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 ...
Formulary Strategy & Utilization Review Pharmacist
Denver, CO · On-site
$60 - $72/hr
Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: * Review prescribing trends and propose cost-saving ...
Formulary Strategy & Utilization Review Pharmacist
Denver, CO · On-site
$60 - $72/hr
Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: * Review prescribing trends and propose cost-saving ...
Remote Utilization Manager - Inpatient
Watkins, CO · Remote
$75K - $83K/yr
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 ...
Remote Utilization Manager - Inpatient
Watkins, CO · Remote
$75K - $83K/yr
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 ...
Senior Utilization Management Nurse Integrated Resources, Inc is a premier staffing firm recognized ... Completes clinical review to determine whether a request can be approved using nationally ...
Senior Utilization Management Nurse Integrated Resources, Inc is a premier staffing firm recognized ... Completes clinical review to determine whether a request can be approved using nationally ...
Remote Utilization Manager - Inpatient
Littleton, CO · Remote
$75K - $83K/yr
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 ...
Remote Utilization Manager - Inpatient
Littleton, CO · Remote
$75K - $83K/yr
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 ...
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 ...
Remote Utilization Manager - Inpatient
Watkins, CO · On-site +1
$75K - $83K/yr
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 ...
Remote Utilization Manager - Inpatient
Watkins, CO · On-site +1
$75K - $83K/yr
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 ...
Travel Nurse RN - Case Manager, Utilization Review
Glenwood Springs, CO · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: RN * Start Date: 09/15/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 9/15/2026 ...
Travel Nurse RN - Case Manager, Utilization Review
Glenwood Springs, CO · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: RN * Start Date: 09/15/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 9/15/2026 ...
Remote Utilization Manager - Inpatient
Watkins, CO · On-site
$75K - $83K/yr
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 ...
Quick apply
Remote Utilization Manager - Inpatient
Watkins, CO · On-site
$75K - $83K/yr
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 ...
Travel Nurse RN - Case Manager, Utilization Review
Montrose, CO · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Hospice Case Manager StartDate: 7/13/2026 ...
Travel Nurse RN - Case Manager, Utilization Review
Montrose, CO · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Hospice Case Manager StartDate: 7/13/2026 ...
Minimum of 1 year of Utilization Review/Management experience. * Minimum of 3 years of clinical nursing experience. * Experience with TRICARE and military healthcare systems is highly desirable.
Minimum of 1 year of Utilization Review/Management experience. * Minimum of 3 years of clinical nursing experience. * Experience with TRICARE and military healthcare systems is highly desirable.
Travel Nurse RN - Case Manager, Utilization Review
Grand Junction, CO · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: RN * Start Date: 08/31/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 8/31/2026 ...
Travel Nurse RN - Case Manager, Utilization Review
Grand Junction, CO · On-site
$1.8K - $2.7K/wk
Utilization Review * Discipline: RN * Start Date: 08/31/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 8/31/2026 ...
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 ...
Utilization Management RN
Aurora, CO · On-site
$38.91 - $60.31/hr
Reviews admissions and service requests within assigned unit for prospective, concurrent, and ... Preferred: 3 years of utilization or case management experience. * BLS through the American Heart ...
Utilization Management RN
Aurora, CO · On-site
$38.91 - $60.31/hr
Reviews admissions and service requests within assigned unit for prospective, concurrent, and ... Preferred: 3 years of utilization or case management experience. * BLS through the American Heart ...
Utilization Management RN
Aurora, CO · Remote
$38.91 - $60.31/hr
Reviews admissions and service requests within assigned unit for prospective, concurrent, and ... Preferred: 3 years of utilization or case management experience. * BLS through the American Heart ...
Utilization Management RN
Aurora, CO · Remote
$38.91 - $60.31/hr
Reviews admissions and service requests within assigned unit for prospective, concurrent, and ... Preferred: 3 years of utilization or case management experience. * BLS through the American Heart ...
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 ...
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 ...
Clinical Reviewer
$35 - $40/hr
Outpatient PT/OT/ST * 3+ years of clinical experience in acute care, behavioral health, or medical-surgical settings. * 2+ years of Utilization Review/Management (UR/UM) or Prior Authorization ...
