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Cigna Rn Remote Jobs in San Ramon, CA (NOW HIRING)

Vynca

ECM Clinical Manager (RN)

San Mateo, CA · Remote

$90K - $125K/yr

This is a remote position with up to 25% travel required for trainings, meetings, and other ... Active, unrestricted RN license with the ability to obtain California licensure within 6 months of ...

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Cigna Rn Remote information

See San Ramon, CA salary details

$26

$50

$78

How much do cigna rn remote jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for cigna rn remote in San Ramon, CA is $50.19, according to ZipRecruiter salary data. Most workers in this role earn between $38.41 and $59.62 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 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 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 cities near San Ramon, CA are hiring for Cigna Rn Remote jobs?

Cities near San Ramon, CA with the most Cigna Rn Remote job openings:

Cigna Rn Remote jobs near you
Infographic showing various Cigna Rn Remote job openings in San Ramon, CA as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 100% Remote job distribution, with an average salary of $104,398 per year, or $50.2 per hour.

Case Management Leader - Fully Remote | Upto $150/hr

Mercor

San Francisco, CA • Remote

$150/hr

Full-time

Re-posted 17 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Utilisation Management / Case Management leader (RN/Physician-advisor)
Type: Contract
Compensation: $100–$150/hour
Location: Remote

Role Responsibilities

  • Lead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination.
  • Evaluate AI-generated medical necessity determinations and clinical review outputs for accuracy and clinical appropriateness.
  • Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission and level-of-care determinations.
  • Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals.
  • Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care transitions and discharge planning.
  • Annotate AI outputs and provide structured clinical feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in utilisation management, case management, or clinical review, with at least 2 years in a leadership role.
  • Active clinical licensure (RN required; physician advisor/MD preferred) with strong medical necessity review expertise.
  • Deep knowledge of InterQual, MCG, or Milliman clinical review criteria.
  • Expertise in CMS Two-Midnight Rule, observation status regulations, and inpatient criteria.
  • Experience managing physician advisor programs and peer-to-peer review processes with payers.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to critically evaluate clinical documentation and AI-generated UM outputs.

Preferred

  • CPUR, ACM, or CCM credential.
  • MD or DO with UM/physician advisor experience preferred for physician advisor roles.
  • Experience with UM software platforms (Allscripts, Utilisation Management software, or equivalent).
  • Familiarity with AI tools and comfort evaluating AI-generated clinical review content.
  • Background in health system, ACO, or value-based care organisation UM programs.

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.