Colorado Licensed Utilization Review Coordinator

Job Summary

Supporting utilization review functions, the full-time salaried Colorado Licensed Utilization Review Coordinator will obtain and track authorizations, maintain accurate documentation, and ensure timely communication with payors and clinical staff in a fully remote environment.

Key responsibilities

• Submit initial and continued stay authorization requests to insurance payors
• Track authorization approvals, denials, and expiration dates while maintaining accurate documentation
• Communicate authorization status to clinical and administrative staff and assist with peer-to-peer reviews

Required qualifications

• Bachelor's degree required; Master's degree preferred
• Professional clinical or nursing license strongly preferred (LPC, LCSW, LMFT, LPN, RN)
• Experience in utilization review, care coordination, or healthcare administration preferred
• Behavioral health experience strongly preferred
• Knowledge of insurance authorization processes and medical necessity criteria a plus