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Utilization Management Jobs in Colorado (NOW HIRING)

Interface with managed care organizations, external reviews, and other payers. * Participates in ... Previous utilization review experience in a psychiatric healthcare facility preferred. * License:

New

Appeals Pharmacist (Remote)

Aurora, CO · On-site +1

$57.25 - $69.75/hr

Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:

Case Manager

Aurora, CO · On-site

$20.25 - $26.25/hr

Ability to apply elements of Utilization Management programs. Physical REQUIREMENTSMust be able to sit up to approximately 50 percent of the workday; stand and walk for the equivalent of several ...

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work Experience/Direct Knowledge of ...

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team * Effective written and verbal ...

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work Experience/Direct Knowledge of ...

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team * Effective written and verbal ...

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Utilization Management information

See Colorado salary details

$41K

$94.1K

$171.4K

How much do utilization management jobs pay per year?

As of Jun 12, 2026, the average yearly pay for utilization management in Colorado is $94,093.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,800.00 and $109,900.00 per year, depending on experience, location, and employer.

What jobs pay 4000 a week without a degree?

Utilization Management roles typically require healthcare or insurance industry knowledge and often a relevant certification rather than a degree. High-paying jobs that can reach $4,000 a week without a degree include sales positions, real estate brokers, commercial pilots, or skilled trades like electricians and plumbers, especially with experience and certifications. These roles often involve commission, bonuses, or overtime to achieve such earnings.

What jobs pay $2000 a day?

Jobs that can pay $2000 a day typically include specialized roles such as senior management, high-level consultants, certain medical specialists, and experienced legal professionals. These positions often require advanced skills, extensive experience, and sometimes certifications, and they may involve freelance or contract work with high hourly or project-based rates.

What are the key skills and qualifications needed to thrive in the Utilization Management position, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What is a Utilization Management job?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What is the least stressful healthcare job?

Utilization management roles are often considered less stressful compared to direct patient care jobs because they involve reviewing medical necessity and insurance claims rather than providing hands-on treatment. These positions typically have regular hours, less physical demand, and focus on administrative tasks, making them a lower-stress option within healthcare. However, stress levels can vary based on workplace environment and individual preferences.

What does utilization management do?

Utilization management is a healthcare job that involves reviewing and approving or denying medical services to ensure they are necessary and appropriate. It helps control healthcare costs and maintains quality by evaluating treatment plans, often using guidelines and data analysis. Professionals in this role typically work with insurance companies, healthcare providers, and use tools like medical records and clinical criteria.

What are the typical daily responsibilities of a Utilization Management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

What are the most commonly searched types of Utilization Management jobs in Colorado? The most popular types of Utilization Management jobs in Colorado are:
What cities in Colorado are hiring for Utilization Management jobs? Cities in Colorado with the most Utilization Management job openings:
Infographic showing various Utilization Management job openings in Colorado as of June 2026, with employment types broken down into 84% Full Time, 13% Part Time, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $94,093 per year, or $45.2 per hour.
Registered Nurse - Case Manager - Case Management - Full Time - Days

Registered Nurse - Case Manager - Case Management - Full Time - Days

Montrose Regional Health

Montrose, CO

$5/hr

Other

Medical, Retirement

Posted 24 days ago


Montrose Regional Health rating

7.6

Company rating: 7.6 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

238th of 998 rated hospitals


Job description

Description
About Montrose Regional Health:
  • As the leading healthcare in the Uncompahgre Valley, MRH offers patients personalized and professional healthcare backed by the latest technology experience, and partnership, we continue to evolve and broaden our comprehensive services in 23-specialties and sub- specialties. We are the hospital, the healthcare resource, and the employer of choice in our communities. Montrose Regional Health is a not for-profit accredited by the Joint Commission meeting the highest standards of healthcare.
About the \Department
  • Montrose Regional Health Case Managers help our patients understand their options concerning the specific situation they are dealing with at the time. We are liaisons between patients and their treatment or care options.
About The Career:
  • The purpose of the Case Manager position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans effectively in order to meet the needs, manage the length of stay, and promote efficient utilization of resources.
All About You:
  • Current and valid license to practice as a Registered Nurse in the state of Colorado.
  • Five years clinical experience in clinical practice area minimum.
  • Current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement.
  • Understanding of pre-acute and post-acute venues of care and post-acute community resources.
What We Offer:
  • Mentoring
  • Student loan employer contributions up to $10,800 tax free!
  • Relocation Assistance
  • Continuing Education
  • 401 K Retirement Plan with employer match
  • Multiple health options to selection from
  • Ability to earn an additional $5.00 with the professional development ladder
Our Brand:
  • Integrity & honesty in everything we do
  • Service with care and compassion
  • Excellence
  • Leadership with innovation & Creativity
  • We care for our team like family.

* This position is located in Montrose Colorado

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