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Full Time Cigna Utilization Review Jobs in Rochester, NY

Operations Manager

Rochester, NY · On-site

$25 - $26.20/hr

Give relevant input for treatment team meetings, staff meetings, utilization reviews and any other ... Employment Type: FULL_TIME

This full-time position SMS Space Systems in SC Ops site reports to the Supply Chain leadership ... Complete government Purchase Order compliance reviews to support maintaining an approved purchasing ...

RN Care Coordinator

Rochester, NY · On-site

$77K - $93K/yr

Highland Hospital is seeking a full time Case Manager to join the team. Hours will be Monday-Friday ... Complete the Patient Review Instrument * Other duties as assigned Salary Range: $77,220.15- $93,600 ...

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Full Time Cigna Utilization Review information

See Rochester, NY salary details

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$68

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

As of Aug 23, 2026, the average hourly pay for full time cigna utilization review in Rochester, NY is $41.72, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

What is the difference between Full Time Cigna Utilization Review vs Full Time Cigna Claims Specialist?

AspectFull Time Cigna Utilization ReviewFull Time Cigna Claims Specialist
CertificationsTypically requires healthcare or insurance-related certificationsUsually requires claims processing or insurance certifications
Work EnvironmentReviewing medical records, assessing coverage, and determining medical necessityProcessing claims, verifying coverage, and resolving billing issues
Employer & Industry UsageUsed in healthcare insurance for utilization managementUsed in insurance claims processing departments

Full Time Cigna Utilization Review focuses on evaluating medical necessity and approving or denying healthcare services, while Full Time Cigna Claims Specialist handles claims processing and billing inquiries. Both roles are essential in healthcare insurance but differ in daily tasks and focus areas.

What are the most commonly searched types of Cigna Utilization Review jobs in Rochester, NY?

The most popular types of Cigna Utilization Review jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Full Time Cigna Utilization Review jobs?

Cities near Rochester, NY with the most Full Time Cigna Utilization Review job openings:

Infographic showing various Full Time Cigna Utilization Review job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $86,774 per year, or $41.7 per hour.

Operations Manager

DePaul

Rochester, NY • On-site

$25 - $26.20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday


Job description

Overview

The Operations Manager is responsible for the overall operation of the Treatment Apartment, including the resident care, supervision of staff and monitoring of physical plant.

Why work for DePaul?

  • Make a positive difference in someone's life
  • Supportive work environment
  • We value diversity
  • Opportunity for professional development and career advancement
  • Excellent benefits and competitive wages
  • Pay range for this position is $25-$26.20/hour
Responsibilities

DIRECT SERVICE RESPONSIBILITIES:

  • Provide teaching, supervision and support in accordance with OMH 593 and 595 including the following restorative services:  Assertiveness / Self-Advocacy Training, Community Integration/Resource Development, Daily Living Skills, Health Services, Medication Management / Training, Parenting Training, Rehabilitative Counseling, Skill Development, Socialization, Substance Abuse Services, Symptom management.
  • Ensure that each resident receives comprehensive planning for admission, ongoing treatment and  training, and discharge or transfer.  Ensure that each plan is complete and up-to-date in accordance           with standards of practice and the New York State Office of Mental Health.
  • Observe, monitor and document resident behaviors as well as their progress in accordance with agency standards.
  • Plan, implement and supervise recreational activities.
  • Ensure that supervision, ordering and documentation of resident medications are in accordance with                 agency policies.
  • Perform any other duties necessary for the effective and efficient operation of the Apartment       Treatment Site.
  • ADMINISTRATIVE RESPONSIBILITIES:

  • Assign, train, supervise and evaluate the daily activities of staff and volunteers and schedule their hours to maintain appropriate and sufficient coverage in collaboration with the Program Director.
  • Ensure that all required resident care documentation is completed in accordance with standards set by     OMH and the agency.
  • Conduct in-service training.
  • Ensure site staff is trained and competent in medication related skills.
  • Ensure site staff receives mandatory Agency trainings.
  • Supervise the maintenance of the building and coordinate fire safety procedures and Resident move ins.
  • Maintain a positive relationship with community groups, including the Community Advisory Board, to ensure continuity of care for residents.
  • Interview and make hiring recommendations to supervisor.
  • Attend staff meetings and trainings as required by supervisor and work as a member of the residential      team for each resident.  Give relevant input for treatment team meetings, staff meetings, utilization      reviews and any other meetings.
  • Observe all safety rules and regulations for self and others.
  • Collaborate with the Rehabilitation and Compliance Manager in the absence of the Program Director to oversee the operation of the Apartment Treatment Site.
  • On-call availability to provide support to the staff after hours and in case of emergency.
  • Qualifications

    Education:       4-year degree in Human Services.

    Experience:      1 year experience in Human Services.

    Other:              Driving record that meets agency's Clean Driving Record Policy.

    Work Environment

    This position is Tuesday-Saturday with the following schedule:

    • Sunday: Off
    • Monday: Off
    • Tuesday: 10am-6:30pm
    • Wednesday: 9am-5:30pm
    • Thursday: 10am-6:30pm
    • Friday: 9am-5:30pm
    • Saturday: 9am-5:30pm
    Benefits

    This position is eligible for the following benefits: Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, Generous PTO & Paid Holidays, 403B Employer Match, Employee Discount Programs, Free Parking and Staff Recognition Programs.

    DePaul is an equal opportunity employer that values diversity. All employment is decided based on qualifications, merit and program need.

    Employment Type: FULL_TIME