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Remote Utilization Management Jobs in Colorado (NOW HIRING)

UCHealth

Utilization Management RN

Aurora, CO · On-site +1

$38.91 - $60.31/hr

UCH Utilization Management Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift ... remote option Summary: * Ensures that services are delivered and documented in a manner that ...

ERC Pathlight

Utilization Review Manager

Denver, CO · On-site +1

$93K - $117K/yr

Liaison with regional management teams to discuss clinical issues and facilitate solutions to ... This position is posted as remote; however, per company policy, candidates residing within a ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Aurora, CO · On-site +1

$57.25 - $69.75/hr

Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Deloitte

Epic Tapestry Consultant

Denver, CO · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...

Deloitte

Epic Tapestry Specialist

Denver, CO · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team

Deloitte

Epic Tapestry Consultant

Colorado Springs, CO · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...

Deloitte

Epic Tapestry Sr Analyst

Colorado Springs, CO · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...

Deloitte

Epic Tapestry Sr Analyst

Denver, CO · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...

CVS Health

Case Manager, Registered Nurse

Denver, CO · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization ...

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 ...

CommonSpirit Health

Revenue Cycle CDI Lead

Englewood, CO · Remote

$41.14 - $67.88/hr

... quality, utilization management, and physician leadership to promote documentation integrity ... Promotes a professional, collaborative, and service-oriented remote work environment aligned with ...

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Remote Utilization Management information

See Colorado salary details

$22

$44

$72

How much do remote utilization management jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for remote utilization management 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.

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 as a Remote Utilization Management Nurse, and why are they important?

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
Utilization Management RN

Utilization Management RN

UCHealth

Aurora, CO • On-site, Remote

$38.91 - $60.31/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

UCHealth (Colorado) rating

7.5

Company rating: 7.5 out of 10

Based on 440 frontline employees who took The Breakroom Quiz

225th of 872 rated healthcare providers

Job description

Description
Location: UCHealth Leprino Building AMC, Aurora, CO
Department: UCH Utilization Management
Work Schedule: Full Time, 80.00 hours per pay period (2 weeks)
Shift: Days
Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant experience
This position is an onsite role and does not offer a hybrid or remote option
Summary:
  • Ensures that services are delivered and documented in a manner that balances quality of care with efficiency, cost-containment and compliance.

Responsibilities:
  • Reviews admissions and service requests within assigned unit for prospective, concurrent, and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provides case management and/or consultation for complex cases.
  • Assists departmental staff with issues related to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement and concurrent denials appeals.
  • Collaborates closely with case managers to make sure status' and level of care is accurate. Communicates with payers as needed to ensure patient accounts are secured.
  • Assesses and coordinates patient's discharge planning needs with members of the healthcare team.
  • Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.

Requirements:
  • Bachelor's degree in Nursing.
  • State licensure as a Registered Nurse (RN).
  • 3 years of relevant experience.

Employees are our number one asset.
UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program. *
Recognition
  • Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.
  • Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
  • Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.

Health and well-being
  • Medical, dental and vision coverage.
  • Access to 24/7 mental health and well-being support for employees and dependents.
  • Discounted gym memberships and fitness resources.
  • Free Care.com membership.
  • Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
  • Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
  • Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
  • Employer-provided short-term disability and long-term disability with a buy-up coverage option.

Retirement and savings
  • 403(b) plan with employer matching contribution.
  • Additional 457(b) plan may be available.
  • Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.

Education and career growth
  • UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
    • Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
    • Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
  • Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
  • Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.

*Eligibility for some programs is based on an employee's scheduled work hours.
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization.
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