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Cigna Rn Remote Jobs in Sanford, NC (NOW HIRING)

Scribe-X

Remote Medical Scribe

Durham, NC · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

Duke Health

MEDICAL RECORDS CODER II (Outpatient)

Durham, NC · Remote

$18 - $24.25/hr

This position is 100% remote. All Duke University remote workers must reside in one of the ... Communicate with nursing and ancillary services personnel for needed documentation for accurate ...

Duke Health

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This position is 100% remote. All Duke University remote workers must reside in one of the ... Communicate with nursing and ancillary services personnel to obtain the necessary documentation for ...

All JobsCigna Rn JobsCigna Rn Remote JobsCigna Rn Remote Jobs in Sanford, NC

Cigna Rn Remote information

See Sanford, NC salary details

$21

$39

$61

How much do cigna rn remote jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for cigna rn remote in Sanford, NC is $39.45, according to ZipRecruiter salary data. Most workers in this role earn between $30.19 and $46.88 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 Sanford, NC? For Cigna Rn Remote jobs in Sanford, NC, the most frequently searched job titles are:
What job categories do people searching Cigna Rn Remote jobs in Sanford, NC look for? The top searched job categories for Cigna Rn Remote jobs in Sanford, NC are:
What cities near Sanford, NC are hiring for Cigna Rn Remote jobs? Cities near Sanford, NC with the most Cigna Rn Remote job openings:
Cigna Rn Remote jobs near you
Infographic showing various Cigna Rn Remote job openings in Sanford, NC as of August 2026, with employment types broken down into 44% Full Time, and 56% Part Time. Highlights an 100% Remote job distribution, with an average salary of $82,052 per year, or $39.4 per hour.

UM Clinical Specialist RN-Physical Health (Full-time Remote, NC Based)

Alliance

Morrisville, NC • On-site, Remote

$69K - $88K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Job description

The Utilization Management (UM) Clinical Specialist RN for physical health (PH) independently assesses the medical necessity of inpatient admissions, outpatient services, surgical and diagnostic procedures, and out of network services, monitors consumer treatment through ongoing and continuous review to ensure that services are delivered based on consumer need and established clinical guidelines, and identifies and follows-up on clinical cases of concern and high-risk/special needs consumers to ensure enrollees are linked to appropriate treatment resources. The UM Clinical Specialist RN - PH may represent the unit in cross agency collaborative needs.
This position is full-time remote. Selected candidate must reside in North Carolina and be willing to travel to one of the offices for business or onsite team meetings as needed.
Responsibilities & Duties
Assesses the medical necessity of services
  • Independently conduct medical necessity reviews of service requests submitted by service providers against developed clinical guidelines within contractually mandated turn-around times
  • Ensure authorized services address appropriate service needs, intensity of service outcomes, and alternatives for consumers
  • Provide a consistent application of medical necessity criteria for physical health services that promotes a holistic review of the member's needs
  • Conduct pre-certification, concurrent, and retrospective reviews to ensure compliance with medical policy, member eligibility, benefits, and contracts
  • Conduct utilization reviews to monitor adherence to clinical practice guidelines and best practice standards
  • Notify members of adverse benefit determinations while preserving members' Due Process rights
  • Ensure compliance with performance measures outlined within all accrediting body standards
  • Perform other related duties as required by the immediate supervisor or other designated Alliance Health administrators

Compliance
  • Comply with utilization management and quality improvement policies and procedures, utilization review laws and regulations, state standards
  • Comply with Utilization Management Department focus on timeliness, effectiveness, quantity, quality, and cost of services for eligible enrollees

Coordinate and Implement UM Processes
  • Participate in the integration of the department and its functions into the organization's primary mission
  • Take part in the Utilization Management Department collaboration to ensure an integrated department with Physical Health and Behavioral Health

Collaborate with other departments
  • Monitor for undesirable performance or deviations of practice standards that may have a negative impact on consumers.
  • Respond through additional follow-up with consumer and providers, provider technical assistance and/or referral to other departments within the MCO.
  • Maintain open, timely communication with staff, providers, community agencies and other stakeholders

Minimum Requirements
Education & Experience
Graduation from a State accredited school of nursing or an Associate's Degree in Nursing from an accredited and five years of experience with five (5) years nursing experience
OR
Bachelor's degree in Nursing from an accredited college/university and three (3) years of nursing experience
Special Requirement
Current, active, and unrestricted North Carolina clinical license as a Registered Nurse, or a compact license
Preferred Experience:
Experience in Utilization Management
Knowledge, Skills, & Abilities
  • Knowledge of physical health and co-morbid health conditions
  • Knowledge of diagnostic treatment guidelines/protocols, level of care criteria
  • Proficient in the use of computer and multiple software programs.
  • Written and oral communication skills
  • Ability to interact with a wide variety of individuals and handle complex and confidential sensitive situations.
  • Knowledge of Utilization Management managed care principles and strategies
  • Ability to analyze effectiveness of processes and adjust developed processes.
  • Knowledge of and experience in acute clinical utilization review
  • Knowledge of Authorization/re-authorization Utilization Management standards
  • Knowledge of related duties in the delivery of patient care, management of patient care providers, or project management in a healthcare environment
  • Ability to lead, delegate and problem solve
  • Ability to develop and document workflows
  • Ability to assist appeal efforts when medical care is denied by various payor entities in a timely fashion.
  • Knowledge of and experience with NCQA

Salary Range
$69,592-$88,729/Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
  • Medical, Dental, Vision, Life, Long Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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