Conducts patient reviews as specified in review plan using screening criteria; identifies and ... Three years clinical nursing experience. One year utilization and review experience. Experience ...
Conducts patient reviews as specified in review plan using screening criteria; identifies and ... Three years clinical nursing experience. One year utilization and review experience. Experience ...
Utilization Review Nurse
Oxford, NC · On-site
Conducts patient reviews as specified in review plan using screening criteria; identifies and ... Three years clinical nursing experience. One year utilization and review experience. Experience ...
Utilization Review Nurse
Oxford, NC · On-site
Conducts patient reviews as specified in review plan using screening criteria; identifies and ... Three years clinical nursing experience. One year utilization and review experience. Experience ...
We provide quality resources in four specialty areas: Information Technology (IT), Clinical ... Utilization and Quality Management/Outcomes experience preferred. Previous work experience with a ...
We provide quality resources in four specialty areas: Information Technology (IT), Clinical ... Utilization and Quality Management/Outcomes experience preferred. Previous work experience with a ...
Utilization Review Specialist (Remote)
Chapel Hill, NC · On-site
$60K - $62K/yr
Utilization Review Specialist/Behavioral Health Substance Abuse (Remote) Reports to : UR Manager ... Participate in staff meetings as needed. * Ensure clear communication with supervisors, co-workers ...
Quick apply
Utilization Review Specialist (Remote)
Chapel Hill, NC · On-site
$60K - $62K/yr
Utilization Review Specialist/Behavioral Health Substance Abuse (Remote) Reports to : UR Manager ... Participate in staff meetings as needed. * Ensure clear communication with supervisors, co-workers ...
... live and work. Located just about 30 miles north of Durham and 40 miles from Raleigh. The region ... At least a year of experience in a related role (utilization review, case management, care ...
... live and work. Located just about 30 miles north of Durham and 40 miles from Raleigh. The region ... At least a year of experience in a related role (utilization review, case management, care ...
... live and work. Located just about 30 miles north of Durham and 40 miles from Raleigh. The region ... At least a year of experience in a related role (utilization review, case management, care ...
... live and work. Located just about 30 miles north of Durham and 40 miles from Raleigh. The region ... At least a year of experience in a related role (utilization review, case management, care ...
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Quick apply
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Utilization Management Nurse
Chapel Hill, NC · On-site +1
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Utilization Management Nurse
Chapel Hill, NC · On-site +1
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Utilization Manager
Durham, NC · On-site
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Duke University Health System has 6000 + registered nurses * Quality of Life: Living in the ... Reviews records for medical necessity and collaborates with physician (s) and members of the care ...
Dir-Utilization Management-Physical Health (Full-time Remote, Morrisville, NC Based)
Morrisville, NC · Remote
Oversee the UM Unit reviewing physical health services * Ensure consistent application of medical ... OR Master's degree in Nursing and five (5) years' experience including at least two (2) years of ...
Dir-Utilization Management-Physical Health (Full-time Remote, Morrisville, NC Based)
Morrisville, NC · Remote
Oversee the UM Unit reviewing physical health services * Ensure consistent application of medical ... OR Master's degree in Nursing and five (5) years' experience including at least two (2) years of ...
Dir-Utilization Management-Physical Health (Full-time Remote, Morrisville, NC Based)
Morrisville, NC · On-site +1
Oversee the UM Unit reviewing physical health services * Ensure consistent application of medical ... OR Master's degree in Nursing and five (5) years' experience including at least two (2) years of ...
Dir-Utilization Management-Physical Health (Full-time Remote, Morrisville, NC Based)
Morrisville, NC · On-site +1
Oversee the UM Unit reviewing physical health services * Ensure consistent application of medical ... OR Master's degree in Nursing and five (5) years' experience including at least two (2) years of ...
Live In Cigna Utilization Review Nurse information
See Raleigh, NC salary details
$20.80 - $25
2% of jobs
$25 - $29.21
9% of jobs
$32.09 is the 25th percentile. Wages below this are outliers.
$29.21 - $33.42
21% of jobs
The median wage is $36.82 / hr.
$33.42 - $37.62
23% of jobs
$37.62 - $41.83
13% of jobs
$45.10 is the 75th percentile. Wages above this are outliers.
$41.83 - $46.03
10% of jobs
$46.03 - $50.24
8% of jobs
$50.24 - $54.45
5% of jobs
$54.45 - $58.65
5% of jobs
$58.65 - $62.86
2% of jobs
$62.86 - $67.06
2% of jobs
$20
$41
$67
How much do live in cigna utilization review nurse jobs pay per hour?
As of Jul 26, 2026, the average hourly pay for live in cigna utilization review nurse in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 per hour, depending on experience, location, and employer.
What are popular job titles related to Live In Cigna Utilization Review Nurse jobs in Raleigh, NC? For Live In Cigna Utilization Review Nurse jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Live In Cigna Utilization Review Nurse jobs in Raleigh, NC look for? The top searched job categories for Live In Cigna Utilization Review Nurse jobs in Raleigh, NC are:
- Remote Utilization Review
- Nurse Practitioner Utilization Review
- Utilization Review
- Remote Rn Utilization Review Nurse
- Remote Occupational Therapy Utilization Review
- Remote Preservice Review Nurse
- Full Time Cigna Utilization Review
- Remote Aetna Utilization Review Nurse
- Remote Utilization Review Nurse Practitioner
- Remote Rn Case Review
What cities near Raleigh, NC are hiring for Live In Cigna Utilization Review Nurse jobs? Cities near Raleigh, NC with the most Live In Cigna Utilization Review Nurse job openings:
Granville Health System rating
8.6
Based on 5 frontline employees who took The Breakroom Quiz
Job description
Position Summary:
Conducts patient reviews as specified in review plan using screening criteria; identifies and documents actual and potential delays in services or treatment and works with departments and other providers to resolve problems; communicates to attending physician need for documentation for admission or continuation of hospitalization; refers cases that do not meet criteria to Director when needed. Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews.
Qualifications:
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization management criteria and standards. Excellent communication skills. Ability to work with physicians and hospital staff. Maintains professional knowledge and skills related to areas of responsibility. Self direction with the ability to work with minimal supervision and manage multiple tasks. Demonstrates understanding of variations in care of the following age groups - newborn, infant, child, adolescent, adult and geriatric.
What Granville Health System employees say
Pay
Hours and flexibility
Workplace
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