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Cigna Utilization Review Remote Jobs in Kiln, MS

... report TATs, peer review outcomes, imaging utilization). * Implement initiatives to reduce ... Please refer to the to determine whether the position you are interested in is remote or on-site.

Cigna Utilization Review Remote information

See Kiln, MS salary details

$12

$25

$42

How much do cigna utilization review remote jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for cigna utilization review remote in Kiln, MS is $25.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $32.45 per hour, depending on experience, location, and employer.

What is a Cigna Utilization Review Remote?

A Cigna Utilization Review Remote position involves evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to Cigna members—all while working from a remote location. Utilization Review professionals, often nurses or clinicians, review clinical information, make coverage determinations, and coordinate with providers to ensure members receive the right care. This role combines clinical expertise with knowledge of insurance guidelines and regulatory requirements, allowing for flexible work arrangements from home. It plays a critical role in managing healthcare costs and improving patient outcomes.

What are the key skills and qualifications needed to thrive as a Cigna Utilization Review Remote nurse?

To thrive as a Cigna Utilization Review Remote Nurse, you need a valid RN license, clinical experience (often in case management or utilization review), and a strong understanding of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic medical records (EMRs), and knowledge of Medicare/Medicaid policies or URAC/NCQA standards is typically required. Excellent critical thinking, attention to detail, and effective communication are crucial soft skills for evaluating medical necessity and coordinating with providers. These skills ensure accurate, compliant decisions that support patient care while managing healthcare costs efficiently in a remote environment.

What are some common challenges faced by Cigna Utilization Review professionals working remotely, and how can these be effectively managed?

Cigna Utilization Review professionals working remotely often encounter challenges such as maintaining clear communication with healthcare providers and team members, managing high caseload volumes, and staying updated on evolving clinical guidelines. To address these challenges, it’s important to leverage Cigna’s robust digital collaboration tools, participate actively in virtual team meetings, and utilize ongoing training resources. Setting a structured daily routine and prioritizing tasks can also help ensure timely and accurate reviews, while maintaining work-life balance in a remote setting.

What is the difference between Cigna Utilization Review Remote vs Cigna Medical Reviewer?

AspectCigna Utilization Review RemoteCigna Medical Reviewer
CredentialsRN or licensed healthcare professionalRN or licensed physician
Work EnvironmentRemote, telehealth settingRemote or onsite, clinical setting
Employer & IndustryCigna, health insurance industryCigna, healthcare and insurance industry
Primary FocusReview of insurance utilization for appropriatenessClinical assessment and direct patient care

While both roles involve healthcare review, Cigna Utilization Review Remote focuses on evaluating insurance claims remotely, whereas Cigna Medical Reviewer provides direct clinical assessments, often with more patient interaction. Both require healthcare credentials and are integral to Cigna's healthcare services, but their daily tasks and focus differ.

What are popular job titles related to Cigna Utilization Review Remote jobs in Kiln, MS?

For Cigna Utilization Review Remote jobs in Kiln, MS, the most frequently searched job titles are:

What cities near Kiln, MS are hiring for Cigna Utilization Review Remote jobs?

Cities near Kiln, MS with the most Cigna Utilization Review Remote job openings:

Infographic showing various Cigna Utilization Review Remote job openings in Kiln, MS as of June 2026, with employment types broken down into 1% As Needed, 95% Full Time, 1% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $53,040 per year, or $25.5 per hour.

Physician-Vice Chair of Northshore

Ochsner Health

Slidell, LA • On-site, Remote

Full-time

Re-posted 27 days ago


Ochsner Health rating

6.5

Company rating: 6.5 out of 10

Based on 449 frontline employees who took The Breakroom Quiz

614th of 898 rated healthcare providers


Job description

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, andinnovate.Webelieve that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

The Vice Chair of Radiology - Southshore will serve as the regional leader overseeing radiology services across multiple facilities. This role is responsible for ensuring high-quality imaging services, operational efficiency, and strategic alignment with the broader health system's goals

The Vice Chair of Radiology - Southshore will serve as the regional leader overseeing radiology services across multiple facilities. This role is responsible for ensuring high-quality imaging services, operational efficiency, and strategic alignment with the broader health system's goals. The Vice Chair will collaborate with hospital leadership, radiologists, technologists, and administrative teams to optimize service delivery, implement best practices, and drive continuous improvement across the region.

Key Responsibilities:

Leadership & Strategy

  • Serve as the regional radiology leader, overseeing imaging operations, physician engagement, and quality initiatives across multiple hospitals.
  • Collaborate with the Chair of Radiology and hospital executives to develop and execute a unified vision for radiology services in the region.
  • Drive standardization and integration of radiology services to improve patient care, efficiency, and financial performance.
  • Represent radiology in regional leadership meetings, ensuring alignment with institutional priorities.

Clinical & Operational Excellence

  • Oversee imaging workflow optimization, ensuring timely and high-quality diagnostic services.
  • Partner with department administrators and imaging directors to improve throughput, reduce turnaround times (TAT), and enhance patient experience.
  • Ensure adherence to accreditation, compliance, and regulatory requirements (e.g., ACR, TJC, CMS).
  • Implement evidence-based best practices and emerging technologies to enhance diagnostic accuracy and efficiency.

Physician Engagement & Workforce Management

  • Support recruitment, retention, and professional development of radiologists across the region.
  • Foster a culture of collaboration and teamwork among radiologists, technologists, and referring providers.
  • Address operational and staffing challenges, including on-call coverage, subspecialty needs, and workload distribution.
  • Develop mentorship programs and educational opportunities for radiologists within the region.

Quality & Safety Initiatives

  • Lead quality improvement projects to enhance diagnostic accuracy, patient safety, and workflow efficiency.
  • Monitor and analyze key performance metrics (e.g., report TATs, peer review outcomes, imaging utilization).
  • Implement initiatives to reduce unnecessary imaging and improve appropriateness criteria compliance.
  • Partner with hospital quality teams to ensure radiology is an integral part of patient care pathways.

Technology & Innovation

  • Stay informed on advancements in imaging technology, AI applications, and workflow automation.
  • Work with IT and radiology informatics teams to optimize PACS, RIS, voice recognition, and AI-driven decision support tools.
  • Oversee implementation of new imaging equipment and technologies in alignment with system priorities.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) orcareers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.


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