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Cigna Rn Remote Jobs in Baltimore, MD (NOW HIRING)

Cinqcare

Registered Nurse

Laurel, MD · Remote

Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions ... The RN will establish the business strategy and roadmap: (1) improve outcomes for Grace at Home ...

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Cigna Rn Remote information

See Baltimore, MD salary details

$23

$44

$69

How much do cigna rn remote jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for cigna rn remote in Baltimore, MD is $44.63, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $53.03 per hour, depending on experience, location, and employer.

What is a Cigna RN Remote?

A Cigna RN Remote job is a work-from-home nursing position where registered nurses provide telephonic or virtual patient care, case management, or health coaching. Nurses in this role typically assess patient needs, coordinate care plans, and educate members on managing their health conditions. These positions may be in areas like utilization management, disease management, or triage nursing. The job requires an active RN license, clinical experience, and strong communication skills.

What challenges do Cigna RN Remote professionals face, and how can they be managed?

Cigna RN Remote professionals often face challenges such as balancing multiple case loads, adapting to limited in-person patient interactions, and maintaining clear communication with both patients and colleagues in a virtual setting. To manage these challenges, it's important to develop strong organizational skills, leverage digital health tools effectively, and proactively participate in virtual team meetings. Continuous learning and regular collaboration with support staff also help remote RNs stay informed and connected. By staying engaged and utilizing available resources, remote nurses can overcome common hurdles and excel in providing patient-centered care from home.

What skills and qualifications are needed for a Cigna RN Remote?

To thrive as a Cigna RN Remote, you need an active RN license, strong clinical assessment abilities, and experience in case management or telehealth nursing. Familiarity with electronic health record (EHR) systems, secure communication platforms, and care coordination software is typically required. Excellent time management, self-motivation, and effective virtual communication are key soft skills for this remote position. These competencies are vital for delivering high-quality patient care, maintaining compliance, and efficiently collaborating within a virtual healthcare team.

What are popular job titles related to Cigna Rn Remote jobs in Baltimore, MD? For Cigna Rn Remote jobs in Baltimore, MD, the most frequently searched job titles are:
What job categories do people searching Cigna Rn Remote jobs in Baltimore, MD look for? The top searched job categories for Cigna Rn Remote jobs in Baltimore, MD are:
What cities near Baltimore, MD are hiring for Cigna Rn Remote jobs? Cities near Baltimore, MD with the most Cigna Rn Remote job openings:
Cigna Rn Remote jobs near you
Infographic showing various Cigna Rn Remote job openings in Baltimore, MD as of August 2026, with employment types broken down into 6% As Needed, 76% Full Time, 6% Temporary, and 12% Contract. Highlights an 100% Remote job distribution, with an average salary of $92,825 per year, or $44.6 per hour.

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 16 days ago

Job description

Utilization Management Specialist (UM / Utilization Review Nurse) — Remote

Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch) - Flex after ramp-up start time between 7:00am–9:00am ET Pay (W2): USD 51.00/H

Job overview

In this role, you’ll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You’ll work fully remote and leverage MCG, medical policy, and regulatory guidelines while collaborating with Medical Directors and internal teams to support timely, accurate authorization decisions.

What you’ll do

  • Perform prospective, concurrent, and retrospective utilization reviews (medical + behavioral health).
  • Make medical necessity / appropriateness determinations and support prior authorizations.
  • Use clinical criteria and policy resources daily (including MCG / Milliman Care Guidelines).
  • Review clinical documentation, benefits, and mandates to ensure services align with coverage and guidelines.
  • Research diagnoses/treatments and high-cost services; summarize findings and escalate complex cases to Medical Directors as needed.
  • Collaborate with internal partners and providers to support benefit application and appropriate levels/settings of care.
  • Maintain accurate documentation and protect PHI while managing a busy caseload.

Required qualifications

  • Active RN or LPN license (RN preferred) — Maryland compact/eligibility required
  • 5+ years clinical nursing experience
  • 2+ years care management / utilization management experience
  • MCG experience (required)
  • Experience supporting Commercial/FEP/Medicare lines of business and applying medical policy/regulatory standards
  • Strong critical thinking, written communication, and ability to work independently in a remote setting
  • Comfortable with web-based tools + Microsoft Office (Word/Excel/PowerPoint)
  • Guiding Care and FACETS (required)

Nice to have

  • Critical Care or ER clinical background
  • Experience with LCD/NCD, Medicare guidelines, ASAM, or other authorization criteria sets

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1