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Utilization Review Jobs in Colorado (NOW HIRING)

Sierra Vista

UR Coordinator

Johnstown, CO

$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 ...

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 ...

Delta Health

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 ...

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Utilization Review information

See Colorado salary details

$22

$44

$72

How much do utilization review jobs pay per hour?

As of Jul 6, 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 make $3,000 a day?

High-paying jobs that can reach $3,000 a day include specialized roles such as senior physicians, anesthesiologists, or surgeons, often requiring advanced certifications and extensive experience. Certain executive positions, like CEOs or investment bankers, may also earn this level of daily income, especially through bonuses or profit sharing. These roles typically involve high responsibility, expertise, and demanding schedules.

What jobs pay 4000 a week without a degree?

Utilization Review specialists typically do not earn $4,000 per week without a degree; most roles in this field require healthcare-related certifications or experience. High-paying jobs that can reach this level without a degree include certain sales positions, real estate brokers, or specialized trades like commercial pilots or skilled trades, which often rely on experience, licensing, or certifications rather than formal degrees. These roles may involve commission, bonuses, or overtime to achieve such weekly earnings.

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.

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 gains experience in healthcare or insurance. Certification in utilization review or case management, such as the Certified Professional in Healthcare Quality (CPHQ), can improve job prospects. Strong analytical skills and knowledge of medical coding and insurance policies are also important.
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 68% Full Time, 25% Part Time, and 7% Contract. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $92,477 per year, or $44.5 per hour.
Utilization Review Director

Utilization Review Director

Lifepoint Health

Englewood, CO

$110K - $148K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 25 days ago

LifePoint Health rating

5.9

Company rating: 5.9 out of 10

Based on 264 frontline employees who took The Breakroom Quiz

753rd of 877 rated healthcare providers

Job description

Job Title: Utilization Review Director
Job Type: Onsite, Full-time

Pay rate: $$110,000 -$148,000

Work Schedule: Monday-Friday 8am-5pm MST

Your experience matters Denver Springs 

At Denver Springs, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve. 

How you'll contribute 

The responsibility of the Utilization Review Director is to ensure the utilization review activities are completed accurately and timely. This includes the precertification and recertification, peer to peer process, and appeals. The UR Director will report consistently and accurately to the CEO or delegate the authorization status of current patients and appeals. The Director will ensure that all UR staff members follow department and facility procedures. The Director will further ensure that communication with all relevant departments, but especially CBO and Business Office, meets staff and patient needs. The UR Director will report consistently and accurately to the CEO or delegate the authorization status of current patients and appeals

Other Duties Include: 

  • Oversees the UR department, ensuring staff has completed all assignments and monitors performance.
  • Ensures all pre-certifications are completed for inpatient and outpatient services.
  • Ensures all re-certifications are completed for inpatient and outpatient services and reports status to the CEO or delegate.
  • Assists with creation of treatment team agenda and participates to ensure team is aware of coverage info as well as collecting information for communication with insurance or other funding source.
  • Be available to educate staff members from other relevant departments on documentation requirements / medical criteria and does so in a professional, organized, and understandable manner.
  • Works with DON to ensure documentation requirements are met.
  • Ensure appeals are completed thoroughly and on a timely basis.
  • Interface with managed care organizations, external reviews, and other payers.
  • Participates in Administrator on call rotation
  • Communicate with physicians to schedule peer to peer reviews.
  • Accurately report denials.
  • Is available to proctor staff members at other Springstone facilities on relevant policies and procedures. 

What we offer 

We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, PTO, medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. 

Qualifications and requirements 

  • Education: Bachelor's degree required.
  • Experience: Previous utilization review experience in a psychiatric healthcare facility preferred.
  • License: Current unencumbered clinical license strongly preferred. RN license preferred. 
  • Additional Requirements: CPI and CPR preferred within 30 days of hire. May be required to work flexible hours.

About Us 
Denver Springs hospital located in Englewood, CO, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters 

EEOC Statement 

"Denver Springs is an Equal Opportunity Employer. Denver Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." 

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

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About LifePoint Health

Sourced by ZipRecruiter

Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

Social media

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