ZipRecruiter

Log In

2

Cigna Utilization Review Remote Jobs (NOW HIRING)

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

WPS Health Solutions

Utilization Management RN

$75K - $100K/yr

Utilization Management RN Our Utilization Management RN (Registered Nurse) evaluates efficiency ... Please review Remote Worker FAQs for additional information Benefits * Remote and hybrid work ...

Winston Medical Staffing

Be Seen First

Utilization Review Nurse

Newark, NJ · Remote

$38 - $40/hr

Position is 100% remote but will have to go to Newark, NJ to pick up equipment and short ... Serves as mentor/trainer to new RN's and other staff as needed, completes audits, reviews and ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

WPS Health Solutions

Utilization Management RN

Madison, WI · On-site +1

$75K - $100K/yr

Our Utilization Management RN will be responsible for referring questionable cases to medical ... Please review Remote Worker FAQs for additional information Benefits * Remote and hybrid work ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua ...

next page

Showing results 1-20

All JobsCigna Utilization Review JobsCigna Utilization Review Remote Jobs

Cigna Utilization Review Remote information

See salary details

$15

$31

$53

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

As of Jul 12, 2026, the average hourly pay for cigna utilization review remote in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Cigna Utilization Review Remote Nurse, and why are they important?

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.

How can I make 2000 a week working from home?

A Cigna Utilization Review remote position typically offers a fixed salary or hourly pay, which may not reach $2000 weekly unless working overtime or with high productivity bonuses. To earn that amount, some remote healthcare roles require advanced skills, certifications, or additional hours, but most standard positions are structured with set compensation. Earning $2000 weekly from home often involves multiple income streams or specialized roles with higher pay rates.

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.

Does Cigna offer remote jobs?

Cigna offers remote positions, including roles like Utilization Review, which often require strong communication skills and familiarity with healthcare systems. These remote jobs typically involve working from home with flexible schedules and may require relevant certifications or experience in healthcare or insurance. Availability of remote roles can vary based on the position and company needs.

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.

Why is Cigna laying people off?

Cigna Utilization Review remote positions, like many companies, may experience layoffs due to organizational restructuring, cost management, or changes in business priorities. Such layoffs are typically part of broader company adjustments and are not specific to the job role itself. Employees in these roles should stay informed through official company communications for accurate updates.

What is a Cigna Utilization Review Remote position?

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.

Is Cigna a good company to work for remotely?

Cigna offers remote positions such as Utilization Review roles that typically involve reviewing healthcare claims and patient data. Employees report flexible schedules and the use of telecommuting tools, but experiences can vary based on individual teams and management. Overall, Cigna is considered a reputable employer in the healthcare industry for remote work opportunities.
More about Cigna Utilization Review Remote jobs
What cities are hiring for Cigna Utilization Review Remote jobs? Cities with the most Cigna Utilization Review Remote job openings:
What are the most commonly searched types of Cigna Utilization Review jobs? The most popular types of Cigna Utilization Review jobs are:
What states have the most Cigna Utilization Review Remote jobs? States with the most job openings for Cigna Utilization Review Remote jobs include:
What job categories do people searching Cigna Utilization Review Remote jobs look for? The top searched job categories for Cigna Utilization Review Remote jobs are:
Cigna Utilization Review Remote jobs near you
Infographic showing various Cigna Utilization Review Remote job openings in the United States as of July 2026, with employment types broken down into 3% Locum Tenens, 49% Full Time, 4% Part Time, 41% Contract, and 3% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.
Utilization Review Nurse

Utilization Review Nurse

Bracane Co

Plano, TX • Remote

Full-time

Re-posted 27 days ago

Job description

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties***

JOB DESCRIPTION:

RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.

JOB RESPONSIBILITIES:

  • This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness, and quality of medical/surgical services, and serving as liaison between providers and medical and network management divisions.
  • Collects clinical and non-clinical data.
  • Verifies eligibility.
  • Determines benefit levels in accordance to contract guidelines.
  • Provides information regarding utilization management requirements and operational procedures to members, providers, and facilities.

JOB QUALIFICATIONS (Required):

  • Registered Nurse (RN) with a valid, current, unrestricted license in the state of operations.
  • 3 years of clinical experience in a Physician's office, Hospital/Surgical setting, or Health Care Insurance Company.
  • Knowledge of medical terminology and procedures.
  • Verbal and written communication skills.

JOB QUALIFICATIONS (Preferred):

  • MCG or InterQual experience
  • Utilization management experience

LOCATION: REMOTE in Texas ( Richardson area ? Dallas/Collin Counties).

POSITION: 6-month assignment

Apply