The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for ...
The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for ...
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 ...
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 ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Asheboro, NC · On-site
... the Utilization Review Plan for Randolph Hospital. Review patient record and plan of care at ... Graduate from an accredited school of nursing. BSN preferred. Current license to practice as a ...
New
Utilization Review Nurse
Asheboro, NC · On-site
... the Utilization Review Plan for Randolph Hospital. Review patient record and plan of care at ... Graduate from an accredited school of nursing. BSN preferred. Current license to practice as a ...
New
Utilization Review Nurse
New Orleans, LA · On-site
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 ...
Utilization Review Nurse
New Orleans, LA · On-site
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 ...
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... for Full-time and Part-time employees which includes: Medical, Dental and Vision plans Life ...
Utilization Review Nurse
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... for Full-time and Part-time employees which includes: Medical, Dental and Vision plans Life ...
Utilization Review Nurse
Syracuse, NY · On-site
Utilization Review Experience, the nurse can come from a Hospital, Home Health, or Managed Care company/ health plan Additional Information Hello! My name is Krishna Gapuz and I am a R ecruiting ...
Utilization Review Nurse
Syracuse, NY · On-site
Utilization Review Experience, the nurse can come from a Hospital, Home Health, or Managed Care company/ health plan Additional Information Hello! My name is Krishna Gapuz and I am a R ecruiting ...
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
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 ...
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
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 ...
Utilization Review Nurse
Plano, TX · Remote
Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Quick apply
Utilization Review Nurse
Plano, TX · Remote
Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...
The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for ...
The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Utilization Review Nurse
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Bachelor of Science in Nursing (BSN) * Certification in Utilization Management and/or Care ... Two (2) years of Utilization Review and Case Management experience which includes utilization ...
Bachelor of Science in Nursing (BSN) * Certification in Utilization Management and/or Care ... Two (2) years of Utilization Review and Case Management experience which includes utilization ...
Bachelor of Science in Nursing (BSN) * Certification in Utilization Management and/or Care ... Two (2) years of Utilization Review and Case Management experience which includes utilization ...
Bachelor of Science in Nursing (BSN) * Certification in Utilization Management and/or Care ... Two (2) years of Utilization Review and Case Management experience which includes utilization ...
Utilization Review Nurse
Manhattan, NY · On-site
LCMC Health in Louisiana seeks an RN for Utilization Review to support patient throughput, facilitate physician communication, and determine medical necessity in alignment with CMS and payer ...
Utilization Review Nurse
Manhattan, NY · On-site
LCMC Health in Louisiana seeks an RN for Utilization Review to support patient throughput, facilitate physician communication, and determine medical necessity in alignment with CMS and payer ...
Utilization Review Nurse
$77K - $119K/yr
While performing utilization review identifies areas for clinical documentation improvement and ... Registered nurse with a New York State current license. Associate's degree required. Bachelor ...
Utilization Review Nurse
$77K - $119K/yr
While performing utilization review identifies areas for clinical documentation improvement and ... Registered nurse with a New York State current license. Associate's degree required. Bachelor ...
Utilization Review Nurse
Manhattan, NY · On-site
LCMC Health in Louisiana seeks an RN for Utilization Review to support patient throughput, facilitate physician communication, and determine medical necessity in alignment with CMS and payer ...
Utilization Review Nurse
Manhattan, NY · On-site
LCMC Health in Louisiana seeks an RN for Utilization Review to support patient throughput, facilitate physician communication, and determine medical necessity in alignment with CMS and payer ...
Qualifications Associates RN degree required, Bachelor's degree preferred Two years of experience in managed care quality assurance or utilization review RN must have two years of experience in an ...
Qualifications Associates RN degree required, Bachelor's degree preferred Two years of experience in managed care quality assurance or utilization review RN must have two years of experience in an ...
Utilization Review Nurse
Fort Lauderdale, FL · On-site
$28.85 - $31.25/hr
Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License * 3+ years in recent medical/surgical or critical care experience * 3+ years of Utilization ...
Utilization Review Nurse
Fort Lauderdale, FL · On-site
$28.85 - $31.25/hr
Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License * 3+ years in recent medical/surgical or critical care experience * 3+ years of Utilization ...
Full Time Cigna Utilization Review Nurse information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do full time cigna utilization review nurse jobs pay per hour?
As of Sep 5, 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.
More about Full Time Cigna Utilization Review Nurse jobs
What cities are hiring for Full Time Cigna Utilization Review Nurse jobs?
Cities with the most Full Time Cigna Utilization Review Nurse job openings:
What are the most commonly searched types of Cigna Utilization Review Nurse jobs?
The most popular types of Cigna Utilization Review Nurse jobs are:
What states have the most Full Time Cigna Utilization Review Nurse jobs?
States with the most job openings for Full Time Cigna Utilization Review Nurse jobs include:
What job categories do people searching Full Time Cigna Utilization Review Nurse jobs look for?
The top searched job categories for Full Time Cigna Utilization Review Nurse jobs are:
- Remote Bcba Utilization Review
- Remote Cigna Utilization Review Nurse
- Remote Dental Utilization Review
- Remote International Utilization Review Nurse
- Work From Home Dental Utilization Review
- Remote Optum Utilization Review
- International Utilization Review Rn
- Inpatient Review Nurse
- Remote Utilization Review
- Weekend Utilization Review
Full-time
This job post has expired 1 day ago. Applications are no longer accepted.
Job description
Work Shift
The Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay. The Utilization Reviewer serves as a resource to medical and hospital staff on utilization and regulatory issues and participates in coordination of individualized patient care services. The Utilization Reviewer plays an integral role in discharge planning and maximizing the continuum of care for patients assigned to his/her assigned unit. The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for the patient.
Qualifications
Education & Training: Graduate of an accredited School of Nursing.
Experience:
Three (3) years in an acute care setting.
Required
Certification/Registration/Licensure: Current US state RN license with authorization to practice in the state of GA. Knowledge, Skills & Abilities: Utilizes a variety of standard office equipment to include computer, printer, fax machine, copier, telephone etc. Basic knowledge of statistics encouraged. Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Scheduled Weekly Hours: 40 FTE: 1 Expanded Work Shift: On Call: Please note that one week's advance notice is preferred.