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Remote Hca Utilization Review Jobs in Colorado (NOW HIRING)

UCHealth Colorado Career

Utilization Management RN

Aurora, CO · Remote

$38.91 - $60.31/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Description You Must Reside In Colorado For This Fully Remote Opportunity Location: UCHealth UCHlth ... Reviews admissions and service requests within assigned unit for prospective, concurrent, and ...

Standish Management

Engagement Manager

Denver, CO · On-site +1

$95K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review all communications to the client and its investors on an ongoing basis * Assist with ... Employees can choose to be classified as "flex remote" or "flex office" *Compensation range: $95 ...

Agile Space Industries, Inc.

Contracts Manager

Denver, CO · On-site +1

$99K - $150K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

... utilization to national defense, human exploration, and commercial space transport. We are seeking ... All stock grants are subject to executive review and approval in accordance with the Company ...

ARKA Group

Senior MLOps Platform Engineer {S}

Colorado Springs, CO · On-site +1

$90K - $123K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Mentor junior engineers and contribute to internal knowledge bases, upskilling, and review ... Remote This is a remote position that will primarily be supporting our Aurora, CO and King of ...

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Remote Hca Utilization Review information

What is the difference between Remote Hca Utilization Review vs Remote Hca Case Manager?

AspectRemote Hca Utilization ReviewRemote Hca Case Manager
CredentialsTypically requires healthcare-related certifications, such as RN or licensed healthcare professionalOften requires RN, social work, or case management certifications
Work EnvironmentPrimarily reviewing medical necessity and insurance coverage remotelyManaging patient cases, coordinating care, and discharge planning remotely
Employer & Industry UsageUsed by health insurance companies, healthcare providers, and utilization review organizationsEmployed by hospitals, insurance companies, and healthcare organizations

Remote Hca Utilization Review focuses on assessing medical necessity and insurance coverage, while Remote Hca Case Managers handle patient care coordination and discharge planning. Both roles require healthcare credentials and are integral to healthcare management, but they differ in daily responsibilities and focus areas.

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For Remote Hca Utilization Review jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Remote Hca Utilization Review jobs in Colorado look for?

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Cities in Colorado with the most Remote Hca Utilization Review job openings:

Remote Hca Utilization Review jobs near you
Infographic showing various Remote Hca Utilization Review job openings in Colorado as of August 2026, with employment types broken down into 86% Full Time, and 14% Contract. Highlights an 100% Remote job distribution.

Remote Utilization Manager - Inpatient

AllHealth Network

Watkins, CO • Remote

$75K - $83K/yr

Full-time

Posted 9 days ago

Job description

Join Our Team as a Utilization Review Manager (RN or Social Worker)

Are you a compassionate nurse or social worker looking to make a real difference in behavioral health? AllHealth Network is seeking a dedicated Utilization Review Specialist to help ensure clients receive the care they need while collaborating with a team that values your expertise and commitment.

Why AllHealth Network?

  • Work in a supportive, interdisciplinary environment that values your professional judgment
  • Enjoy opportunities for ongoing learning, growth, and advancement
  • Make a tangible impact on client outcomes and community well-being
  • Be part of a mission-driven organization dedicated to high-quality, client-centered care

What You'll Do:

  • Advocate for clients by communicating clinical information to secure timely and appropriate care authorizations
  • Lead utilization reviews for clients in our Acute Treatment and Crisis Stabilization Units
  • Collaborate with nurses, social workers, case managers, and other healthcare professionals
  • Ensure quality care by coordinating with payers, treatment teams, and billing staff
  • Maintain accurate records and use your problem-solving skills to navigate challenging cases

What We’re Looking For:

  • Registered Nurse (BSN/RN) or Master’s in a human services field
  • Clinical license (LPC, LCSW) required 
  • Minimum 2 years’ experience in behavioral health utilization management, care coordination, or case management
  • Strong communication, organization, and advocacy skills
  • Experience with insurance processes, electronic records, and multidisciplinary teamwork

Ready to take your career to the next level with a team that cares as much as you do? Apply today and help us transform lives—one client at a time.

$75,000 - $83,000 annually 

AllHealth Network also provides a 10% compensation differential for individuals who are bilingual in English and Spanish (language proficiency testing required). 

The base salary range represents the low and high end of the AllHealth Network hiring range for this position. Actual salaries will vary and may be above or below the range based on various factors including but not limited to experience, education, training, merit, and the ability to embody the AllHealth Network mission and values.  The range listed is just one component of AllHealth Networks’ total compensation package for employees. Other rewards may include short-term and long-term incentives as well as a generous benefits package detailed below.

Apply