Job Address: 4770 Larimer Pkwy Johnstown, CO 80534 New Vista Health and Wellness is currently recruiting a Utilization Review Coordinator! WHO WE ARE The New Vista mission: Inspiring Hope, Restoring ...
Job Address: 4770 Larimer Pkwy Johnstown, CO 80534 New Vista Health and Wellness is currently recruiting a Utilization Review Coordinator! WHO WE ARE The New Vista mission: Inspiring Hope, Restoring ...
Utilization Review RN
Aurora, CO · On-site
The Utilization Review RN participates as a member of a multidisciplinary team to support medical necessity reviews, ensure compliance, and actively participate in denial mitigation. It is a ...
New
Utilization Review RN
Aurora, CO · On-site
The Utilization Review RN participates as a member of a multidisciplinary team to support medical necessity reviews, ensure compliance, and actively participate in denial mitigation. It is a ...
New
Utilization Review RN
Aurora, CO · On-site
It is a collaborative approach that uses pre-established guidelines and criteria to perform review activities to ensure the proper utilization of hospital services and payment of those services by ...
New
Utilization Review RN
Aurora, CO · On-site
It is a collaborative approach that uses pre-established guidelines and criteria to perform review activities to ensure the proper utilization of hospital services and payment of those services by ...
New
Utilization Review Registered Nurse : On Site Position
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting utilization reviews to determine the medical necessity and appropriateness of patient admissions ...
Utilization Review Registered Nurse : On Site Position
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting utilization reviews to determine the medical necessity and appropriateness of patient admissions ...
The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by ...
The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by ...
Utilization Review Coordinator - Behavioral Health Setting
Highlands Ranch, CO · On-site
$33.33 - $49.99/hr
The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by ...
Utilization Review Coordinator - Behavioral Health Setting
Highlands Ranch, CO · On-site
$33.33 - $49.99/hr
The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by ...
The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by ...
The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by ...
Completes clinical review to determine whether a request can be approved using nationally ... Experience: Typically, three years of medical utilization management experience working with a ...
Completes clinical review to determine whether a request can be approved using nationally ... Experience: Typically, three years of medical utilization management experience working with a ...
Registered Nurse, Utilization Coordinator - Hybrid - Must Reside in Colorado
Denver, CO · On-site
$77K - $116K/yr
All Reviews will be done to ensure compliance with all state, federal and third-party payors. They ... Utilization Review for Insurance Companies * Documents clinical information as required for ...
Registered Nurse, Utilization Coordinator - Hybrid - Must Reside in Colorado
Denver, CO · On-site
$77K - $116K/yr
All Reviews will be done to ensure compliance with all state, federal and third-party payors. They ... Utilization Review for Insurance Companies * Documents clinical information as required for ...
Registered Nurse, Utilization Coordinator - Hybrid - Must Reside in Colorado
Denver, CO · On-site
$77K - $116K/yr
All Reviews will be done to ensure compliance with all state, federal and third-party payors. They ... Utilization Review for Insurance Companies • Documents clinical information as required for ...
Registered Nurse, Utilization Coordinator - Hybrid - Must Reside in Colorado
Denver, CO · On-site
$77K - $116K/yr
All Reviews will be done to ensure compliance with all state, federal and third-party payors. They ... Utilization Review for Insurance Companies • Documents clinical information as required for ...
UR Coordinator
$18 - $25/hr
Sierra Vista is seeking a detail-oriented and knowledgeable Utilization Review (UR) Coordinator to support clinical documentation, insurance authorization processes, and regulatory compliance. This ...
UR Coordinator
$18 - $25/hr
Sierra Vista is seeking a detail-oriented and knowledgeable Utilization Review (UR) Coordinator to support clinical documentation, insurance authorization processes, and regulatory compliance. This ...
Oversees utilization review activities to ensure reimbursement for services. The UM Coordinator leads daily treatment team meetings, manages authorizations/reauthorizations and reviews. The UM ...
Oversees utilization review activities to ensure reimbursement for services. The UM Coordinator leads daily treatment team meetings, manages authorizations/reauthorizations and reviews. The UM ...
Manager, Medical Utilization and Care Management
Denver, CO · On-site
$95K - $130K/yr
Monitor vendor review of medical records and treatment plans to support appropriate service utilization, avoid unnecessary or duplicate services, and optimize reimbursement outcomes. * Partner with ...
New
Manager, Medical Utilization and Care Management
Denver, CO · On-site
$95K - $130K/yr
Monitor vendor review of medical records and treatment plans to support appropriate service utilization, avoid unnecessary or duplicate services, and optimize reimbursement outcomes. * Partner with ...
