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Insurance Utilization Review Jobs in Colorado (NOW HIRING)

Avenues Recovery

Intake Coordinator

Fort Collins, CO · On-site

$21 - $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 ...

Avenues Recovery

Intake Coordinator

Fort Collins, CO · On-site

$17.75 - $24.25/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 ...

New

Sierra Vista

Intake Assessor - Night

Johnstown, CO

$34 - $43/hr

Verify insurance information and collaborate with utilization review when applicable. * Provide crisis intervention and de-escalation as needed. * Participate in on-call coverage as assigned.

Charter Healthcare

Occupational Therapist

Loveland, CO · On-site

$40/hr

Other: Valid driver's license and auto insurance. FUNCTIONS & RESPONSIBILITIES: 1. Provides ... utilization review as needed. 10. Submits supplemental orders at start of care and whenever the ...

Medix

Authorization Specialist

Denver, CO · On-site

$23 - $26.50/hr

... insurance payer portals or electronic medical record (EMR) systems is preferred. * Familiarity with commercial and government payer coverage guidelines, audit practices, and utilization review ...

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Insurance Utilization Review information

See Colorado salary details

$22

$44

$72

How much do insurance utilization review jobs pay per hour?

As of Sep 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 is an insurance utilization review?

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 key skills and qualifications needed to thrive in insurance utilization review?

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 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.

How do I get into an insurance utilization review?

To become an insurance utilization review specialist, candidates typically need a background in healthcare, nursing, or a related field, along with knowledge of insurance policies and medical terminology. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or similar credentials can enhance job prospects. Relevant skills include attention to detail, analytical thinking, and familiarity with medical records and insurance software systems.

Is insurance utilization review a stressful job?

Insurance utilization review can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Reviewers often handle complex cases and must balance policy guidelines with patient needs, which can contribute to job pressure. However, the level of stress varies depending on workload, work environment, and individual coping skills.

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 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 August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 24% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $92,477 per year, or $44.5 per hour.

Clinical Director - SUD Facility

Avenues Recovery

Westminster, CO • On-site

$100K - $120K/yr

Full-time

Dental, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Who We AreAvenues Recovery Center is a nationwide network of drug and alcohol rehab centers with seventeen locations across seven states. With an unrivaled, evidence - based clinical curriculum and highly individualized care, Avenues continues to set new standards in the world of addiction treatment. Our programs - spanning detox, residential, PHP, IOP and outpatient services - have transformed the lives of thousands to date. But our secret superpower is our people. If you are a talented, passionate clinician looking to make a real difference in the recovery community, the Avenues family warmly welcomes you!Now Hiring a Clinical Director for our newest Detox and Residential treatment facility, in Ft. Collins, CO.What You'll DoProvide daily clinical leadership and supervision to facility to ensure smooth daily function Ensure full execution of the Avenues clinical program roadmapCultivate and maintain a skilled, effective clinical treatment team, providing consistent oversight, support, and professional developmentOversee client engagement and morale, interacting with every client and fostering a warm, encouraging, recovery - oriented atmosphereEnsure impeccable and timely client documentation, collaborating with Utilization Review as necessaryWhat We're Looking ForMaster's degree (or higher) in related field preferred5 years' supervisory experience in hospital/residential setting preferred; 3 years' experience in chemical dependency/dual diagnosed clients preferredCurrent licensure necessary to practice as Clinical Director in Colorado-LPC, LAC, LCSW, LMFTWhy Join Us?Avenues features a rich, fulfilling workplace culture where each person is valued and greatness is pursued. We support our employees unconditionally, and work to provide them with every resource they need to excel! Aside from generous PTO and compensation, when you join the Avenues family, you'll be eligible for the following benefits package:401K with employer matchEligible for HRSA STAR federal student loan repaymentMedical Insurance Dental VisionAccidentCritical IllnessHospital IndemnityVoluntary Short-Term DisabilityVoluntary Long -Term DisabilityEmployer-Paid Life and AD&DLifeTime Benefit Term Insurance with Long Term CareLegal CoveragePet InsuranceIdentity Theft ProtectionEmployer-Paid Employee Assistance ProgramFlexible Spending Account (FSA) - MedicalDependent Care FSA (DCF)Eligible for HRSA STAR federal student loan repaymentJoin our growing team and discover the magic here at Avenues!Apply today! #up1
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