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

Clinical Intake Coordinator

Denver, CO ยท On-site +1

$59K - $79K/yr

This is a remote position designed to support and scale virtual services across the organization ... Registered Nurse certified as a Psychiatric Nurse, b. Advanced Practice Registered Nurse (APRN) ...

Senior Staff Medical Writer (Remote)

Denver, CO ยท On-site +1

$143K - $238K/yr

Respond to notified body reviews and regulatory feedback, driving resolution of clinical ... Master's degree, PhD, PharmD, MD, MPH, RN, BSN, or other advanced health-related degree.

New

Senior Staff Medical Writer (Remote)

Denver, CO ยท On-site +1

$143K - $238K/yr

Respond to notified body reviews and regulatory feedback, driving resolution of clinical ... Master's degree, PhD, PharmD, MD, MPH, RN, BSN, or other advanced health-related degree.

Anesthesiologist

Denver, CO ยท Remote

$411K/yr

Work collaboratively with CRNA in OB services and may be called to assist in the main OR if needed ... Monday -Friday (7a-3p) and (7a-5:30p) and remote call (5:30p-7a), Saturday and Sunday 24 hr remote ...

Manager, Nurse Practitioner (IKC)

Denver, CO ยท On-site +1

$114K - $157K/yr

The NP Manager functions autonomously while partnering closely with clinical and operational ... Lead complex case reviews and manage escalations involving high-risk or high-utilization patients ...

New

Revenue Recovery Auditor

Denver, CO ยท On-site +1

$31.61 - $47.41/hr

Reviews work queue requests for unlisted and new code requests. Recommends updates for EPIC charge ... AHIMA/AAPC Coding Certification or State licensure as a Registered Nurse (RN). * 5 years of ...

Clinical Informaticist

Englewood, CO ยท Remote

$45.26 - $74.67/hr

Job Summary and Responsibilities The Clinical Informaticist is a remote position and requires up to ... Informatics Nurse (RN BC Info) * Project Management Professional (PMP) Where You'll Work Inspired ...

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

Showing results 41-60

Remote Utilization Review Rn information

See Aurora, CO salary details

$21

$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 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:

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.

Licensed Clinical Social Worker (LCSW) - Remote Opportunity in Hospice Care

West Valley Psychiatric Services

Westminster, CO โ€ข Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New


Job description

Position Overview

West Valley Psychiatric Services is seeking a dedicated Licensed Clinical Social Worker (LCSW) to join our team in providing essential counseling services to patients and families in a remote hospice care setting. This full-time position is an opportunity to make a significant impact on the lives of those facing end-of-life challenges, while working collaboratively with a multidisciplinary team of healthcare professionals.

About the Organization

Established as a growing leader in addiction treatment services, West Valley Psychiatric Services is committed to removing barriers to recovery and transforming the lives of individuals, families, and communities through effective treatment. We touch the lives of over 25,000 patients daily across the nation, and our mission is rooted in compassion, efficacy, and a comprehensive approach to mental health care. Our employees believe in fostering a better world where complete and fulfilling lives can be reclaimed through accessible and empathetic treatment.

Work Environment

This role is 100% remote, allowing for flexible work arrangements while maintaining a focus on patient-centered care. As an employee of a hospice center, you will engage virtually with clients, providing essential support and therapy from the comfort of your home or designated work space. You'll be part of a supportive organization that prides itself on innovative care delivery, helping clients navigate the complexities of their mental health challenges in a compassionate and understanding manner.

Key Responsibilities

As a Licensed Clinical Social Worker, you will have a multifaceted role that involves:

  • Conducting thorough assessments to determine the counseling needs of clients, including evaluations for substance use disorders based on DSM criteria.
  • Developing individualized treatment plans that detail substance use counseling strategies, ensuring alignment with each client's unique needs and circumstances.
  • Creating and implementing comprehensive discharge and continuity of care plans to facilitate a smooth transition for clients moving to different levels of care.
  • Documenting all clinical interactions, including counseling services, assessments, referrals, and follow-ups, in accordance with HIPAA regulations to ensure privacy and confidentiality.
  • Maintaining a manageable caseload, inclusive of regular utilization reviews and treatment planning duties, while ensuring that all clinical charts are up to date and compliant with organizational standards.
  • Coordinating support services for clients and their families, ensuring they receive the resources and assistance needed for their journey toward recovery.
  • Engaging with referral sources such as legal representatives, educational institutions, and employers to facilitate a holistic support network for clients.
  • Facilitating crisis interventions using a multidisciplinary team approach, ensuring swift response to clients in urgent need.
Patient Population / Client Focus

This position primarily serves clients in hospice care, many of whom may also be battling substance use challenges. You will work closely with patients and their families, addressing not only their mental health needs but also providing emotional support during sensitive and challenging life transitions. Your role will be crucial in fostering environments of long-term recovery and peace for individuals facing terminal illness.

Qualifications

To be considered for this role, candidates must possess:

  • A valid LCSW license and a Bachelor's Degree in Social Work or a related field.
  • Strong professionalism, cultural competency, and therapeutic boundaries.
  • Self-motivation and organizational skills to manage a caseload effectively in a remote environment.
  • The ability to work collaboratively within a multidisciplinary team and maintain effective communication with clients, their families, and external stakeholders.
Preferred Experience

While not mandatory, the following experiences would enhance a candidate's application:

  • Experience in hospice care or palliative services.
  • Knowledge of substance use assessment and treatment methodologies.
  • Familiarity with documentation standards in a remote care setting.
  • Proficiency with telehealth systems and electronic health record (EHR) management.
Compensation and Benefits

We offer a competitive salary ranging from USD 70,000 to 100,000 annually, commensurate with experience and qualifications. Our benefits package includes:

  • 18 days of Paid Time Off (PTO) each year for work-life balance.
  • A 401k retirement plan with company matching.
  • Comprehensive health benefits including medical, dental, vision, short-term and long-term disability coverage.
  • Access to a substance use disorder treatment and recovery loan repayment program (STAR LRP).
  • Discounted tuition and scholarships for further education through Capella University.
  • Ongoing company-sponsored training and certification opportunities to support your professional development.
Career Growth Opportunities

At West Valley Psychiatric Services, we are committed to the professional growth of our employees. You will have access to ongoing training and mentorship, as well as opportunities for advancement within the organization as we continue to grow and expand our services. Your contributions will play a vital role in shaping our future and enhancing the care we provide.

Why Join Our Team

When you join West Valley Psychiatric Services, you become part of a mission-driven organization that values compassion, innovation, and teamwork. You will have the opportunity to make a profound difference in the lives of patients and their families, all while collaborating with professionals who share your dedication to holistic health care. If you are a passionate LCSW ready to create impactful change, we invite you to apply!

Application Information

Please submit your resume, cover letter, and any relevant certifications to our HR department to begin the application process. We look forward to reviewing your application and discussing the opportunities to join our dedicated team.