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Utilization Review Director Jobs in Colorado (NOW HIRING)

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Utilization Review Director information

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$22

$44

$72

How much do utilization review director jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for utilization review director 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 is the difference between Utilization Review Director vs Utilization Review Nurse?

AspectUtilization Review DirectorUtilization Review Nurse
CredentialsRN license, management experience, certifications (e.g., CCM)RN license, certification in case management or utilization review (e.g., CUC)
Work EnvironmentAdministrative, leadership roles overseeing teamsClinical, review of patient cases, direct patient care
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Search & Comparison IntentLeadership, management, strategic planning in utilization reviewClinical review, case assessment, patient care coordination

The Utilization Review Director typically oversees review teams and manages utilization strategies, requiring leadership skills and management experience. In contrast, the Utilization Review Nurse focuses on clinical case assessments and patient care reviews. Both roles require RN licensure and relevant certifications but differ mainly in scope and responsibilities.

What does a utilization review director do?

A Utilization Review Director oversees the evaluation of medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead teams that review patient care requests, manage compliance with regulations, and implement strategies to ensure cost-effective care without compromising quality. Their responsibilities often include policy development, data analysis, and collaboration with healthcare providers to optimize resource use and improve patient outcomes.

Is utilization review a stressful job?

Utilization Review Directors often work in high-pressure environments where they must make quick, accurate decisions regarding healthcare services. The role can be stressful due to the need to balance patient care, insurance policies, and regulatory compliance, but stress levels vary based on workload, organizational support, and experience. Strong analytical skills and certification in utilization review can help manage job demands effectively.

What degree do I need for utilization review director?

A utilization review director typically needs at least a bachelor's degree in healthcare administration, nursing, or a related field. Many employers prefer candidates with a master's degree such as an MBA or a healthcare-related advanced degree, along with relevant experience and certifications like the Certified Professional in Healthcare Quality (CPHQ).

What are some common challenges faced by a utilization review director, and how can they be addressed?

A Utilization Review Director often navigates challenges such as balancing regulatory compliance with organizational goals, managing interdisciplinary teams, and keeping up with evolving healthcare policies. Staying proactive with ongoing education, fostering open communication among staff, and implementing efficient review processes can help address these issues. Additionally, leveraging data analytics and technology streamlines case reviews and ensures evidence-based decision-making, ultimately improving both patient outcomes and operational efficiency.

What are the key skills and qualifications needed to thrive as a utilization review director, and why are they important?

To thrive as a Utilization Review Director, you need a deep understanding of clinical guidelines, healthcare regulations, and case management principles, typically supported by a nursing or related healthcare degree and relevant licensure. Familiarity with utilization management software, electronic health records (EHR), and certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) is common in the field. Strong leadership, communication, analytical thinking, and decision-making skills help you effectively manage teams and ensure compliance. These competencies ensure efficient resource use, regulatory adherence, and high-quality patient outcomes within healthcare organizations.
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 cities in Colorado are hiring for Utilization Review Director jobs? Cities in Colorado with the most Utilization Review Director job openings:
Utilization Review Director jobs near you
Infographic showing various Utilization Review Director job openings in Colorado as of August 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $92,477 per year, or $44.5 per hour.

Utilization Review (UR) Coordinator

Communicarehealth

Johnstown, CO

$46K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 28 days ago

Job description

Job Address:

4770 Larimer Pkwy Johnstown, CO 80534


New Vista Health and Wellnessis currently recruiting aUtilization Review Coordinator!

WHO WE ARE

The New Vista mission:Inspiring Hope, Restoring Peace of Mind, Healing Lives.At New Vista, our passionate and highly trained team of professionals inspires hope and delivers holistic care to those in need of behavioral health services in a contemporary and healing environment - one that is conducive to providing the life skills needed to regain stability and independence. With a blend of group therapy, clinical treatment, and unique surroundings, our beautiful healthcare centers provide a safe, serene, healing environment for adults and seniors with a variety of complex needs.

Our compassionate team members work in a challenging yet rewarding environment where each person is a part of making direct impact on our patient's lives.

COME JOIN OUR TEAM ASUTILIZATION REVIEW COORDINATOR ATSIERRA VISTA!

Salary: Up to $46K

PERKS AT WORK

Team Members enjoy a variety of perks in working with the NewVista brand company. We offer competitive market wages along with a full, robust package:

Healthcare + Life Balance

  • Medical Packages with Rx - 3 Choices
  • Flexible Spending Accounts (FSA)
  • Dependent Day Care
  • Spending Accounts
  • Health Spending Accounts (HSA) with a company match
  • Dental Care Program - 2 choices
  • Vision Plan
  • Life Insurance Options
  • Accidental Insurances
  • Paid Time Off + Paid Holidays
  • Employee Assistance Programs
  • 401k with a Company Match

Education + Leadership Development

  • Up to $15,000 in Tuition Reimbursements OR Student Loan forgiveness
  • Handle with Care Trainer - Certifications

Recognition + Rewards

  • On the spot recognition
  • Prizes
  • Team Member of the Quarter
  • Team Member of the Year
  • Monthly Celebrations
  • Team Member Recognition Cards

Education

  • High school diploma or GED (Required)
  • Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences, or related field preferred.
  • Previous Utilization Review experience in a behavioral healthcare facility preferred.

JOB RESPONSIBILITIES

As Utilization Review Coordinator, you will :

  • Obtain initial authorizations and provide discharge notifications for inpatient and outpatient behavioral health treatment.
  • Coordinate authorization information with third party payors in a timely manner.
  • Complete thorough and accurate documentation in all required systems.
  • Maintain communication system based on documentation and verbal exchange regarding treatment with other UM staff and staff at the facilities as needed.
  • Reports appropriate denial and authorization information to designated resource.
  • Assist UM Specialists in scheduling and following up on results of Peer to Peer requests for physicians and CNP.
  • Provide support to the UM Specialists.

Skills:

  • Ability to multi-task
  • Strong organization skills
  • Strong problem-solving skills
  • Ability to work well independently and as a part of a team

Qualified candidates, apply now for a chance to join our outstanding team as weInspire Hope, Restore Peace of Mind, and Heal Lives.

Apply