3

Part Time Remote Utilization Review Jobs in Colorado

Clinical Educator Nursing

Aurora, CO · On-site +1

$40.86 - $63.33/hr

Clinical Education Work Schedule: Part Time, 24.00 hours per pay period (2 weeks) Shift: Days Pay ... Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns ...

Pharmacist Clinical Inpatient

Pueblo, CO · On-site +1

$59.80 - $83.72/hr

Pharmacy Work Schedule: Part Time, 40.00 hours per pay period (2 weeks) Shift: Day and Evening ... Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns ...

Roadway Design Engineer

Denver, CO · On-site +1

$105K/yr

... reviews. * Prepare technical memoranda, reports, and design documentation. * Participate in ... Eligibility for some of the benefits outlined below is based on full-time work status; part-time ...

next page

Showing results 1-20

Part Time Remote Utilization Review information

What are the key skills and qualifications needed to thrive as a Part Time Remote Utilization Review Nurse, and why are they important?

To thrive as a Part Time Remote Utilization Review Nurse, you need a current RN license, strong clinical judgment, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and systems such as InterQual or MCG is typically required. Excellent communication, critical thinking, and self-motivation are vital soft skills for coordinating care and making independent decisions remotely. These skills ensure accurate case evaluations, regulatory compliance, and effective collaboration with healthcare teams while working from a remote setting.

What is the difference between Part Time Remote Utilization Review vs Part Time Remote Claims Reviewer?

AspectPart Time Remote Utilization ReviewPart Time Remote Claims Reviewer
CredentialsTypically requires healthcare licenses (e.g., RN, MD) and utilization review certificationsUsually requires insurance or claims processing experience, with some industry-specific certifications
Work EnvironmentRemote, healthcare-focused, reviewing medical necessity and appropriateness of careRemote, insurance or healthcare claims processing, verifying coverage and claims accuracy
Employer & Industry UsageHospitals, insurance companies, healthcare organizationsInsurance companies, third-party administrators, healthcare payers

Part Time Remote Utilization Review and Part Time Remote Claims Reviewer both operate remotely but focus on different aspects of healthcare administration. Utilization reviewers assess medical necessity, while claims reviewers verify insurance claims. Understanding these differences helps job seekers find roles aligned with their skills and credentials.

What is a Part Time Remote Utilization Review position?

A Part Time Remote Utilization Review position involves evaluating medical records and healthcare services to ensure they are necessary and appropriate, typically for insurance companies or healthcare providers. This job is performed remotely, allowing professionals to work from home or another location outside of a traditional office setting. Part-time roles generally require fewer hours than full-time positions, making them suitable for those seeking flexible schedules. Professionals in this role often have backgrounds in nursing or healthcare and use their expertise to review patient care for quality and cost-effectiveness.

What are the typical challenges faced by part-time remote utilization review professionals, and how can they be managed?

Part-time remote utilization review professionals often face challenges such as balancing a variable workload, ensuring timely communication with healthcare providers, and staying current with changing insurance guidelines. Since much of the work is done independently, strong time management and self-motivation are essential to meet review deadlines. Regularly scheduled check-ins with the team and utilizing digital collaboration tools can help maintain connectivity and support. Staying organized and proactive in seeking clarification when needed can mitigate common challenges and lead to a successful experience in this role.
What are the most commonly searched types of Remote Utilization Review jobs in Colorado? The most popular types of Remote Utilization Review jobs in Colorado are:
What are popular job titles related to Part Time Remote Utilization Review jobs in Colorado? For Part Time Remote Utilization Review jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Utilization Review jobs in Colorado look for? The top searched job categories for Part Time Remote Utilization Review jobs in Colorado are:
What cities in Colorado are hiring for Part Time Remote Utilization Review jobs? Cities in Colorado with the most Part Time Remote Utilization Review job openings:
Coordinator Clinical Program

Coordinator Clinical Program

UCHealth Colorado Career

Fort Collins, CO • On-site, Remote

$40.86 - $63.33/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago


UCHealth (Colorado) rating

7.5

Company rating: 7.5 out of 10

Based on 440 frontline employees who took The Breakroom Quiz

225th of 872 rated healthcare providers


Job description

Description

Location: UCHealth Poudre Valley Hospital - Fort Collins, CO

Department: Shared Services

Work Schedule: Part Time, 0.00 hours per pay period (2 weeks)  

Shift: Days 

Pay: 40.86 - 63.33 / hour. Pay is dependent on applicant's relevant experience

This position is an onsite role and does not offer a hybrid or remote option

Summary:
Organizes and coordinates the activities and flow of work for the Program.

Responsibilities:
Organizes and coordinates the activities and flow of work for the program.
Participates on multidisciplinary teams to collaboratively address program development, problem identification and resolution, cost containment issues, regulatory compliance, and systems/performance/outcomes measures.
Facilitates the development, implementation, and evaluation of program services, practice standards, and initiatives, including program-specific committees, conferences, and staff/public education opportunities.
Serves as a resource to staff regarding clinical practice, policies, and program services. May provide direct patient care as needed to evaluate or assist with caring for patients.

Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.

Requirements:

  • Minimum Required Education: Bachelor's degree in Nursing or ADN with BSN in progress. 
  • Required Licensure/Certification: State licensure as a Registered Nurse (RN). Basic Life Support (BLS) Healthcare Provider. 
  • Minimum Experience: 3 years of related experience.

Employees are our number one asset.

UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program. *

Recognition

  • Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.
  • Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living. 
  • Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive. 

Health and well-being

  • Medical, dental and vision coverage.
  • Access to 24/7 mental health and well-being support for employees and dependents.
  • Discounted gym memberships and fitness resources.
  • Free Care.com membership.
  • Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
  • Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
  • Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
  • Employer-provided short-term disability and long-term disability with a buy-up coverage option.

Retirement and savings

  • 403(b) plan with employer matching contribution.
  • Additional 457(b) plan may be available.
  • Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.

Education and career growth

  • UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
    • Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. 
    • Other programs may qualify for up to 10,000/year pre-paid by UCHealth or up to 5,250/year in the form of tuition reimbursement. 
  • Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities. 
  • Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.

*Eligibility for some programs is based on an employee's scheduled work hours. 

We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives. 

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization.

Who We Are (uchealth.org)

Employment Type:

What UCHealth (Colorado) employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom