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Remote Utilization Review Jobs in Boulder, CO (NOW HIRING)

RN Care Manager PRN

Lafayette, CO ยท Remote

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

RN Care Manager I - PRN

Lafayette, CO ยท Remote

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

SCHEDULING COORDINATOR

Denver, CO ยท Remote

$22 - $26/hr

Fully Remote Compensation: Pay $22.00-$26.00 DOE (Depending on Experience) Benefits: This position ... Review schedules to identify coverage gaps, conflicts, capacity constraints, and access concerns.

Engagement Manager

Denver, CO ยท On-site +1

$95K - $120K/yr

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 ...

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Remote Utilization Review information

See Boulder, CO salary details

$22

$43

$71

How much do remote utilization review jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote utilization review in Boulder, CO is $43.85, according to ZipRecruiter salary data. Most workers in this role earn between $34.66 and $50.34 per hour, depending on experience, location, and employer.

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 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 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 are the most commonly searched types of Utilization Review jobs in Boulder, CO?

The most popular types of Utilization Review jobs in Boulder, CO are:

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

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

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

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

Infographic showing various Remote Utilization Review job openings in Boulder, CO as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 3% Contract, and 1% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $91,209 per year, or $43.9 per hour.

Remote Licensed Clinical Social Worker (LCSW) - Hospice Center

West Valley Psychiatric Services

Commerce City, CO โ€ข Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago


Key responsibilities

  • Assess the counseling needs of clients through evaluations and ongoing assessments to tailor treatment plans.

  • Utilize DSM criteria to diagnose substance abuse disorders and determine clients' levels of care based on ASAM criteria.

  • Develop treatment plans that incorporate substance abuse counseling and prepare discharge and continuum of care plans.


Job description

Position Overview

West Valley Psychiatric Services is seeking a dedicated and experienced Licensed Clinical Social Worker (LCSW) to join our team in a full-time remote capacity. This role focuses on providing comprehensive counseling services to individuals and families, specifically within our hospice center setting. You will play a crucial role in facilitating recovery and well-being for our clients as they navigate complex emotional and psychological challenges.

About the Organization

West Valley Psychiatric Services is a national leader in addiction treatment services, committed to changing lives and fostering recovery through effective and compassionate care. Each day, we impact the lives of over 25,000 patients, supporting them on their journey towards health and recovery. Our mission is unwavering: to eliminate barriers to recovery and transform individuals and communities through evidence-based treatment that truly works.

Work Environment

This position offers the flexibility and convenience of a remote work setting, allowing you to connect with clients from the comfort of your own home while still providing essential support during their healing processes. As part of our hospice center, you will collaborate with experienced multi-disciplinary teams, including medical professionals and recovery specialists, to deliver holistic care that addresses both mental health and substance use disorders.

Key Responsibilities
  • Assess the counseling needs of clients through thorough evaluations and engage in ongoing assessments to tailor treatment plans effectively.
  • Utilize DSM (Diagnostic and Statistical Manual) criteria to diagnose substance abuse disorders and determine clientsโ€™ levels of care based on ASAM (American Society of Addiction Medicine) criteria.
  • Develop comprehensive treatment plans that incorporate substance abuse counseling, integrating client input to ensure the plans are meaningful and actionable.
  • Collaboratively prepare discharge and continuum of care plans to facilitate smooth transitions to appropriate levels of care, helping clients maintain their recovery.
  • Document all counseling, assessments, referrals, and follow-ups meticulously in clientsโ€™ clinical records, ensuring all legal and ethical standards are upheld.
  • Manage a caseload effectively, performing regular case management and utilization review updates as necessary to maintain high standards of care.
  • Facilitate coordination of support services for clients and their families, ensuring comprehensive care and tracking all provided services in client records.
  • Engage with external referral sources, including legal, educational, and employment-related entities, to build a network of support for clients.
  • Respond to crisis situations utilizing a multi-disciplinary approach, implementing interventions that prioritize client safety and wellness.
Patient Population / Client Focus

In this role, you will primarily serve clients facing co-occurring disorders in a hospice center, which requires a nuanced understanding of both mental health issues and substance use disorders. You will be instrumental in guiding clients through their recovery journeys, providing therapeutic support and intervention during what can be one of the most challenging times of their lives.

Qualifications
  • Must possess a valid LCSW license in Colorado and have a Bachelor's degree in Social Work or a related field.
  • Demonstrated professional integrity, exemplary therapeutic boundaries, and cultural competency in working with diverse populations.
  • Strong self-motivation, self-sufficiency, and organizational skills to manage multiple client needs effectively.
  • Excellent communication skills to engage with clients, families, and multidisciplinary teams.
Preferred Experience
  • Experience in co-occurring counseling, with a focus on substance use disorders and mental health.
  • Familiarity with treatment planning methodologies and best practices in hospice or end-of-life care settings.
  • Proficiency in utilizing electronic health records for documentation and collaboration with other care providers.
Compensation and Benefits

This position offers a competitive salary ranging from USD 70,000 to 100,000 annually, commensurate with experience and qualifications. We provide an extensive benefits package that includes:

  • 18 days of Paid Time Off (PTO) annually, along with paid holidays.
  • A robust 401k retirement plan with company matching contributions.
  • Comprehensive health benefits, including medical, dental, vision, short-term and long-term disability insurance.
  • Access to ongoing training, certifications, and professional development opportunities sponsored by the company.
  • Participation in the Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP).
  • Discounted tuition and scholarship opportunities through Capella University.
Career Growth Opportunities

At West Valley Psychiatric Services, we believe in nurturing talent and fostering career growth. As a member of our dynamic team, you will have access to training programs, mentorship, and leadership opportunities that will enrich your professional journey and empower you to advance within the organization.

Why Join Our Team

Joining West Valley Psychiatric Services means being part of a compassionate and innovative family dedicated to making a real difference in the lives of individuals and communities. Our employees are united by a shared mission to promote recovery and wellness, creating a supportive environment that empowers both staff and clients alike. Together, we are committed to creating a better world, one impactful interaction at a time.

Application Information

If you are passionate about helping individuals achieve lasting recovery and are ready to take your career to the next level, we encourage you to apply for the Licensed Clinical Social Worker position today. Please submit your resume and cover letter detailing your relevant experience and explaining why you would be an ideal fit for this role. We look forward to welcoming a new member to our dedicated team!