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Remote Hca Utilization Review Jobs in Colorado (NOW HIRING)

SCHEDULING COORDINATOR

Denver, CO ยท Remote

$22 - $26/hr

Fully Remote Compensation: Pay $22.00-$26.00 DOE (Depending on Experience) Benefits: This position ... Review schedules to identify coverage gaps, conflicts, capacity constraints, and access concerns.

Engagement Manager

Denver, CO ยท On-site +1

$95K - $120K/yr

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 ...

Showing results 21-40

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.

How do I get into a remote HCA utilization review?

To become a remote HCA utilization review specialist, candidates typically need a healthcare background such as nursing or medical coding, along with knowledge of insurance policies and medical terminology. Relevant certifications like Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) can improve job prospects. Employers often require prior experience in medical review or utilization management and proficiency with electronic health record (EHR) systems, with many roles offering flexible or remote schedules.

Is remote HCA utilization review work from home?

Remote HCA utilization review jobs are often performed from home, allowing reviewers to assess healthcare claims and authorizations remotely. These roles typically require familiarity with healthcare software, strong communication skills, and adherence to confidentiality standards. Many employers offer flexible or fully remote schedules for this position.

What cities in Colorado are hiring for Remote Hca Utilization Review jobs?

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

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 Licensed Clinical Social Worker (LCSW) - Community Health Focus

West Valley Psychiatric Services

Colorado Springs, CO โ€ข Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New


Key responsibilities

  • Conduct comprehensive assessments to identify clients' counseling needs related to mental health and substance use issues.

  • Design and implement individualized treatment plans that incorporate substance abuse counseling and document progress.

  • Manage a caseload of clients, coordinate case management, and conduct regular utilization reviews.


Job description

Position Overview

West Valley Psychiatric Services is seeking a dedicated Licensed Clinical Social Worker (LCSW) to join our innovative team in Colorado Springs, Colorado. This full-time, remote position is essential for delivering quality mental health care to individuals in need, particularly focusing on co-occurring disorders. Leveraging your expertise, you will directly impact patient recovery journeys, providing counseling that fosters healing and personal growth.

About the Organization

At West Valley Psychiatric Services, we pride ourselves on being a leading provider of addiction treatment services, reaching over 25,000 patients daily across the nation. Our mission focuses on eliminating barriers to recovery, emphasizing comprehensive care that transforms individuals, families, and entire communities. Our workforce is deeply committed to creating a better world through effective, compassionate treatment modalities. We prioritize employee well-being and professional development, ensuring you have the tools and support needed to thrive.

Work Environment

The position offers a unique remote work setting, allowing you to provide essential services from the comfort of your own home while maintaining a flexible schedule. Our community health clinic is dedicated to addressing the complex needs of our clients, and as part of our team, you will be equipped with the latest technology and resources to facilitate effective communication, therapeutic interventions, and collaborative care. The environment is one of mutual support, innovation, and continual learning, aimed at maximizing client outcomes and satisfaction.

Key Responsibilities
  • Conduct comprehensive assessments to identify clients' counseling needs, focusing on mental health and substance use issues.
  • Utilize the DSM (Diagnostic and Statistical Manual) to determine substance abuse diagnoses, and apply ASAM (American Society of Addiction Medicine) criteria to recommend appropriate levels of care.
  • Design and implement individualized treatment plans that incorporate substance abuse counseling, ensuring goals are met and documented in clinical records.
  • Collaborate with the Clinical Director and Executive Director to maintain a safe and therapeutic environment for all clients.
  • Continuous documentation of all counseling services, assessments, and treatment progress to comply with clinical standards and provide evidence-based care.
  • Manage a caseload of clients, coordinating case management and conducting regular utilization reviews.
  • Facilitate necessary interventions for clients facing crises, employing a multi-disciplinary team approach to enhance their recovery prospects.
  • Engage in the development and implementation of client discharge and continuum of care plans, supporting their transition to lower levels of care as appropriate.
  • Serve as a liaison with external stakeholders, including legal, educational, and employment resources, to create a holistic support system for clients and their families.
Patient Population / Client Focus

Your role centers around providing care for a diverse group of clients experiencing mental health challenges and substance use disorders. Each day, you will engage with individuals from varied backgrounds, tailoring your therapeutic approach to meet distinct cultural perspectives and personal histories. This role necessitates a strong commitment to advancing mental health recovery for those with co-occurring issues and champions their journey towards long-lasting wellness.

Qualifications
  • A Master's degree in Social Work with an active LCSW license.
  • Demonstrated experience in providing counseling for individuals with co-occurring mental health and substance use disorders.
  • Strong understanding of addiction treatment modalities and the ability to collaborate effectively within multidisciplinary teams.
  • Excellent communication skills and the ability to build rapport with clients from various backgrounds.
  • Proficient in clinical documentation and using health-related software for accurate record-keeping.
Preferred Experience
  • Minimum of three years of clinical experience in a community health or addiction treatment setting.
  • Experience with crisis intervention and stabilization strategies for high-risk clients.
  • Familiarity with the latest evidence-based practices in substance use disorder treatment.
Compensation and Benefits

We offer a competitive salary ranging from USD 70,000 to 100,000 yearly, commensurate with experience and qualifications. In addition to this salary, employees enjoy comprehensive benefits, including:

  • 18 days of Paid Time Off (PTO) annually.
  • A 401k plan with company matching contributions.
  • A full benefits package comprising medical, dental, and vision insurance, as well as short-term and long-term disability insurance.
  • Participation in the Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP).
  • Access to company-sponsored ongoing training and certification opportunities.
  • Discounted tuition and scholarships through Capella University to support your professional development.
Career Growth Opportunities

West Valley Psychiatric Services is committed to your professional development. As you grow in your role, you will have access to training programs, mentorship opportunities, and potential pathways to advance into leadership positions within the organization. We invest in our employees, offering resources to enhance your skills and knowledge continually.

Why Join Our Team

When you become part of the West Valley Psychiatric Services family, you are joining an organization truly dedicated to making a difference in the lives of those we serve. You will be surrounded by passionate professionals who share a vision for holistic care and are eager to collaborate and support one another in achieving optimal patient outcomes. If you are looking for a fulfilling role that allows you to leverage your skills and make a positive impact, we encourage you to apply.

Application Information

If you are interested in becoming a crucial member of our team, please submit your application, including your resume and a cover letter explaining your experience and motivation for joining West Valley Psychiatric Services. We look forward to reviewing your application and possibly welcoming you to our dedicated workforce.