ZipRecruiter

Log In

1

Manager Utilization Management Jobs in Colorado (NOW HIRING)

ERC Pathlight

Utilization Review Manager

Aspen, CO · Hybrid

As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review ... Liaison with regional management teams to discuss clinical issues and facilitate solutions to ...

UCHealth

Utilization Management RN

Aurora, CO · On-site +1

$38.91 - $60.31/hr

UCH Utilization Management Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant experience This position is ...

ERC Pathlight

Utilization Review Manager

Aspen, CO · On-site

$93K - $117K/yr

As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review ... Liaison with regional management teams to discuss clinical issues and facilitate solutions to ...

ERC Pathlight

Utilization Review Manager

Denver, CO · On-site +1

$93K - $117K/yr

As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review ... Liaison with regional management teams to discuss clinical issues and facilitate solutions to ...

next page

Showing results 1-20

All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Colorado

Manager Utilization Management information

See Colorado salary details

$41K

$95.7K

$176.1K

How much do manager utilization management jobs pay per year?

As of Jun 12, 2026, the average yearly pay for manager utilization management in Colorado is $95,700.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,600.00 and $115,100.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Manager Utilization Management, and why are they important?

To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.

What is the difference between Manager Utilization Management vs Utilization Review Nurse?

AspectManager Utilization ManagementUtilization Review Nurse
CredentialsRN, often with management or utilization review certificationsRN, with certifications in utilization review or case management
Work EnvironmentSupervises teams, manages policies, oversees utilization review processesPerforms patient chart reviews, assesses medical necessity, collaborates with providers
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations
Search & Comparison IntentYesYes

While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.

What are some common challenges faced by a Manager in Utilization Management, and how can they effectively address them?

Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.

What does a Manager of Utilization Management do?

A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.
What are the most commonly searched types of Utilization Management jobs in Colorado? The most popular types of Utilization Management jobs in Colorado are:
What are popular job titles related to Manager Utilization Management jobs in Colorado? For Manager Utilization Management jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Colorado look for? The top searched job categories for Manager Utilization Management jobs in Colorado are:
What cities in Colorado are hiring for Manager Utilization Management jobs? Cities in Colorado with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Colorado as of June 2026, with employment types broken down into 1% As Needed, 96% Full Time, 1% Part Time, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $95,700 per year, or $46 per hour.

Utilization Review Manager

ERC Pathlight

Aspen, CO • Hybrid

Other

Posted 16 days ago

Job description

What You'll Be Doing:

As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review Specialists and oversee Utilization Review operations. This role coordinates with Clinical Managers and Directors, Physicians, Business Office, and Managed Care Organizations to assure the smooth operation of Utilization Review functions and the provision of optimal patient care.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Clinically supervises teammates in 1:1 and group settings; provides in-moment assistance on escalated issues. Provides oversight to assigned team by supervising, guiding, and directing employees to be effective team members. Ensures that everyone is equipped with the right skills, tools, and talents necessary for executing their duties. Using the established people processes (performance, development, succession, and career) to ensure that the team's level of performance and capabilities meet current and future standards.
  • Advocates for optimal patient care in clinical care determination reviews by proactively reviewing and synthesizing the medical record for discussion with licensed mental health counselors and social workers and RNs at managed care organizations
  • Liaison with regional management teams to discuss clinical issues and facilitate solutions to situations that involve the UR process
  • Oversees regional caseload allocation
  • Attends treatment team meetings to share information and represent UR department; shares clinical documentation quality concerns

Education Requirements:

  • Graduate Degree  - Master's degree in psychology, counseling or social work. Alternatively, a bachelor's in Nursing

License and Certification Requirements

  • RN, IF nurse (Required)
  • Full clinical licensure, if mental health. (Required)

Knowledge, Skills and Abilities:

  • 4 to 6 years Utilization review experience (Required)
  • 2 years post-degree mental health experience in direct patient care (Required)
  • 2 years management experience (Preferred)
  • Willingness to work occasional night/weekends

Location & Schedule:

This position is posted as remote; however, per company policy, candidates residing within a 35mile radius of ZIP code 80230 will be required to follow a hybrid schedule, even if they applied to the remote posting.
  • Remote: Mondays and Fridays
  • On-site in our Denver Office: Tuesdays, Wednesdays, and Thursdays

Apply