ZipRecruiter

Log In

2

Utilization Review Coordinator Remote Jobs in Colorado

McQuade Organization

... review benefits, plan updates, and enhancements -Build strong client relationships and identify opportunities to expand the services they use -Provide responsive support to ensure a smooth and ...

McQuade Organization

... review benefits, plan updates, and enhancements -Build strong client relationships and identify opportunities to expand the services they use -Provide responsive support to ensure a smooth and ...

McQuade Organization

... review benefits, plan updates, and enhancements -Build strong client relationships and identify opportunities to expand the services they use -Provide responsive support to ensure a smooth and ...

House Buyers of America

Transaction Coordinator

Denver, CO · Remote

$50K - $75K/yr

Review and enter contracts/settlement statements and ensure they are entered into our CRM properly ... Our company is FULLY REMOTE * Our awesome company culture includes: competitive pay great benefits ...

House Buyers of America

Transaction Coordinator

Denver, CO · Remote

$50K - $75K/yr

Review and enter contracts/settlement statements and ensure they are entered into our CRM properly ... Our company is FULLY REMOTE * Our awesome company culture includes: competitive pay great benefits ...

next page

Showing results 1-20

All JobsUtilization Review JobsUtilization Review Coordinator Remote JobsUtilization Review Coordinator Remote Jobs in Colorado

Utilization Review Coordinator Remote information

What does a utilization review coordinator do when working remotely?

A Utilization Review Coordinator working remotely is responsible for evaluating the necessity, appropriateness, and efficiency of healthcare services and procedures. They review medical records, treatment plans, and insurance policies to ensure compliance with regulations and that patients receive proper care without unnecessary costs. Remote UR Coordinators collaborate with healthcare providers, payers, and patients primarily through electronic records and virtual communication, maintaining strong organizational and analytical skills. Their goal is to optimize patient outcomes while managing healthcare resources effectively.

What are the key skills and qualifications needed to thrive as a utilization review coordinator remote?

To thrive as a Utilization Review Coordinator Remote, you need a strong background in healthcare, knowledge of medical terminology, and often an active RN or LPN license. Familiarity with utilization management software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is typically required. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for evaluating medical necessity and collaborating with providers. These skills ensure accurate, efficient case reviews and compliance with regulations, which are vital for optimizing patient care and managing healthcare costs.

How does a utilization review coordinator typically collaborate with healthcare providers and insurance companies?

As a remote Utilization Review Coordinator, you will regularly communicate with healthcare providers and insurance representatives via phone, email, and secure digital platforms. Your main responsibilities include reviewing patient records, making coverage determinations, and ensuring compliance with regulatory guidelines. Collaboration often involves clarifying medical necessity, gathering additional documentation, and participating in virtual team meetings to discuss complex cases. Strong communication skills and comfort with digital tools are essential for seamless coordination across remote teams.

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

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

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

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

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

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

Utilization Review Coordinator Remote jobs near you
Infographic showing various Utilization Review Coordinator Remote job openings in Colorado as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 34% In-person, and 66% Remote job distribution.

Remote Utilization Manager - Inpatient

AllHealth Network

Watkins, 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.

Apply