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Live In Cigna Utilization Review Nurse Jobs (NOW HIRING)

LifeBridge Health

Utilization Review Nurse RN

Baltimore, MD · On-site

$40.12 - $62.19/hr

The Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management ... At least 2 years of experience in acute inpatient utilization review required Must Live in One of ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

Documents all work in the appropriate manner * Promotes utilization review services with ... Current Nursing licensure in the state of operation required; RN is required unless local state ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · On-site

$30.64 - $45.80/hr

Documents all work in the appropriate manner * Promotes utilization review services with ... Current Nursing licensure in the state of operation required; RN is required unless local state ...

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

As of Jun 14, 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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Live In Cigna Utilization Review Nurse jobs near you
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 RN

Utilization Review Nurse RN

LifeBridge Health

Randallstown, MD • On-site

Full-time

Posted 11 days ago

LifeBridge Health rating

6.3

Company rating: 6.3 out of 10

Based on 76 frontline employees who took The Breakroom Quiz

666th of 872 rated healthcare providers

Job description

The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. Interfaces with 3rd party payers by providing pertinent, relevant clinical information.

Responsibilities Include:

Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption. Enters clinical reviews into the software program. Maintains close communication with external reviewers/internal financial counselors/patient access personnel and performs certification activities as required by payor.

Monitors and identifies patterns or trends in utilization management. Monitors potential and actual denials and coordinates with nurse Care Manager and/or Social Worker for any follow up necessary. Documents in software program the actions taken to coordinate care and avoid denials. Assists nurse Care Managers in communicating with the patient denied hospital days as well as the issuance of Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are in disagreement with the discharge plan arranged by attending and Care Management personnel.

Coordinates with the Care Manager to achieve optimal and efficient patient outcomes, while decreasing length of stay and avoid delays and denied days. Utilizes Physician Advisor and administrative personnel for unresolved issues. Identifies opportunities for expedited appeals and collaborates with the Care Manager and Physician Advisor to resolve payer issues. Other tasks as assigned.

Sends appropriate referrals/escalations to the physician advisors to review cases not met with criteria

REQUIREMENTS:

  • Registered Nurse License - Current Maryland license or eligibility to obtain Maryland license
  • Associate's Degree in Nursing required; BSN or higher preferred
  • Minimum of 3 years of related experience

What LifeBridge Health employees say

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Hours and flexibility

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About LifeBridge Health

Sourced by ZipRecruiter

LifeBridge Health is a $2B, 13,000 team member healthcare system that Cares Bravely for over 1 million patients annually throughout Maryland. We are comprised of 5 main healthcare centers: Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital, and Grace Medical Center as well as several specialty and primary care locations throughout Baltimore.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Baltimore, MD, US

Year founded

1988

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