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Remote Utilization Review Rn Jobs in Castle Rock, CO

Echo Locum Tenens

Anesthesiologist

Denver, CO · 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 ...

DaVita, Inc.

Manager, Nurse Practitioner (IKC)

Denver, CO · 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 ...

CommonSpirit Health

Clinical Informaticist

Englewood, CO · 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 ...

BetterHelp

Licensed Psychologist- Remote

Denver, CO · Remote

$650/wk

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 ...

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Remote Utilization Review Rn information

See Castle Rock, CO salary details

$22

$44

$71

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 Castle Rock, CO is $44.09, according to ZipRecruiter salary data. Most workers in this role earn between $34.86 and $50.62 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 Castle Rock, CO?

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

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

Cities near Castle Rock, 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 Castle Rock, CO as of August 2026, with employment types broken down into 67% Full Time, and 33% Contract. Highlights an 33% In-person, and 67% Remote job distribution, with an average salary of $91,712 per year, or $44.1 per hour.

System Manager Supply Chain Value Analysis

CommonSpirit Health

Englewood, CO • Remote

Full-time

Re-posted 8 days ago

CommonSpirit Health rating

6.9

Company rating: 6.9 out of 10

Based on 537 frontline employees who took The Breakroom Quiz

456th of 891 rated healthcare providers

Job description

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.


As our System Manager, SSRM Value Analysis, you will be responsible for clinical direction within the assigned category team, with primary focus on cost reduction opportunities, contract utilization, and standardization initiatives.
Every day, you will act as a clinical expert position that provides input into contracting processes and serves as the clinical resource for new technology and practice. You will collaborate with various stakeholders to identify and implement best practices that enhance patient care while optimizing costs.
To be successful in your role, you will strategically lead value analysis initiatives, leveraging your clinical expertise to drive cost reduction, optimize contract utilization, and standardize practices within your assigned category. You will demonstrate exceptional leadership in assessing new technologies, influencing contracting processes, and ensuring that all initiatives enhance patient care while maximizing resource efficiency across the organization.

  • Participates in identifying, planning, and facilitating the implementation of cost reduction initiatives as developed by the category team
  • Collaborates with various teams including national service lines, clinical collaboration groups, divisional implementation, and operations to provide clinical direction on contracting requirements, new technologies, clinical practice standards, and national initiatives within assigned category
  • Quantifies, analyzes and formulates recommendations for products used within CommonSpirit Health. Leads product evaluations, utilizing value analysis principles, in support of cost savings initiatives
  • Supports best practices and established processes for new product introduction, review, analysis and communication
  • Collaborates with product manufacturers, developing partnerships and insights into their perspectives around product utilization, cost reduction, new technology and opportunities
  • Works collaboratively with internal and external customers to achieve a maximized level of customer service and optimized cost reduction
  • Remote eligible.

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.


Required

  • Bachelors of Science in Nursing or other clinical discipline
  • Experience with and literate in supply chain computer applications, Microsoft Office or Google applications and user knowledge of each to achieve supply chain goals 
  • Demonstrated project management experience and the ability to prioritize and manage highly sensitive competing projects 
  • Minimum of five (5) years experience in clinical operations


Preferred

  • Project Management experience
  • Project Management Professional (PMP) certification 

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