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Weekend Supervisor Utilization Management Jobs in Colorado

Advocate Aurora Health

Case Manager

Aurora, CO

$20.25 - $26.25/hr

Weekend rotation (1 weekend per month). Pay Range $38.20 - $57.30 MAJOR RESPONSIBILITIESConducts ... Ability to apply elements of Utilization Management programs. Physical REQUIREMENTSMust be able to ...

Ranger Energy Services LLC

Supervisor-Rig

Milliken, CO · On-site

$92K - $103K/yr

Supervisor - Rig SUMMARY The Rig Supervisor manages crew members, maintains productivity standards ... Ensure efficient maintenance and utilization of all equipment * Train, mentor and demonstrate ...

Ranger Energy Services

Supervisor - Rig

Milliken, CO

$92K - $103K/yr

SUMMARY The Rig Supervisor manages crew members, maintains productivity standards and works closely ... Ensure efficient maintenance and utilization of all equipment * Train, mentor and demonstrate ...

Ranger

Supervisor - Rig

Milliken, CO · On-site

$92K - $103K/yr

SUMMARY The Rig Supervisor manages crew members, maintains productivity standards and works closely ... Ensure efficient maintenance and utilization of all equipment * Train, mentor and demonstrate ...

TriOptus LLC

Director of Claims

Denver, CO · On-site

... and utilization management. * Perform other special projects as assigned by company management. Functional Category: Supervision Estimated Percent of time Spent - 20% * Effectively supervises and ...

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Weekend Supervisor Utilization Management information

What are the primary challenges a Weekend Supervisor in Utilization Management faces, and how can they be addressed?

Weekend Supervisors in Utilization Management often encounter challenges such as limited staff availability, high patient volume, and the need for rapid decision-making with less direct access to physicians or ancillary services. To address these, strong organizational skills, proactive communication, and the ability to prioritize urgent cases are essential. Supervisors should foster a collaborative atmosphere, leverage digital tools for efficient workflow, and ensure clear escalation protocols for complex cases, all while maintaining regulatory compliance and quality patient care.

What are the key skills and qualifications needed to thrive as a Weekend Supervisor Utilization Management, and why are they important?

To thrive as a Weekend Supervisor Utilization Management, you need a comprehensive understanding of clinical guidelines, utilization review processes, and healthcare regulations, typically supported by a nursing degree (RN) or related clinical licensure. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of relevant accreditation standards (such as URAC or NCQA) are essential. Strong leadership, decision-making, and effective communication skills help navigate team dynamics and complex case reviews during weekend shifts. These skills ensure efficient resource management, compliance with healthcare standards, and consistent quality of care even outside regular business hours.

What is the difference between Weekend Supervisor Utilization Management vs Weekend Utilization Review Coordinator?

AspectWeekend Supervisor Utilization ManagementWeekend Utilization Review Coordinator
CredentialsTypically requires a healthcare-related license or certification (e.g., RN, LPN, or case management certification)Often requires similar healthcare credentials, such as RN or case management certification
Work EnvironmentSupervises utilization management staff, oversees case reviews, and ensures compliance during weekendsPerforms case reviews, evaluates medical necessity, and coordinates utilization decisions during weekends
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance providers, healthcare organizations

The main difference is that the Weekend Supervisor Utilization Management role involves supervising staff and managing utilization processes, while the Weekend Utilization Review Coordinator focuses on conducting case reviews and making utilization decisions during weekends. Both roles require healthcare credentials and operate within similar environments, but their responsibilities differ in scope and leadership level.

What does a Weekend Supervisor in Utilization Management do?

A Weekend Supervisor in Utilization Management oversees the review and coordination of patient care services during weekends to ensure appropriate use of healthcare resources. They manage a team of utilization review staff, ensure compliance with policies, and facilitate communication between healthcare providers and insurance companies. Their role is critical in making timely decisions about patient admissions, continued stays, and discharges, focusing on quality care and cost efficiency. They also handle escalations and provide support to staff working outside of regular business hours.
What are the most commonly searched types of Supervisor Utilization Management jobs in Colorado? The most popular types of Supervisor Utilization Management jobs in Colorado are:
What are popular job titles related to Weekend Supervisor Utilization Management jobs in Colorado? For Weekend Supervisor Utilization Management jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Weekend Supervisor Utilization Management jobs in Colorado look for? The top searched job categories for Weekend Supervisor Utilization Management jobs in Colorado are:
What cities in Colorado are hiring for Weekend Supervisor Utilization Management jobs? Cities in Colorado with the most Weekend Supervisor Utilization Management job openings:
Weekend Supervisor Utilization Management jobs near you
Infographic showing various Weekend Supervisor Utilization Management job openings in Colorado as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.
Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Color

Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Color

Denver Health

Denver, CO • On-site

$143K - $237K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago

Denver Health rating

7.9

Company rating: 7.9 out of 10

Based on 67 frontline employees who took The Breakroom Quiz

157th of 1,020 rated hospitals

Job description

We are recruiting for a mission-driven Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)) to join our team!
We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something we live every day, for life's journey.
Our Values
Respect | Belonging | Accountability | Transparency
Department
Managed Care Administration
* Must Live in Colorado
* This is a hybrid role located in Denver, Colorado with a requirement of being in the office 3 days per week.
Job Summary
The Senior Director of Health Plan Utilization Management is a senior leader for the Denver Health Medical Plan (DHMP) with responsibility for providing strategic and operational leadership for all utilization management functions across the organization. This area has unique regulatory and contractual compliance requirements for each line of business. This role is responsible for ensuring clinically appropriate, cost-effective, and regulatory-compliant medical necessity determinations while supporting high-quality member outcomes and provider collaboration. The Senior Director partners closely with Operations, Network Management, Quality, Compliance, and Finance to align utilization management strategy with organizational goals. In this capacity, the Senior Director oversees multiple teams performing this work. The Director reports to the DHMP Chief Medical Officer and collaborates closely with them to develop, update and implement the DHMP Utilization Management vision and strategy.
Essential Functions:
  • Assures that all staff are appropriately trained on all relevant software programs and applications necessary to perform their job functions. (10%)
  • Participates in presentation of reports to the Operations Team, DHMP Board of Directors, and other bodies, as required. (10%)
  • Attends and participates in Quality Management Committee, DHMP Operations Team meetings, Utilization Management Committee, enterprise Care Coordination meetings and other related meetings and activities as required. (10%)
  • Serves as an issue-related or escalation liaison between Utilization Management and other departments and/or agencies both within DH, contractors and/or plan members. (10%)
  • Oversees the maintenance, development, implementation, and continuous improvement of UM policies and procedures and management of information systems to accomplish UM goals for all contracted populations. (10%)
  • Develops, analyzes, and presents reports on productivity, quality and outcomes. (10%)
  • Ensures DHMP can provide documentation of compliance with contractual and regulatory requirements prior to audit by the State, CMS, DOI, etc. (10%)
  • Develops, implements, and evaluates formal educational activities and follows up on issues identified through educational activities. Brings new knowledge to staff meetings. (10%)
  • Works closely with DHMP Compliance Officer to ensure all DHMP lines of business operational performance meets or exceeds regulatory requirements including, but not limited to, policies and procedures reporting. Acts as a voting member of the DHMP Compliance Committee. (10%)
  • Ensures routine and ad hoc reporting available which may include utilization data by setting (inpatient, outpatient, and Pharmacy), or other special projects supporting the overall goals of DHMP. (10%)

Education:
  • Master's degree required
  • Graduation from an accredited educational program for Nursing or Physician's Assistants required

Work Experience:
  • Seven years of experience in administration in managed care, health plan administration or healthcare provider organizations required AND
  • Minimum of five years of supervisory and management experience required AND
  • 1-3 years Health Plan or healthcare experience with various lines of business including Medicare, Medicaid, CHP, Exchange and/or Commercial Plans required AND
  • 1-3 years Experience in managing vendors required required

Licenses:
Knowledge, Skills and Abilities:
  • Knowledge of regulatory and accreditation standards for health plan or healthcare operations required.
  • Strong program development, analysis, and evaluation skills required.
  • Demonstrated excellence in managing people and processes.
  • Strong leadership skills with ability to engage multidisciplinary clinical and non-clinical teams to solve complex problems.
  • Strong knowledge and experience in utilization principles, concepts, and strategies preferred.
  • Ability to develop and maintain effective relationships with internal and external stakeholders.

* Must Live in Colorado
* This is a hybrid role located in Denver, Colorado with a requirement of being in the office 3 days per week.
Shift
Days (United States of America)
Work Type
Regular
Salary
$143,800.00 - $237,300.00 / yr
Benefits
At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you're joining a mission-driven organization that invests in you.
Here is a small list of our benefit programs:
  • Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
  • 100% paid parental leave up to 6 weeks
  • Immediate eligibility for retirement plans with employer contribution up to 9.5%
  • Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
  • Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
  • Free RTD EcoPass (public transportation)
  • Childcare discount programs & exclusive perks on large brands, travel, and more
  • Tuition reimbursement & assistance
  • Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
  • Professional clinical advancement program & shared governance
  • Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
  • National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.
As Colorado's primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.

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