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Utilization Review Jobs in Colorado (NOW HIRING)

RN Case Manager

Glenwood Springs, CO ยท On-site

$1.6K - $1.7K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Glenwood Springs, Colorado Start Date: September 15, 2026 Profession: Registered Nurse (RN) Facility: Hospital ...

New

RN Case Manager

Grand Junction, CO ยท On-site

$1.5K - $1.6K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Grand Junction, Colorado Start Date: August 31, 2026 Profession: Registered Nurse (RN) Facility: Hospital ...

New

RN - Case Manager

Glenwood Springs, CO ยท On-site

$1.6K - $1.7K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Glenwood Springs, Colorado Start Date: September 15, 2026 Profession: Registered Nurse (RN) Facility: Hospital ...

New

RN - Case Manager

Grand Junction, CO ยท On-site

$1.5K - $1.6K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Grand Junction, Colorado Start Date: August 31, 2026 Profession: Registered Nurse (RN) Facility: Hospital ...

New

Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team player, quick-thinker, and ready to be a part of an ...

New

MDS Specialist

Holly, CO ยท On-site

$40 - $45/hr

Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team player, quick-thinker, and ready to be a part of an ...

Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team player, quick-thinker, and ready to be a part of an ...

Travel RN Case Manager

Grand Junction, CO ยท On-site

$1.5K - $1.6K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Grand Junction, Colorado Start Date: August 31, 2026 Profession: Registered Nurse (RN) Facility: Hospital ...

New

Case Manager II

Denver, CO ยท On-site

$43.82 - $55.57/hr

Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise ...

New

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 ...

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 ...

Medical management or Utilization Review experience is preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $75,680 to $130 ...

Showing results 41-60

Utilization Review information

See Colorado salary details

$22

$44

$72

How much do utilization review jobs pay per hour?

As of Aug 16, 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 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 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.

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?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Relevant skills include knowledge of medical coding, insurance policies, and strong analytical abilities.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, which can be stressful due to strict deadlines, high accuracy requirements, and the need to balance patient care with insurance policies. The job often requires strong attention to detail, communication skills, and the ability to handle complex cases under time pressure.

Is utilization review work from home?

Utilization review jobs can often be performed remotely, especially with the increased adoption of telecommuting in healthcare and insurance industries. Many employers offer work-from-home options, provided the reviewer has the necessary certifications and access to electronic health records or claims systems. However, some positions may require on-site presence for meetings or audits.

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 jobs?

Cities in Colorado with the most Utilization Review job openings:

Infographic showing various Utilization Review job openings in Colorado as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% In-person job distribution, with an average salary of $92,477 per year, or $44.5 per hour.

RN Case Manager

GQR Global Markets

Glenwood Springs, CO โ€ข On-site

$1.6K - $1.7K/wk

Other

Medical, Dental, Vision

Posted 2 days ago

New


Job description

Contract โ€“ W2 Case Management/Utilization Review Registered Nurse (RN) Job

Location: Glenwood Springs, Colorado Start Date: September 15, 2026 Profession: Registered Nurse (RN) Facility: Hospital Estimated Pay: $1682.09 โ€“ $1777.09 Duration: 4 weeks Specialty: Case Management/Utilization Review Shift: Rotating

Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.

Benefits:

  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to ensure you start on time and have an exceptional experience
  • Referral bonus up to $700

About the Company: Finding the right role is about more than just matching skills to a jobโ€“it's about aligning with your goals, values, and the way you want to work.

As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we're here to help you move forward with confidence.