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Remote Optum Health Utilization Review Jobs in Colorado

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 ... Evaluate AI tools and products for enterprise utilization to streamline workflows, automate tasks ...

UnitedHealth Group

Solution Architect - Remote

Denver, CO · On-site +1

$64.75 - $85.50/hr

Join the Optum Health Enterprise Architecture team as a Solution Architect. Our team is dedicated ... Evaluate AI tools and products for enterprise utilization to streamline workflows, automate tasks ...

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 ... Evaluate AI tools and products for enterprise utilization to streamline workflows, automate tasks ...

UnitedHealth Group

Solution Architect - Remote

Denver, CO · Remote

$64.75 - $85.50/hr

Join the Optum Health Enterprise Architecture team as a Solution Architect. Our team is dedicated ... Evaluate AI tools and products for enterprise utilization to streamline workflows, automate tasks ...

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All JobsOptum Health Utilization Review JobsRemote Optum Health Utilization Review JobsRemote Optum Health Utilization Review Jobs in Colorado

Remote Optum Health Utilization Review information

What is the difference between Remote Optum Health Utilization Review vs Remote UnitedHealth Group Utilization Review?

AspectRemote Optum Health Utilization ReviewRemote UnitedHealth Group Utilization Review
CertificationsTypically requires RN, LPN, or medical reviewer credentialsSimilar certifications, often RN or licensed healthcare professionals
Work EnvironmentRemote, healthcare insurance settingRemote, healthcare insurance setting
Employer & IndustryOptum, part of UnitedHealth Group, healthcare and insuranceUnitedHealth Group, healthcare and insurance
Job ResponsibilitiesReview medical necessity, authorizations, and claimsReview medical necessity, authorizations, and claims

Both roles involve remote medical review within the healthcare insurance industry, focusing on medical necessity and claims. The main difference lies in the specific employer, with Optum being a subsidiary of UnitedHealth Group. The certifications, work environment, and job responsibilities are very similar, making them comparable roles for healthcare professionals seeking remote utilization review positions.

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

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

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

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

Remote Optum Health Utilization Review jobs near you

Remote Utilization Manager - Inpatient

AllHealth Network

Littleton, CO • Remote

$75K - $83K/yr

Full-time

Posted 11 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.

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