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Cigna Utilization Review Remote Jobs (NOW HIRING)

CorVel

CA Utilization Review Nurse I

$30.64 - $45.80/hr

CA Utilization Review Nurse I The Utilization Review Nurse gathers demographic and clinical ... This is a remote position. Essential Functions & Responsibilities: * Identifies the necessity of ...

Enterprise Engineering

Be Seen First

Concurrent Utilization Review (UR) Nurse

OR · Remote

$30 - $38/hr

Concurrent Utilization Review (UR) Nurse Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

WPS

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 ...

Actalent

Remote Appeals Clinical Reviewer LPN

$28 - $33/hr

This is a remote opportunity with potential for permanent placement. Responsibilities * Review and ... At least 2 years of utilization management (UM) or utilization review (UR) experience. * At least 2 ...

New

Actalent

Remote Appeals Clinical Review LPN

$28 - $33/hr

Appeals Clinical Reviewer The Appeals Utilization Review Nurse reviews and evaluates member and ... Proficiency in remote work tools and electronic documentation systems. * Excellent critical ...

New

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Cigna Utilization Review Remote information

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

As of Jul 11, 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:
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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.
CA Utilization Review Nurse I

CA Utilization Review Nurse I

CorVel

Remote

$30.64 - $45.80/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

83rd of 148 rated financial services

Job description

CA Utilization Review Nurse I

The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay while supporting the goals of the Case Management department and of CorVel. This is a remote position.

Essential Functions & Responsibilities:

  • Identifies the necessity of the review process and communicates issues of concern to the appropriate claims staff/customer
  • Collects data and analyzes information to make decisions regarding certification or denial of treatment
  • Documents all work in the appropriate manner
  • Promotes utilization review services with stakeholders
  • Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
  • Additional duties as assigned

Knowledge & Skills:

  • Must have thorough knowledge of both CPT and ICD coding
  • Ability to interface with claims staff, attorneys, physicians and their representatives, as well as advisors/clients and coworkers
  • Effective organization skills in a high-volume, fast-paced environment
  • Strong time management skills with the ability to meet designated deadlines
  • Excellent written and verbal communication skills
  • Ability to work both independently and within a team environment
  • Strong interpersonal skills
  • Ability to utilize Microsoft Office including Excel spreadsheets
  • Knowledge of the workers' compensation claims process preferred
  • Knowledge of outpatient utilization review preferred

Education & Experience:

  • Graduate of accredited school of nursing with an associate's degree, Bachelor of Science degree or Bachelor of Science in Nursing
  • Current Nursing licensure in the state of operation required; RN is required unless local state regulations permit LVN/LPN
  • 4 or more years of recent clinical experience
  • Prospective, concurrent, and retrospective utilization review experience preferred
  • Experience in the clinical areas of OR, ICU, CCU, ER and/or orthopedics preferred

Pay Range: $30.64 - $45.80 per hour

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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