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Remote Rn Utilization Review Nurse Jobs in Colorado

Rightway

Clinical Guide, RN

Denver, CO · Remote

$34 - $40.86/hr

Denver Hybrid role: remote Monday, Wednesday, and Friday; in-office Tuesday and Thursday * Shift ... Consult with members regularly to establish goals, develop and review care plans, and monitor ...

UCHealth

RN Acute Care - Virtual Nursing (On-Site)

Aurora, CO · On-site +1

$35.29 - $54.71/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... hybrid or remote option Work nights, earn more - our Night Shift Incentive Program pays $1,600 ... Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns ...

Lifehealth LLC

Telehealth Registered Nurse (Telework)

Littleton, CO · On-site +1

$33.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Helps optimize health care utilization through education * Staff RNs are expected to achieve increasing quality and metric-based performance levels at 60 days of hire; RN Managers/team leaders, will ...

CommonSpirit Health

Care Transformation RN

Englewood, CO · Remote

$41.14 - $67.88/hr

Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...

CommonSpirit Health

Care Transformation RN

Englewood, CO · Remote

$41.14 - $67.88/hr

Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...

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Remote Rn Utilization Review Nurse information

See Colorado salary details

$22

$44

$72

How much do remote rn utilization review nurse jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for remote rn utilization review nurse in Colorado is $44.46, according to ZipRecruiter salary data. Most workers in this role earn between $35.14 and $51.06 per hour, depending on experience, location, and employer.

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

AspectRemote Rn Utilization Review NurseRemote Rn Case Manager
CertificationsRN license, possibly UR or CCM certificationRN license, CCM or other case management certification
Work EnvironmentReviewing medical records, insurance guidelines, and authorizationsCoordinating patient care, discharge planning, and resource management
Employer & Industry UsageHealth insurance companies, third-party administratorsHospitals, health plans, healthcare providers

Remote Rn Utilization Review Nurses primarily evaluate medical necessity for insurance approvals, focusing on documentation and guidelines. In contrast, Remote Rn Case Managers coordinate patient care, discharge planning, and resource allocation. Both roles require RN licensure and related certifications but differ in daily tasks and work focus.

What is a Remote RN Utilization Review Nurse?

A Remote RN Utilization Review Nurse is a registered nurse who evaluates medical records and healthcare services from a remote location to ensure that patients receive appropriate, necessary, and cost-effective care. They review treatment plans, check for compliance with insurance and healthcare guidelines, and often work with healthcare providers, insurance companies, and patients to coordinate care. This role typically involves assessing the medical necessity of procedures, authorizing services, and helping prevent unnecessary treatments or hospitalizations.

What are the key skills and qualifications needed to thrive as a Remote RN Utilization Review Nurse?

To thrive as a Remote RN Utilization Review Nurse, you need an active RN license, strong clinical knowledge, and experience in case management or utilization review. Proficiency with healthcare review software, electronic health records (EHRs), and familiarity with insurance guidelines or regulatory requirements is vital. Excellent communication, critical thinking, and time management skills distinguish top performers in remote settings. These skills enable nurses to make accurate, timely decisions about patient care while ensuring compliance and efficient resource utilization.

What are some common challenges faced by Remote RN Utilization Review Nurses, and how can they be addressed?

Remote RN Utilization Review Nurses often encounter challenges such as managing large caseloads, maintaining effective communication with interdisciplinary teams, and staying updated with ever-changing insurance guidelines. Balancing productivity expectations while ensuring thorough case reviews can be demanding. To address these challenges, nurses can utilize robust organizational tools, participate in ongoing training sessions, and leverage regular virtual meetings to stay connected with colleagues and supervisors, ensuring both efficiency and high-quality patient care.
What are popular job titles related to Remote Rn Utilization Review Nurse jobs in Colorado? For Remote Rn Utilization Review Nurse jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Remote Rn Utilization Review Nurse jobs in Colorado look for? The top searched job categories for Remote Rn Utilization Review Nurse jobs in Colorado are:
What cities in Colorado are hiring for Remote Rn Utilization Review Nurse jobs? Cities in Colorado with the most Remote Rn Utilization Review Nurse job openings:
Remote Rn Utilization Review Nurse jobs near you
Infographic showing various Remote Rn Utilization Review Nurse job openings in Colorado as of August 2026, with employment types broken down into 85% Full Time, 7% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $92,477 per year, or $44.5 per hour.

Remote Utilization Manager - Inpatient

AllHealth Network

Littleton, CO • Remote

$75K - $83K/yr

Full-time

Posted 6 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