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Live In Cigna Utilization Review Nurse Jobs (NOW HIRING)

Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...

Summary The Utilization Review Nurse screens medical records in accordance with contractual agreement and regulatory requirements for medical necessity on admission and continued stay in the acute ...

In our more than 20 years of service, Absolute Care has focused on fulfilling the needs of this ... The Utilization Review Nurse ensures appropriate utilization of health services by performing ...

Summary The Utilization Review Nurse screens medical records in accordance with contractual agreement and regulatory requirements for medical necessity on admission and continued stay in the acute ...

Minimum of three (3) year's experience with discharge planning in an acute care facility. * Recent ... Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies ...

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

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Utilization Review Nurse

Newark, NJ · Remote

$38 - $40/hr

Requires an associate's or bachelor's degree (or higher) in nursing and/or a health related field ... utilization, case and/or disease management processes. - Requires knowledge of health care ...

My Next Career Path Staffing - With over 20 years' experience in Technology Staffing, MNCP Staffing ... Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance ...

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

As of Jun 11, 2026, the average hourly pay for live in 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.
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What cities are hiring for Live In Cigna Utilization Review Nurse jobs? Cities with the most Live In Cigna Utilization Review Nurse job openings:
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Infographic showing various Live In Cigna Utilization Review Nurse job openings in the United States as of June 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Fusion HCR

Las Vegas, NV

Other

Posted 4 days ago


Job description

Fusion HCR is hiring! Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care.
Overview
Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works closely with clinical teams to ensure efficient resource utilization and quality patient outcomes.

Responsibilities
  • Review admissions using InterQual and/or Milliman criteria
  • Evaluate medical necessity, level of care, and documentation accuracy
  • Ensure compliance with Medicare, Medicaid, and regulatory guidelines
  • Collaborate with physicians, case management, and care teams
  • Support discharge planning and care coordination
  • Document findings and communicate recommendations

Requirements
  • Active RN license (Nevada)
  • 5+ years acute care nursing experience
  • 3+ years Utilization Review experience
  • 3+ years discharge planning experience (acute care)
  • Experience with InterQual (must be able to pass exam)
  • Experience with Milliman guidelines

Preferred
  • Background in Case Management or CDI
  • Strong knowledge of Joint Commission and CMS guidelines

Why Apply
  • Competitive pay
  • Stable, high-demand role
  • Collaborative healthcare environment

Apply Now
If you have strong Utilization Review, InterQual, and acute care experience, we want to hear from you!