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Remote Optum Clinical Review Jobs in Colorado (NOW HIRING)

UnitedHealth Group

Solution Architect - Remote

Denver, CO · Remote

$112K - $193K/yr

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions ... Provider, Patient, Clinical, Claims, Payer, Value-Based Care, Fee-For-Service, and System ...

UnitedHealth Group

Solution Architect - Remote

Denver, CO · On-site +1

$112K - $193K/yr

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions ... Provider, Patient, Clinical, Claims, Payer, Value-Based Care, Fee-For-Service, and System ...

UnitedHealth Group

Solution Architect - Remote

Denver, CO · Remote

$64.75 - $85.50/hr

Optum is a global organization that delivers care, aided by technology to help millions of people ... Provider, Patient, Clinical, Claims, Payer, Value-Based Care, Fee-For-Service, and System ...

UnitedHealth Group

Solution Architect - Remote

Denver, CO · On-site +1

$64.75 - $85.50/hr

Optum is a global organization that delivers care, aided by technology to help millions of people ... Provider, Patient, Clinical, Claims, Payer, Value-Based Care, Fee-For-Service, and System ...

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All JobsOptum Clinical Review JobsRemote Optum Clinical Review JobsRemote Optum Clinical Review Jobs in Colorado

Remote Optum Clinical Review information

What is a Remote Optum Clinical Review?

A Remote Optum Clinical Review is a job where healthcare professionals, such as nurses or physicians, evaluate medical records and treatment plans from a remote location. The goal is to ensure that healthcare services and procedures meet established clinical guidelines and are medically necessary. These reviews help determine coverage decisions for insurance claims and improve patient outcomes. Team members work from home, using secure systems to review documentation and collaborate with clinicians or insurance representatives. Optum is a part of UnitedHealth Group, and their clinical reviewers play a key role in maintaining quality and compliance in healthcare delivery.

How does a Remote Optum Clinical Review professional typically collaborate with interdisciplinary teams while working from home?

Remote Optum Clinical Review professionals frequently collaborate with physicians, nurses, case managers, and other healthcare staff through virtual meetings, secure messaging, and shared electronic health records. Effective communication skills are essential, as most interactions are conducted remotely. Team members regularly participate in cross-functional discussions to review patient cases, ensure compliance with clinical guidelines, and make evidence-based recommendations. Despite working from home, there is a strong emphasis on teamwork and maintaining alignment with organizational goals and regulatory standards.

What are the key skills and qualifications needed to thrive as a Remote Optum Clinical Review nurse, and why are they important?

To thrive as a Remote Optum Clinical Review Nurse, you need a valid RN license, strong clinical judgment, and experience in utilization management or case review. Familiarity with clinical review software, electronic health records (EHRs), and knowledge of medical necessity criteria like MCG or InterQual is typically required. Excellent attention to detail, critical thinking, and effective communication are key soft skills for evaluating cases and collaborating with healthcare teams. These skills ensure accurate clinical assessments, compliance with regulations, and improved patient care outcomes in a remote environment.

What is the difference between Remote Optum Clinical Review vs Remote Optum Utilization Review?

AspectRemote Optum Clinical ReviewRemote Optum Utilization Review
CertificationsRN, LPN, or other clinical licensesRN, LPN, or other clinical licenses
Work EnvironmentHome-based, healthcare settingHome-based, healthcare setting
Employer & IndustryOptum, healthcare insurance and managed careOptum, healthcare insurance and managed care
Primary FocusAssessing clinical necessity and appropriateness of careReviewing medical necessity for insurance coverage

Both roles involve remote work within the healthcare insurance industry, requiring clinical licenses. The main difference is that Clinical Review focuses on evaluating the appropriateness of care, while Utilization Review emphasizes determining medical necessity for insurance purposes.

What are the most commonly searched types of Optum Clinical Review jobs in Colorado?

The most popular types of Optum Clinical Review jobs in Colorado are:

What are popular job titles related to Remote Optum Clinical Review jobs in Colorado?

For Remote Optum Clinical Review jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Remote Optum Clinical Review jobs in Colorado look for?

The top searched job categories for Remote Optum Clinical Review jobs in Colorado are:

What cities in Colorado are hiring for Remote Optum Clinical Review jobs?

Cities in Colorado with the most Remote Optum Clinical Review job openings:

Remote Optum Clinical Review jobs near you
Infographic showing various Remote Optum Clinical Review job openings in Colorado as of August 2026, with employment types broken down into 57% Full Time, 32% Part Time, and 11% Contract. Highlights an 100% Remote job distribution.

Primary Care PGY3 Residents - Optum Pathways Program *Remote* - Optum Colorado

UnitedHealth Group

Colorado Springs, CO • On-site, Remote

$35K - $75K/yr

Part-time

Retirement

Posted 16 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

191st of 898 rated healthcare providers

Job description

Optum in Colorado is seeking a PGY3 Family Medicine or Internal Medicine Resident to join our Primary Care Pathway Program. Optum is a clinician-led care organization that is changing the way clinicians work and live.
As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
Position Highlights:
  • This is a temporary, remote role intended for 3rd year physician residents, interested in pursuing a full-time role with our group following completion of residency.
  • OptumCare will educate and prepare the Physician for next generation population health models in a top-notch patient and provider setting.
  • The customized program will be completed at New West facilities and/or virtually with deep exposure to primary care within a team-based practice environment that will require a commitment of few hours per month
  • By being a Pathway Physician in their final year of training, residents can complete their training with added financial and mentoring support. Having made a commitment to practice group and location, a career search will not distract from the third year of training. The commitment and dedication of the Pathway Physician to their education and residency program is the priority.
  • The Pathway Program is meant to enhance the final year of the residency experience while helping the training physician develop an added skill set to maximize success as the transition from residency to private practice.
  • Early commitment through the Pathway Program allows the physician to enhance their work life balance during their last year of residency.

What makes an Optum Career different?
  • Be part of a best-in-class employee experience that enables you to practice at the top of your license
  • We believe that better care for clinicians equates to better care for patients
  • We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations
  • Practice medicine autonomously, with the support, not restrictions, of a sustainable and thriving national health care organization

Required Qualifications:
  • M.D. or D.O.
  • Must be transitioning into their 3rd year of residency or early into their 3rd year, or completing a fellowship.

Preferred Qualifications:
  • Preferred candidate will be a local physician resident in Colorado

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
The salary range for this role is $35,000 to $75,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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