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Remote Utilization Review Jobs in Colorado (NOW HIRING)

UCHealth Colorado Career

Utilization Management RN

Aurora, CO · Remote

$38.91 - $60.31/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Description You Must Reside In Colorado For This Fully Remote Opportunity Location: UCHealth UCHlth ... Reviews admissions and service requests within assigned unit for prospective, concurrent, and ...

Standish Management

Engagement Manager

Denver, CO · On-site +1

$95K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review all communications to the client and its investors on an ongoing basis * Assist with ... Employees can choose to be classified as "flex remote" or "flex office" *Compensation range: $95 ...

Agile Space Industries, Inc.

Contracts Manager

Denver, CO · On-site +1

$99K - $150K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

... utilization to national defense, human exploration, and commercial space transport. We are seeking ... All stock grants are subject to executive review and approval in accordance with the Company ...

ARKA Group

Senior MLOps Platform Engineer {S}

Colorado Springs, CO · On-site +1

$90K - $123K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Mentor junior engineers and contribute to internal knowledge bases, upskilling, and review ... Remote This is a remote position that will primarily be supporting our Aurora, CO and King of ...

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Remote Utilization Review information

See Colorado salary details

$22

$44

$72

How much do remote utilization review jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote utilization review 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.

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What are the most commonly searched types of Utilization Review jobs in Colorado?

The most popular types of Utilization Review jobs in Colorado are:

What are popular job titles related to Remote Utilization Review jobs in Colorado?

For Remote Utilization Review jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Colorado look for?

The top searched job categories for Remote Utilization Review jobs in Colorado are:

What cities in Colorado are hiring for Remote Utilization Review jobs?

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

Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Colorado as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 25% In-person, and 75% Remote job distribution, with an average salary of $92,477 per year, or $44.5 per hour.

Remote Utilization Manager - Inpatient

AllHealth Network

Littleton, CO • Remote

$75K - $83K/yr

Full-time

Posted 9 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.

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