Utilization Review Director
$110K - $148K/yr
Utilization Review Director Job Type: Onsite, Full-time Pay rate: $$110,000 -$148,000 Work Schedule: Monday-Friday 8am-5pm MST Your experience matters Denver Springs At Denver Springs, we are ...
$110K - $148K/yr
Utilization Review Director Job Type: Onsite, Full-time Pay rate: $$110,000 -$148,000 Work Schedule: Monday-Friday 8am-5pm MST Your experience matters Denver Springs At Denver Springs, we are ...
$110K - $148K/yr
Utilization Review Director Job Type: Onsite, Full-time Pay rate: $$110,000 -$148,000 Work Schedule: Monday-Friday 8am-5pm MST Your experience matters Denver Springs At Denver Springs, we are ...
Englewood, CO · On-site
$110K - $148K/yr
Utilization Review Director Job Type: Onsite, Full-time Pay rate: $$110,000 -$148,000 Work Schedule: Monday-Friday 8am-5pm MST Your experience matters Denver Springs At Denver Springs, we are ...
Englewood, CO · On-site
$110K - $148K/yr
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 ...
Job Address: 4770 Larimer Pkwy Johnstown, CO 80534 New Vista Health and Wellness is currently recruiting a Utilization Review Coordinator! WHO WE ARE The New Vista mission: Inspiring Hope, Restoring ...
Job Address: 4770 Larimer Pkwy Johnstown, CO 80534 New Vista Health and Wellness is currently recruiting a Utilization Review Coordinator! WHO WE ARE The New Vista mission: Inspiring Hope, Restoring ...
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting utilization reviews to determine the medical necessity and appropriateness of patient admissions ...
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting utilization reviews to determine the medical necessity and appropriateness of patient admissions ...
Registered Nurse (RN) | Utilization Review Location: Glendale, CO Agency: Adelphi Healthcare Pay: $46 per hour Contract Duration: 1 Years Start Date: ASAP About the Position TravelNurseSource is ...
Registered Nurse (RN) | Utilization Review Location: Glendale, CO Agency: Adelphi Healthcare Pay: $46 per hour Contract Duration: 1 Years Start Date: ASAP About the Position TravelNurseSource is ...
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 ...
Westminster, CO · On-site
$28 - $34.13/hr
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Gather and develop statistical and narrative information to report on utilization, non-certified ...
Westminster, CO · On-site
$28 - $34.13/hr
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Gather and develop statistical and narrative information to report on utilization, non-certified ...
$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 ...
$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 ...
Denver, CO · On-site
$71K - $107K/yr
We are recruiting for a mission-driven Registered Nurse, Utilization Coordinator - Denver Health ... Performs clinical review of inpatient or outpatient service request using clinical judgment ...
Denver, CO · On-site
$71K - $107K/yr
We are recruiting for a mission-driven Registered Nurse, Utilization Coordinator - Denver Health ... Performs clinical review of inpatient or outpatient service request using clinical judgment ...
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 ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
$20.25 - $26.25/hr
Weekend rotation (1 weekend per month). Pay Range $38.20 - $57.30 MAJOR RESPONSIBILITIESConducts ... Documents discharge planning interventions and utilization review activity per department and ...
$20.25 - $26.25/hr
Weekend rotation (1 weekend per month). Pay Range $38.20 - $57.30 MAJOR RESPONSIBILITIESConducts ... Documents discharge planning interventions and utilization review activity per department and ...
Thornton, CO · On-site
$104K - $143K/yr
No on-call or weekend hours required. You will * Confidently and swiftly navigate ambiguous ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
Thornton, CO · On-site
$104K - $143K/yr
No on-call or weekend hours required. You will * Confidently and swiftly navigate ambiguous ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
Denver, CO · On-site
$105K - $144K/yr
No on-call or weekend hours required. You will * Confidently and swiftly navigate ambiguous ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
Denver, CO · On-site
$105K - $144K/yr
No on-call or weekend hours required. You will * Confidently and swiftly navigate ambiguous ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
At least 2 years of experience as a Nurse Case Manager or Utilization Review role. * At least five years of experience as a Registered Nurse. Preferred Qualifications * Bachelor's (BSN) or Master ...
At least 2 years of experience as a Nurse Case Manager or Utilization Review role. * At least five years of experience as a Registered Nurse. Preferred Qualifications * Bachelor's (BSN) or Master ...
Aspen, CO · On-site
$101K - $162K/yr
At least 2 years of experience as a Nurse Case Manager or Utilization Review role. * At least five years of experience as a Registered Nurse. Preferred Qualifications * Bachelor's (BSN) or Master ...
Aspen, CO · On-site
$101K - $162K/yr
At least 2 years of experience as a Nurse Case Manager or Utilization Review role. * At least five years of experience as a Registered Nurse. Preferred Qualifications * Bachelor's (BSN) or Master ...
Parker, CO · On-site
$62K - $101K/yr
Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross ...
Parker, CO · On-site
$62K - $101K/yr
Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross ...
Monday through Friday position with no weekends or on-call! InnovAge PACE (Program of All-inclusive ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
Monday through Friday position with no weekends or on-call! InnovAge PACE (Program of All-inclusive ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
Pueblo, CO · On-site
$115K - $185K/yr
Responsibilities Monday through Friday position with no weekends or on-call! InnovAge PACE (Program ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
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Pueblo, CO · On-site
$115K - $185K/yr
Responsibilities Monday through Friday position with no weekends or on-call! InnovAge PACE (Program ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
Apply Early
Denver, CO · On-site
$105K - $144K/yr
Monday through Friday position with no weekends or on-call! InnovAge PACE (Program of All-inclusive ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
Denver, CO · On-site
$105K - $144K/yr
Monday through Friday position with no weekends or on-call! InnovAge PACE (Program of All-inclusive ... Contribute to case review, consultation, and utilization review * Research and utilize evolving ...
$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
Weekend Utilization Review professionals typically work independently, reviewing patient cases for medical necessity, appropriateness of care, and compliance with payer guidelines during non-standard business hours. You will analyze patient charts, interact with clinical staff, and document findings, often collaborating remotely with other care coordinators or medical teams. While much of the role is desk-based, quick decision-making and effective communication are essential due to faster-paced weekend workflows. This schedule can offer greater autonomy and flexibility, but may also require prioritizing tasks and managing multiple cases efficiently to ensure continuous patient care.
A Weekend Utilization Review job involves assessing patient care and medical services during weekends to ensure they meet medical necessity and insurance guidelines. Professionals in this role review clinical documentation, coordinate with healthcare providers, and determine appropriate levels of care for patients. They typically work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, medical knowledge, and familiarity with regulatory requirements are essential for success in this role.
Success as a Weekend Utilization Review professional requires a strong background in nursing or healthcare, critical thinking skills, and a thorough understanding of medical necessity criteria, such as InterQual or Milliman guidelines. Familiarity with electronic medical records (EMR) systems and utilization management software is highly beneficial, and RN or healthcare-related licensure is often required. Exceptional communication, attention to detail, and the ability to work independently on weekends are crucial soft skills. Mastering these areas allows efficient and accurate reviews of patient care, supporting optimal healthcare resource allocation outside of standard work hours.

$110K - $148K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 25 days ago
5.9
Based on 264 frontline employees who took The Breakroom Quiz
753rd of 877 rated healthcare providers
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:
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
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.Get the full story on Breakroom
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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.
Health care and social assistance
10,000+ Employees
Brentwood, TN, US
1999