, and payer approval processes. * Experience working directly with commercial and government healthcare insurance companies ...
Aurora, CO · On-site
Demonstrated knowledge of healthcare authorization, utilization review, and payer approval processes. * Experience working directly with commercial and government healthcare insurance companies ...
Aurora, CO · On-site
Demonstrated knowledge of healthcare authorization, utilization review, and payer approval processes. * Experience working directly with commercial and government healthcare insurance companies ...
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 ...
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 coverageMinimum of three (3) ... (2) years Utilization Review experience preferred.Certification as a Certified Clinical ...
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Montrose, CO · On-site
$36.17 - $57.87/hr
Knowledge of criteria for Medicare, Medicaid, and private insurance coverageMinimum of three (3) ... (2) years Utilization Review experience preferred.Certification as a Certified Clinical ...
Parker, CO · On-site
$25.75 - $34.25/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
$25.75 - $34.25/hr
... utilization review meetings, rehabilitation meetings, etc. · Participate in facility and company ... Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance ...
$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.
Montrose, CO • On-site
$1.8K - $2.7K/wk
Contractor
Medical, Dental, Vision, Life, Retirement
This job post has expired 2 days ago. Applications are no longer accepted.
AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Montrose, Colorado.
Job Description & RequirementsJob Description & Requirements
RN Hospice Case Manager
StartDate: 7/13/2026 Pay Rate: $1800.00 - $2700.00
POSITION SUMMARY – RN Hospice Case Manager
POSITION DUTIES – Coordinates compassionate end-of-life nursing care across private homes, nursing homes, group homes, and assisted living facilities by assessing patient needs, guiding families, and collaborating with interdisciplinary teams to ensure comfort and dignity.
MINIMUM REQUIRED QUALIFICATIONS –
LENGTH OF ASSIGNMENT – 13 weeks
SHIFT / HOURS PER WEEK – Mon-Fri 8am-5pm with rotating on-call/weekend
START DATE – ASAP
AMN Healthcare Revenue Cycle Job ID #3518978. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Hospice Case Manager
About AMN Healthcare Revenue CycleAMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.
