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Utilization Review Jobs in Colorado (NOW HIRING)

Lifepoint Health

Utilization Review Director

Englewood, CO · On-site

$52 - $71/hr

Utilization Review Director Job Type: Onsite, Full-time Pay rate: $52-$71 per hour Work Schedule: Monday-Friday 8am-5pm MST Your experience matters Denver Springs At Denver Springs, we are committed ...

ERC Pathlight

Utilization Review Manager

Aspen, CO · Hybrid

As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review Specialists and oversee Utilization Review operations. This role coordinates with Clinical Managers and ...

ERC Pathlight

Utilization Review Manager

Aspen, CO · On-site

$93K - $117K/yr

As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review Specialists and oversee Utilization Review operations. This role coordinates with Clinical Managers and ...

ERC Pathlight

Utilization Review Manager

Denver, CO · On-site +1

$93K - $117K/yr

As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review Specialists and oversee Utilization Review operations. This role coordinates with Clinical Managers and ...

Delta Health

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 ...

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All JobsUtilization Review JobsUtilization Review Jobs in Colorado

Utilization Review information

See Colorado salary details

$22

$44

$72

How much do utilization review jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for utilization review 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 jobs pay $10,000 a month without a degree?

Utilization Review roles typically do not pay $10,000 a month without relevant experience or certifications; most positions in this field pay lower salaries. High-paying jobs that can reach this level without a degree often include specialized sales, real estate, or entrepreneurship, but they usually require significant skills, networking, or business acumen. Achieving such income without a degree generally involves gaining expertise, certifications, or building a successful independent business.

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?

Utilization review professionals need strong analytical skills to assess medical necessity and appropriateness of care, attention to detail, and knowledge of healthcare regulations and insurance policies. Good communication skills are essential for coordinating with healthcare providers and explaining decisions. Familiarity with electronic health records (EHR) systems and relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can also be beneficial.

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.

What is the least stressful healthcare job?

Utilization review is often considered a less stressful healthcare job because it typically involves reviewing medical cases and insurance claims in a predictable, office-based environment. It usually requires strong analytical skills and certification but involves less direct patient interaction and emergency situations compared to clinical roles.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare professional such as a registered nurse, licensed social worker, or physician completes relevant education and obtains certification in utilization review or case management. Gaining experience in healthcare settings and understanding insurance policies and medical coding can also improve job prospects. Certification programs like the Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM) are often preferred by employers.
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 are popular job titles related to Utilization Review jobs in Colorado? For Utilization Review jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Utilization Review jobs in Colorado look for? The top searched job categories for Utilization Review jobs in Colorado are:
What cities in Colorado are hiring for Utilization Review jobs? Cities in Colorado with the most Utilization Review job openings:
Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Colorado as of June 2026, with employment types broken down into 100% Full Time. Highlights an 68% In-person, and 32% Remote job distribution, with an average salary of $92,477 per year, or $44.5 per hour.

Utilization Review Coordinator

NRT |Foundry Treatment Center

Steamboat Springs, CO • On-site

$63K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

Description:

Utilization Review Coordinator


Reports to: Utilization Review Manager

Job Category: Salaried | Exempt | Full-Time

Salary Range: $63,000-$85,000 per year (depending on experience and licensure)

Job Site: Remote

Schedule: Business hours, with potential for weekend rotation


Job Summary:

The Utilization Review Coordinator supports utilization review functions by obtaining and tracking authorizations, maintaining accurate documentation, and ensuring timely communication with payors and clinical staff. This role plays a key part in supporting continuity of care, regulatory compliance, and reimbursement for behavioral health services.


Education and Experience:

  • Bachelor’s degree required, Master’s degree preferred.
  • Professional clinical or nursing license strongly preferred (LPC, LCSW, LMFT, LPN, RN).
  • Experience in utilization review, care coordination, or healthcare administration preferred.
  • Behavioral health experience strongly preferred.
  • Knowledge of insurance authorization processes and medical necessity criteria a plus.

Required Skills/Abilities:

  • Strong organizational and time management skills.
  • Attention to detail and accuracy.
  • Ability to manage multiple tasks and deadlines.
  • Clear and professional communication skills.
  • Ability to work collaboratively with clinical and administrative teams.
  • Problem-solving and follow-up skills.
  • Familiarity with electronic health records and healthcare documentation standards.
  • Proficient with Google Workspace or related software.

Duties/Responsibilities:

  • Submit initial and continued stay authorization requests to insurance payors.
  • Track authorization approvals, denials, and expiration dates.
  • Maintain accurate and timely documentation in the electronic health record.
  • Communicate authorization status to clinical and administrative staff.
  • Assist with gathering clinical information for utilization reviews and audits.
  • Follow up with insurance companies to ensure timely determinations.
  • Support peer-to-peer reviews by coordinating required documentation and scheduling.
  • Identify potential authorization issues and escalate to the Utilization Review Manager as needed.
  • Ensure compliance with payor requirements, timelines, and internal policies.
  • Assist with data tracking and reporting related to utilization and denials.
  • Other duties as assigned.

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer.
  • Standing, sitting, bending, reaching.
  • Must be able to see, hear, talk, read, write, type.
  • Exposure to clinical and medical environments.

Benefits & Perks:

Health and Wellness

  • Medical, dental and vision insurance*
  • Supplemental accident and hospital indemnity coverage*
  • Voluntary Term Life insurance*
  • Employee Assistance Program
  • Monthly wellness reimbursement*

Financial

  • Competitive salary
  • Employee recognition and rewards programs
  • Employee referral incentive program
  • Employer-sponsored 401(k) plan

Work/Life Perks

  • Professional growth and development
  • Continuing education reimbursement
  • Unlimited paid time off (exempt employees) + sick days
  • Paid time off policy (non-exempt employees) + sick days
  • Paid holidays (exempt) or ability to earn 1.5x base hourly rate (non-exempt)

*Full-time employees


This description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.


Requirements: