... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Follow Network Health process, policies, and procedures in authorization review of all membership ...
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Follow Network Health process, policies, and procedures in authorization review of all membership ...
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Follow Network Health process, policies, and procedures in authorization review of all membership ...
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Follow Network Health process, policies, and procedures in authorization review of all membership ...
RN Coordinator Utilization Management
Menasha, WI · On-site +1
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Participate in Utilization Management auditing (i.e. Utilization Management Inter-reviewer ...
RN Coordinator Utilization Management
Menasha, WI · On-site +1
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Participate in Utilization Management auditing (i.e. Utilization Management Inter-reviewer ...
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Participate in Utilization Management auditing (i.e. Utilization Management Inter-reviewer ...
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Participate in Utilization Management auditing (i.e. Utilization Management Inter-reviewer ...
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Participate in Utilization Management auditing (i.e. Utilization Management Inter-reviewer ...
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Participate in Utilization Management auditing (i.e. Utilization Management Inter-reviewer ...
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Participate in Utilization Management auditing (i.e. Utilization Management Inter-reviewer ...
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Participate in Utilization Management auditing (i.e. Utilization Management Inter-reviewer ...
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Participate in Utilization Management auditing (i.e. Utilization Management Inter-reviewer ...
... live and work in. As an employee, you will have the opportunity to work hard and have fun while ... Participate in Utilization Management auditing (i.e. Utilization Management Inter-reviewer ...
MDS Coordinator
Oshkosh, WI · On-site
$80K - $90K/yr
Edenbrook of Oshkosh is a skilled nursing facility located in Oshkosh, Wisconsin, as part of the ... Run Utilization Review Meetings and ensure PDPM scores and rates are validated * Review and Educate ...
Quick apply
MDS Coordinator
Oshkosh, WI · On-site
$80K - $90K/yr
Edenbrook of Oshkosh is a skilled nursing facility located in Oshkosh, Wisconsin, as part of the ... Run Utilization Review Meetings and ensure PDPM scores and rates are validated * Review and Educate ...
The RN Care Manager does not provide hands-on care; it provides care management and service ... Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness ...
The RN Care Manager does not provide hands-on care; it provides care management and service ... Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness ...
The RN Care Manager does not provide hands-on care; it provides care management and service ... Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness ...
The RN Care Manager does not provide hands-on care; it provides care management and service ... Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness ...
Eagle Point Senior Living- Home Health Aide/CNA
Appleton, WI · On-site
$16.50 - $22/hr
Our CNA's and HHA's become family and impact the lives of our residents who live in a Lifespark ... Annual reviews with wage increases * Paid time off & paid holidays * Medical, dental, vision ...
Eagle Point Senior Living- Home Health Aide/CNA
Appleton, WI · On-site
$16.50 - $22/hr
Our CNA's and HHA's become family and impact the lives of our residents who live in a Lifespark ... Annual reviews with wage increases * Paid time off & paid holidays * Medical, dental, vision ...
Eagle Point Senior Living- Home Health Aide/CNA
Appleton, WI · On-site
$16.50 - $22/hr
Our CNA's and HHA's become family and impact the lives of our residents who live in a Lifespark ... Annual reviews with wage increases * Paid time off & paid holidays * Medical, dental, vision ...
Eagle Point Senior Living- Home Health Aide/CNA
Appleton, WI · On-site
$16.50 - $22/hr
Our CNA's and HHA's become family and impact the lives of our residents who live in a Lifespark ... Annual reviews with wage increases * Paid time off & paid holidays * Medical, dental, vision ...
Eagle Point Senior Living- Home Health Aide/CNA
Appleton, WI · On-site
$16.50 - $22/hr
Our CNA's and HHA's become family and impact the lives of our residents who live in a Lifespark ... Annual reviews with wage increases * Paidtime off & paid holidays * Medical, dental, vision ...
Eagle Point Senior Living- Home Health Aide/CNA
Appleton, WI · On-site
$16.50 - $22/hr
Our CNA's and HHA's become family and impact the lives of our residents who live in a Lifespark ... Annual reviews with wage increases * Paidtime off & paid holidays * Medical, dental, vision ...
Eagle Point Senior Living- Home Health Aide/CNA
Appleton, WI · On-site
$16.50 - $22/hr
Our CNA's and HHA's become family and impact the lives of our residents who live in a Lifespark ... Annual reviews with wage increases * Paid time off & paid holidays * Medical, dental, vision ...
Eagle Point Senior Living- Home Health Aide/CNA
Appleton, WI · On-site
$16.50 - $22/hr
Our CNA's and HHA's become family and impact the lives of our residents who live in a Lifespark ... Annual reviews with wage increases * Paid time off & paid holidays * Medical, dental, vision ...
RN Care Manager We're growing - join our award winning culture as we serve members in your area ... Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness ...
