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Fulltime Cigna Utilization Review Nurse Jobs in Decatur, GA

CGI Inc.

Clinical Nurse Auditor

Atlanta, GA · On-site

J0726-2198 Employment Type: Full Time Position Description: CGI is one of the world's largest ... utilization review determinations Excellent written communication skills with the ability to ...

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All JobsFulltime Cigna Utilization Review Nurse JobsFulltime Cigna Utilization Review Nurse Jobs in Decatur, GA

Fulltime Cigna Utilization Review Nurse information

See Decatur, GA salary details

$20

$41

$67

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

As of Aug 11, 2026, the average hourly pay for fulltime cigna utilization review nurse in Decatur, GA is $41.28, according to ZipRecruiter salary data. Most workers in this role earn between $32.64 and $47.40 per hour, depending on experience, location, and employer.

What is the difference between Fulltime Cigna Utilization Review Nurse vs Fulltime Cigna Case Manager?

AspectFulltime Cigna Utilization Review NurseFulltime Cigna Case Manager
CredentialsRN license, certifications in utilization reviewRN license, case management certification often preferred
Work EnvironmentReviewing medical records, assessing insurance claimsCoordinating patient care, communicating with providers
Employer & IndustryHealth insurance, managed careHealth insurance, patient advocacy
Search & Comparison IntentFocus on utilization review rolesFocus on case management roles

While both roles require nursing credentials and work within health insurance companies like Cigna, the Utilization Review Nurse primarily evaluates medical necessity for coverage, whereas the Case Manager coordinates patient care and services. Understanding these differences helps job seekers find the role that best matches their skills and career goals.

What are popular job titles related to Fulltime Cigna Utilization Review Nurse jobs in Decatur, GA? For Fulltime Cigna Utilization Review Nurse jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Fulltime Cigna Utilization Review Nurse jobs in Decatur, GA look for? The top searched job categories for Fulltime Cigna Utilization Review Nurse jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Fulltime Cigna Utilization Review Nurse jobs? Cities near Decatur, GA with the most Fulltime Cigna Utilization Review Nurse job openings:
Fulltime Cigna Utilization Review Nurse jobs near you

Registered Nurse Case Manager

Prime Healthcare

Riverdale, GA

Full-time

Posted 28 days ago

Prime Healthcare rating

6.4

Company rating: 6.4 out of 10

Based on 283 frontline employees who took The Breakroom Quiz

641st of 887 rated healthcare providers

Job description

Shift’s Available:  Days 

Employment Type: Full Time 

Hours: 8 hour days hsifts 8am-5pm  

Location: Southern Regional Medical Center – Riverdale, GA  

We are seeking an RN Case Manager, also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager. An RN Case Manager will oversee and coordinate patient care from admission through discharge to ensure quality, cost-effective outcomes. They assess patients’ needs, develop care plans, and collaborate with physicians, nurses, social workers, and other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilization review, and helping patients navigate insurance and healthcare systems. 


  • Patient Assessment: evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay 
  • Care Coordination: develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions 
  • Discharge Planning: coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities 
  • Utilization Review: monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays 
  • Patient and Family Education: help patients and families understand care plans, post-discharge instructions, and available resources 
  • Advocacy: advocate for patient needs and preferences, ensuring care is aligned with their goals and values 

Education and Work Experience

  1. Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
  2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
  3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
  4. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
  5. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
  6. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
  7. Current BCLS (AHA) certificate upon hire and maintain current;
  8. Knowledge of Milliman Criteria and InterQual Criteria preferred.
  9. Experience and knowledge in basic to intermediate computer skills.
  10. Behavioral Violence Prevention Training within 3 months of hires and maintain current.

#LI-DF2


Full Time
Days

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

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