Utilization Management RN
Company: HC Health.
Location: Aurora
Posted on: April 7, 2026
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Job Description:
UCHealth, a nonprofit healthcare leader in Colorado, invites
applications for the Utilization Management RN position within our
Healthcare & Medical Services department. We are searching for a
dedicated Registered Nurse to ensure effective use of healthcare
services through efficient utilization management. Your role
involves conducting thorough utilization reviews, collaborating
with various healthcare professionals to optimize patient care
plans, and maintaining the quality of care while identifying
cost-saving opportunities. In this role, your clinical assessment
skills will be vital, as you evaluate the appropriateness of
medical care and diagnostics. You'll be working in a Hybrid
environment as part of an innovative, inclusive, and supportive
team dedicated to patient care excellence and systemic improvement.
Our comprehensive benefits package includes medical, dental,
vision, and life insurance, along with a 401k plan, to support you
professionally and personally. We seek individuals with a minimum
of 3-5 years of healthcare experience, particularly in utilization
management, and with suitable qualifications such as an RN license
and preferably a certification in utilization review. Conduct
utilization reviews for patient care plans to ensure optimal use of
healthcare resources. Collaborate with healthcare providers and
multidisciplinary teams to support effective patient care. Utilize
clinical expertise to evaluate appropriateness of care and
diagnostic procedures. Identify opportunities for cost savings
while upholding quality care standards. Document findings and
provide reports to healthcare teams and management. Utilization
review Patient care coordination Clinical assessment Healthcare
management Data analysis Communication skills Problem-solving
Medical Insurance Dental Insurance Vision Insurance Life Insurance
401k Registered Nurse (RN) License Certification in Utilization
Review (optional but preferred)
Keywords: HC Health., Lakewood , Utilization Management RN, Healthcare , Aurora, Colorado