Quick apply
Clinical Reviewer
$35 - $40/hr
Outpatient PT/OT/ST * 3+ years of clinical experience in acute care, behavioral health, or medical-surgical settings. * 2+ years of Utilization Review/Management (UR/UM) or Prior Authorization ...
Integrated Care Advisor
Edwards, CO · On-site
$60K - $75K/yr
Collaborate with admissions, billing, and utilization review teams to ensure alignment between clinical recommendations and financial realities * Educate clients on the financial implications of ...
Integrated Care Advisor
Edwards, CO · On-site
$60K - $75K/yr
Collaborate with admissions, billing, and utilization review teams to ensure alignment between clinical recommendations and financial realities * Educate clients on the financial implications of ...
Integrated Care Advisor
Edwards, CO · On-site
$60K - $75K/yr
Collaborate with admissions, billing, and utilization review teams to ensure alignment between clinical recommendations and financial realities * Educate clients on the financial implications of ...
Quick apply
Integrated Care Advisor
Edwards, CO · On-site
$60K - $75K/yr
Collaborate with admissions, billing, and utilization review teams to ensure alignment between clinical recommendations and financial realities * Educate clients on the financial implications of ...
Clinical Quality Specialist (PT)
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
Clinical Quality Specialist (PT)
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
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?
Is utilization review work from home?
What does a utilization review do?
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.
Is utilization review a stressful job?
What is a utilization review?
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 utilization review?
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?
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:
- Evening Optum Health Utilization Review
- Utilization Review Specialist
- Home Based Utilization Review Nurse
- Full Time Physician Advisor Utilization Review
- Part Time Utilization Review Nurse
- Per Diem Remote Chart Review Nurse
- No Experience Utilization Management Nurse
- Utilization Review Nurse
- Temporary Utilization Review Nurse
- Remote Admissions Nurse
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:
- Chart Utilization Review
- Remote Dental Utilization Review
- Utilization Review No Experience
- Remote Rn Utilization Review Nurse
- Lpn Utilization Review Nurse
- Registered Nurse Case Review
- Cigna Utilization Review Nurse
- Case Manager Utilization Review Nurse
- Remote Aetna Utilization Review Nurse
- Remote Optum Utilization Review
What cities in Colorado are hiring for Utilization Review jobs?
Cities in Colorado with the most Utilization Review job openings:

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 3 days ago
Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
495th of 887 rated healthcare providers
Job description
This position is required to be onsite!
Highlands Behavioral Health System is an 86 bed, acute care psychiatric hospital located in Littleton, CO. Highlands features individual units for adults, and seniors, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs.
Website: https://highlandsbhs.com
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 evaluating the patient medical records to determine severity of patient’s illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator leads physician daily treatment team meetings, manages authorizations and reviews for outpatient programming and at time of admission is responsible for obtaining the precertification. The UM coordinator must be able to work with the business office and admissions departments to complete preliminary verification of benefits. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits.
Benefit & Reward Highlights:
- Tuition and Educational Reimbursement Program.
- Student Loan Repayment Program.
- Challenging and rewarding work environment
- Career development opportunities
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- Discounts on pet insurance, automotive insurance & homeowners insurance
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
Questions or concerns? Contact the Human Resources department at HIGHLANDSBHSHumanResourceContact@uhsinc.com.
Screening of applications begins immediately and continues until the position is filled.
Qualifications
Requirements:
- Masters prepared healthcare professional (Counseling, Psychology, or Social Work) required or RN with direct experience.
- Valid RN license, LCSW, or LPC preferred.
- A minimum of 3-5 years direct psychiatric patient care experience.
- Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Advanced computer skills necessary. Strong analytical, organizational, verbal and written skills required.
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Qualifications:Requirements:
- Masters prepared healthcare professional (Counseling, Psychology, or Social Work) required or RN with direct experience.
- Valid RN license, LCSW, or LPC preferred.
- A minimum of 3-5 years direct psychiatric patient care experience.
- Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Advanced computer skills necessary. Strong analytical, organizational, verbal and written skills required.
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Education:UNAVAILABLEEmployment Type: FULL_TIMEWhat Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US