New
Case Manager
Delta, CO · On-site
$33.19 - $47.97/hr
Description Position Summary The Case Manager / Utilization Review (UR) is responsible for utilization review, discharge planning, patient advocacy, social services, and documentation review. This ...
Case Manager
Delta, CO · On-site
$33.19 - $47.97/hr
Description Position Summary The Case Manager / Utilization Review (UR) is responsible for utilization review, discharge planning, patient advocacy, social services, and documentation review. This ...
Case Manager
Delta, CO · On-site
$18.75 - $24.25/hr
Position Summary The Case Manager / Utilization Review (UR) is responsible for utilization review, discharge planning, patient advocacy, social services, and documentation review. This role evaluates ...
Case Manager
Delta, CO · On-site
$18.75 - $24.25/hr
Position Summary The Case Manager / Utilization Review (UR) is responsible for utilization review, discharge planning, patient advocacy, social services, and documentation review. This role evaluates ...
Part-Time Clinical Quality Specialist
Denver, CO · On-site
$40 - $42/hr
What you'll do Utilization Management & Review * Conduct prospective, concurrent, and retrospective utilization reviews to assess medical necessity, treatment appropriateness, and level of care
Part-Time Clinical Quality Specialist
Denver, CO · On-site
$40 - $42/hr
What you'll do Utilization Management & Review * Conduct prospective, concurrent, and retrospective utilization reviews to assess medical necessity, treatment appropriateness, and level of care
Willingness to participate in physician peer review, quality improvement, and utilization review. * Ability to provide on-call coverage if assigned per contract. * Commitment to continuous ...
Willingness to participate in physician peer review, quality improvement, and utilization review. * Ability to provide on-call coverage if assigned per contract. * Commitment to continuous ...
Physician Reviewer-Radiology (Part Time)
Denver, CO · On-site
$95 - $100/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Physician Reviewer-Radiology (Part Time)
Denver, CO · On-site
$95 - $100/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Orthopedics Physician
$42.41/hr
Willingness to participate in physician peer review, quality improvement, and utilization review. * Ability to provide on-call coverage if assigned per contract. * Commitment to continuous ...
Orthopedics Physician
$42.41/hr
Willingness to participate in physician peer review, quality improvement, and utilization review. * Ability to provide on-call coverage if assigned per contract. * Commitment to continuous ...
Orthopedics Physician
Westminster, CO · On-site
$88K/yr
Willingness to participate in physician peer review, quality improvement, and utilization review. * Ability to provide on-call coverage if assigned per contract. * Commitment to continuous ...
Orthopedics Physician
Westminster, CO · On-site
$88K/yr
Willingness to participate in physician peer review, quality improvement, and utilization review. * Ability to provide on-call coverage if assigned per contract. * Commitment to continuous ...
Utilization Review information
See Colorado salary details
$22.50 - $27.05
2% of jobs
$27.05 - $31.60
9% of jobs
$34.71 is the 25th percentile. Wages below this are outliers.
$31.60 - $36.15
21% of jobs
The median wage is $39.83 / hr.
$36.15 - $40.70
23% of jobs
$40.70 - $45.25
13% of jobs
$48.78 is the 75th percentile. Wages above this are outliers.
$45.25 - $49.80
10% of jobs
$49.80 - $54.35
8% of jobs
$54.35 - $58.90
5% of jobs
$58.90 - $63.45
5% of jobs
$63.45 - $67.99
2% of jobs
$67.99 - $72.54
2% of jobs
$22
$44
$72
How much do utilization review jobs pay per hour?
What jobs make $3,000 a day?
What jobs pay 4000 a week without a degree?
What does a typical day look like for someone working in Utilization Review?
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
What skills do you need for utilization review?
What is a Utilization Review job?
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
What are the key skills and qualifications needed to thrive in the Utilization Review position, and why are they important?
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
How do I get into a utilization review?
- Utilization Review Physician
- Utilization Review Nurse
- Freelance Utilization Review Nurse
- Utilization Management
- Remote Admissions Nurse
- Full Time Physician Advisor Utilization Review
- Part Time Utilization Review Nurse
- Remote Utilization Review Nurse
- No Experience Utilization Management Nurse
- Evening Utilization Review Nurse
- Remote Occupational Therapy Utilization Review
- Cigna Utilization Review Nurse
- Nurse Practitioner Utilization Review
- Remote Aetna Utilization Review
- Utilization Review No Experience
- Remote Hca Utilization Review
- Remote Lpn Utilization Review
- Remote Bcba Utilization Review
- Remote Utilization Review Nurse Practitioner
- Discharge Planner Utilization Review

$46K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 17 days ago
Job description
Job Address:
4770 Larimer Pkwy Johnstown, CO 80534New 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.