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Remote Utilization Management Jobs in Colorado (NOW HIRING)

Solution Architect - Remote

Denver, CO · On-site +1

$112K - $193K/yr

Our team is dedicated to enabling core capability offerings including Capability Management ... Evaluate AI tools and products for enterprise utilization to streamline workflows, automate tasks ...

Solution Architect - Remote

Denver, CO · On-site +1

$64.75 - $85.50/hr

Our team is dedicated to enabling core capability offerings including Capability Management ... Evaluate AI tools and products for enterprise utilization to streamline workflows, automate tasks ...

Solution Architect - Remote

Denver, CO · Remote

$112K - $193K/yr

Our team is dedicated to enabling core capability offerings including Capability Management ... Evaluate AI tools and products for enterprise utilization to streamline workflows, automate tasks ...

Solution Architect - Remote

Denver, CO · Remote

$64.75 - $85.50/hr

Our team is dedicated to enabling core capability offerings including Capability Management ... Evaluate AI tools and products for enterprise utilization to streamline workflows, automate tasks ...

$140,000 - $160,000 + CX Bonus $140,000 - $160,000 + CX Bonus #LI-Remote The insurance industry runs ... We understand the initiatives of the customer and consult to achieve the highest utilization of our ...

... utilization of the Intuit product suite. You'll support our most valuable accountant firms by ... Project Management: Utilize strong project management skills to oversee specific customer ...

New

Showing results 41-60

Remote Utilization Management information

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 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.

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 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 cities in Colorado are hiring for Remote Utilization Management jobs?

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

Infographic showing various Remote Utilization Management job openings in Colorado as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

Remote Licensed Clinical Social Worker - Hospice Care Specialist

West Valley Psychiatric Services

Fort Collins, CO • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New


Job description

Position Overview

West Valley Psychiatric Services is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our remote team. In this full-time position, you will play an essential role in delivering specialized rehabilitation and counseling services tailored for patients within a Hospice Center setting. With a competitive annual salary between USD 70,000 and 100,000, you will support individuals and families as they navigate complex emotional and psychological challenges associated with end-of-life care.

About the Organization

West Valley Psychiatric Services is a recognized leader in addiction treatment and recovery, dedicated to providing comprehensive mental health care across the nation. We serve over 25,000 patients daily, utilizing evidence-based practices that remove barriers to recovery and support healing at both individual and community levels. Our mission emphasizes transforming lives through inclusive and effective treatment, where social workers like you play a vital part in shaping positive outcomes for those facing addiction and other mental health challenges.

Work Environment

This position is entirely remote, allowing you the flexibility to provide exceptional care from a location of your choice while being part of a supportive, interdisciplinary team. The remote work setting combines advanced digital platforms for case management and teletherapy, ensuring seamless communication and collaboration with other healthcare professionals, including the Clinical Director and Executive Director, to cultivate a therapeutic environment.

Key Responsibilities
  • Conduct comprehensive assessments of clients to identify their counseling needs, utilizing DSM criteria for substance abuse diagnosis.
  • Develop and implement individualized treatment plans that align with ASAM criteria to facilitate appropriate care levels.
  • Document all aspects of counseling services, including assessments, treatment progress, referrals, and follow-ups, in each client's clinical record.
  • Maintain an organized caseload, ensuring case management and treatment planning duties are consistently completed, with regular utilization review updates.
  • Provide advocacy and coordination of support services for clients and their families, recording the services provided and engaging with relevant community resources.
  • Facilitate interventions during crisis situations through a collaborative approach with a multi-disciplinary team to support client stability and recovery.
  • Prepare discharge and continuum of care plans that guide clients in transitioning to appropriate levels of support post-treatment.
Patient Population / Client Focus

Your work will directly impact those struggling with mental health issues, particularly individuals coping with substance use disorders and other co-occurring conditions in a Hospice environment. This role requires a deep understanding of the sensitivities surrounding end-of-life care, promoting dignity and empowerment for clients and their families during vulnerable times.

Qualifications
  • A Bachelor’s Degree in Social Work or a related field.
  • Current license as a Clinical Social Worker (LCSW) in good standing.
  • Demonstrated knowledge of substance use disorders along with excellent therapeutic boundaries and cultural competency.
  • Strong organizational skills, a self-motivated work ethic, and the ability to work independently in a virtual setting.
Preferred Experience
  • Previous experience in addiction counseling or hospice care settings.
  • Familiarity with mental health treatment methodologies and best practices related to long-term recovery.
  • Experience with telehealth platforms and electronic health record (EHR) systems.
Compensation and Benefits
  • A competitive salary range of USD 70,000 to 100,000 annually.
  • Comprehensive benefits package including medical, dental, and vision insurance.
  • A generous Paid Time Off policy offering 18 days of vacation, enabling you to recharge and maintain work-life balance.
  • A 401(k) retirement plan with company matching contributions to help you secure your financial future.
  • Access to company-sponsored ongoing training and professional development, ensuring you remain at the forefront of best practices.
  • Unique opportunities such as the Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP) and discounted tuition through Capella University.
Career Growth Opportunities

At West Valley Psychiatric Services, we believe in nurturing the personal and professional development of our staff. As you settle into this role, you will have the chance to pursue additional certifications, leadership roles, and specialized training that align with your career goals. Our commitment to growth also includes ongoing mentorship from experienced leaders in the field.

Why Join Our Team

Joining West Valley Psychiatric Services means becoming part of a mission-driven organization dedicated to creating meaningful change in the lives of individuals and communities. Our team is passionate about making a difference, and we believe that every staff member contributes to a holistic vision of recovery. If you are an LCSW seeking to leverage your skills in a dynamic and supportive environment, we want to hear from you.

Application Information

If you are ready to join our compassionate team and make a positive impact in the lives of our clients, we invite you to submit your application. Please include your resume, a cover letter outlining your relevant experience, and any supporting documentation that highlights your qualifications. We look forward to connecting with you soon!