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Remote Utilization Management Jobs in Colorado (NOW HIRING)

UCHealth Colorado Career

Utilization Management RN

Aurora, CO · Remote

$38.91 - $60.31/hr

Description You Must Reside In Colorado For This Fully Remote Opportunity Location: UCHealth UCHlth ... Preferred: 3 years of utilization or case management experience. * BLS through the American Heart ...

New

Standish Management

Engagement Manager

Denver, CO · On-site +1

$95K - $120K/yr

Manage engagement keeping in mind client needs, staff utilization and overall engagement efficiency ... Employees can choose to be classified as "flex remote" or "flex office" *Compensation range: $95 ...

Imh

Medicare Market Operations Partner

Lone Tree, CO · On-site +1

$59.50 - $91.84/hr

... utilization management, and care coordination * Ensure operational readiness for CMS audits ... Currently, we are not hiring remote workers in the following states: CA, CT, HI, IL, MA, MN, NY, PA ...

Imh

Medicare Market Operations Partner

Fort Collins, CO · On-site +1

$59.50 - $91.84/hr

... utilization management, and care coordination * Ensure operational readiness for CMS audits ... Currently, we are not hiring remote workers in the following states: CA, CT, HI, IL, MA, MN, NY, PA ...

Lifehealth LLC

Provider Network Recruiter

Littleton, CO · On-site +1

$80K/yr

This position is 100% Remote Key Responsibilities * Develop and implement innovative sourcing ... care and utilization management review needs. * Conduct warm and cold outreach to clinicians ...

LifeHealth

Provider Network Recruiter

Littleton, CO · Remote

This position is 100% Remote Key Responsibilities * Develop and implement innovative sourcing ... care and utilization management review needs. * Conduct warm and cold outreach to clinicians ...

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Remote Utilization Management information

How does a remote utilization management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What are the key skills and qualifications needed to thrive in remote utilization management?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

What are the most commonly searched types of Utilization Management jobs in Colorado?

The most popular types of Utilization Management jobs in Colorado are:

What are popular job titles related to Remote Utilization Management jobs in Colorado?

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

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

The top searched job categories for Remote Utilization Management jobs in Colorado are:

What cities in Colorado are hiring for Remote Utilization Management jobs?

Cities in Colorado with the most Remote Utilization Management job openings:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Colorado as of August 2026, with employment types broken down into 96% Full Time, and 4% Contract. Highlights an 4% Hybrid, and 96% 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