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Remote Utilization Review Rn Jobs in Aurora, CO (NOW HIRING)

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 ...

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 ...

UCHealth

RN Virtual ICU (Onsite) Rotating

Aurora, CO · On-site +1

$35.29 - $54.71/hr

... 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 ...

UCHealth

RN Virtual ICU (Onsite) Nights

Aurora, CO · On-site +1

$35.29 - $54.71/hr

... or remote option Minimum Requirements: * Graduate of an accredited or state board of nursing ... Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns ...

UCHealth

RN Virtual ICU (Onsite) Rotating

Aurora, CO · On-site +1

$35.29 - $54.71/hr

... or remote option This position is based in-person at the UCHealth Virtual Health Center in Peoria ... Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns ...

DaVita, Inc.

Nurse Practitioner Educator

Denver, CO · On-site +1

Performs clinical chart reviews to ensure documentation accuracy by applying established clinical ... Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 ...

DaVita, Inc.

Nurse Practitioner Educator

Denver, CO · On-site +1

Performs clinical chart reviews to ensure documentation accuracy by applying established clinical ... Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 ...

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Remote Utilization Review Rn information

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$43

$70

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

As of Aug 21, 2026, the average hourly pay for remote utilization review rn in Aurora, CO is $43.05, according to ZipRecruiter salary data. Most workers in this role earn between $34.04 and $49.42 per hour, depending on experience, location, and employer.

What is a remote utilization review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What are the key skills and qualifications needed to thrive as a remote utilization review RN?

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What are some common challenges remote utilization review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.

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

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are popular job titles related to Remote Utilization Review Rn jobs in Aurora, CO?

For Remote Utilization Review Rn jobs in Aurora, CO, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Aurora, CO look for?

The top searched job categories for Remote Utilization Review Rn jobs in Aurora, CO are:

What cities near Aurora, CO are hiring for Remote Utilization Review Rn jobs?

Cities near Aurora, CO with the most Remote Utilization Review Rn job openings:

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Aurora, CO as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $89,542 per year, or $43 per hour.

Remote Utilization Manager - Inpatient

AllHealth Network

Littleton, CO • Remote

$75K - $83K/yr

Full-time

Posted 14 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