New
RN Care Manager We're growing - join our award winning culture as we serve members in your area ... Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness ...
New
RN Care Manager We're growing - join our award winning culture as we serve members in your area ... Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness ...
RN Care Manager We're growing - join our award winning culture as we serve members in your area ... Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness ...
RN Care Manager We're growing - join our award winning culture as we serve members in your area ... To create a world we all want to live in. Our Core Values: Kindness. Inclusion. Trust. We are an ...
RN Care Manager We're growing - join our award winning culture as we serve members in your area ... To create a world we all want to live in. Our Core Values: Kindness. Inclusion. Trust. We are an ...
The RN Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with ... Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness ...
The RN Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with ... Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness ...
The RN Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with ... Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness ...
The RN Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with ... Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness ...
The RN Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with ... Our Vision To create a world we all want to live in. Our Core Values Kindness. Inclusion. Trust. We ...
The RN Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with ... Our Vision To create a world we all want to live in. Our Core Values Kindness. Inclusion. Trust. We ...
Live In Cigna Utilization Review Nurse information
See Appleton, WI salary details
$20.88 - $25.10
2% of jobs
$25.10 - $29.32
9% of jobs
$32.21 is the 25th percentile. Wages below this are outliers.
$29.32 - $33.54
21% of jobs
The median wage is $36.96 / hr.
$33.54 - $37.76
23% of jobs
$37.76 - $41.98
13% of jobs
$45.27 is the 75th percentile. Wages above this are outliers.
$41.98 - $46.21
10% of jobs
$46.21 - $50.43
8% of jobs
$50.43 - $54.65
5% of jobs
$54.65 - $58.87
5% of jobs
$58.87 - $63.09
2% of jobs
$63.09 - $67.32
2% of jobs
$20
$41
$67
How much do live in cigna utilization review nurse jobs pay per hour?
As of Aug 7, 2026, the average hourly pay for live in cigna utilization review nurse in Appleton, WI is $41.26, according to ZipRecruiter salary data. Most workers in this role earn between $32.60 and $47.36 per hour, depending on experience, location, and employer.
What are the most commonly searched types of Cigna Utilization Review Nurse jobs in Appleton, WI? The most popular types of Cigna Utilization Review Nurse jobs in Appleton, WI are:
What are popular job titles related to Live In Cigna Utilization Review Nurse jobs in Appleton, WI? For Live In Cigna Utilization Review Nurse jobs in Appleton, WI, the most frequently searched job titles are:
What job categories do people searching Live In Cigna Utilization Review Nurse jobs in Appleton, WI look for? The top searched job categories for Live In Cigna Utilization Review Nurse jobs in Appleton, WI are:
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What cities near Appleton, WI are hiring for Live In Cigna Utilization Review Nurse jobs? Cities near Appleton, WI with the most Live In Cigna Utilization Review Nurse job openings:
Job description
The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes determinations for authorization/payment.Â
Location:Â Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required). Travel to the corporate office in Menasha is required occasionally for the position, including on first day. Training is required in person at our Menasha location for the first 6-8 weeks.
Hours:Â 1.0 FTE, 40 hours per week, 8am - 5pm Monday through Friday
Check out our 2025 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.
Job Responsibilities:
- Evaluate and process prior authorization requests/referrals submitted from contracted and non-contracted providers
- Follow Network Health process, policies, and procedures in authorization review of all membership on a pre-service, concurrent and post-service basis. This process includes verifying eligibility and benefits, as well as documenting all utilization management communication
- Provide education regarding utilization management activities and processes to members, caregivers, providers, and their administrative staff
- Participate in Utilization Management auditing (i.e. Utilization Management Inter-reviewer reliability and denial files)
- Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while providing a higher quality of life and an ability to take charge of their diseases. This requires an extensive holistic approach to care management assessment
- Collaborate with other NH departments to develop interdepartmental operational processes
- Support Utilization Management department programs and goals through active participation
- Identify and screen candidates for Case Management intervention and determines appropriate level of care from Utilization Management criteria
- Complete assessments and plans of care including need for medication regime, treatment plans, practitioner follow-up appointments, knowledge of red flags, disease management, Advance Directives, life planning, and self-management of illness to the best of member ability
- Evaluate cases for cost savings/quality improvement potential
- Other duties and responsibilities as assigned
Job Requirements:
- Bachelor of Science in Nursing, preferred
- Associate Degree in Nursing, required
- Current registered nurse licensure in Wisconsin required
- Minimum of four (4) years clinical health care experience as a Registered Nurse (RN) required
- Experience in insurance, managed care and utilization management preferred
Network Health is an Equal Opportunity Employer
About Network Health
Sourced by ZipRecruiter
Industry
Insurance services
Company size
201 - 500 Employees
Headquarters location
Menasha, WI, US
Year founded
1982