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Full Time Cigna Utilization Review Nurse Jobs (NOW HIRING)

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

AbsoluteCare

Utilization Review Nurse

New Orleans, LA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

AbsoluteCARE Inc

Utilization Review Nurse

New Orleans, LA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

AbsoluteCARE Inc

Utilization Review Nurse

New Orleans, LA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

AbsoluteCARE

Utilization Review Nurse

New Orleans, LA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site +1

$34.73 - $45.15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Full-time and Part-time employees which includes: • Medical, Dental and Vision plans • Life ...

Shannon Health

Utilization Review Nurse

Big Spring, TX · On-site

Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a health ...

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All JobsCigna Utilization Review Nurse JobsFull Time Cigna Utilization Review Nurse Jobs

Full Time Cigna Utilization Review Nurse information

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How much do full time cigna utilization review nurse jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for full time cigna utilization review nurse in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What does a full time Cigna utilization review nurse do?

A Full Time Cigna Utilization Review Nurse is responsible for evaluating medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities for Cigna insurance members. They review clinical information, apply evidence-based guidelines, and collaborate with healthcare providers to ensure members receive the right level of care. Their work helps manage healthcare costs while ensuring quality patient outcomes. This role typically involves reviewing patient records, conducting telephonic assessments, and making coverage determinations.

What are the key skills and qualifications needed to thrive as a full time Cigna utilization review nurse?

To excel as a Full Time Cigna Utilization Review Nurse, you need a valid RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of medical necessity guidelines such as InterQual or MCG is typically required. Exceptional communication, critical thinking, and organizational skills help nurses effectively coordinate with providers and advocate for patient care. These competencies are vital to ensure compliance, optimize resource use, and promote high-quality, cost-effective healthcare outcomes.

What are some common challenges faced by full time Cigna utilization review nurses, and how can they be managed?

Full Time Cigna Utilization Review Nurses often encounter challenges such as balancing productivity targets with the need for thorough, individualized patient assessments. Managing complex cases and coordinating with multiple providers can also be demanding. To manage these challenges, nurses can leverage Cigna’s robust clinical guidelines, maintain strong organizational skills, and communicate proactively with interdisciplinary teams. Continuous education and peer support groups within the company further help in navigating evolving healthcare regulations and improving decision-making confidence.
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Full Time Cigna Utilization Review Nurse jobs near you
Infographic showing various Full Time Cigna Utilization Review Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Access Healthcare Staffing & Recruitment

Las Vegas, NV • On-site

$40 - $63/hr

Full-time

Re-posted 7 days ago

Job description

Utilization Review Nurse (RN)

Las Vegas, NV | Full-Time

Salary: $40 – $63/hour


Position Summary

Reviews patient admissions for medical necessity, appropriate resource utilization, and compliance with payer guidelines. Analyzes medical records to ensure care meets established clinical and regulatory standards.


Requirements:

Education/Experience:

  • Graduate of an accredited nursing program
  • 5+ years of acute care nursing experience
  • At least 1 year in Utilization Management, Case Management, or CDI
  • Minimum 3 years of Utilization Management experience
  • 3+ years of discharge planning experience in acute care


Licensure:

  • Active Nevada RN license


Additional Requirements:

  • Experience with InterQual (must be able to pass exam)
  • Experience with Milliman criteria


Key Skills & Knowledge

  • Utilization review criteria (InterQual/Milliman), Medicare/Medicaid guidelines
  • Chart review and clinical documentation analysis
  • Regulatory compliance and hospital standards
  • Strong communication, collaboration, and analytical skills


Work Environment

  • Office-based with extended sitting and computer use
  • May require shifts and weekends