Preferred candidates will have previous utilization management, managed care, or post-acute ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Preferred candidates will have previous utilization management, managed care, or post-acute ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Care Manager (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Manager supporting our Medicaid, Medicare and Marketplace members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful ...
Care Manager (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Manager supporting our Medicaid, Medicare and Marketplace members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful ...
Home Infusion Registered Nurse - Accredo Specialty Pharmacy-32 Hours Join Accredo Specialty ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Home Infusion Registered Nurse - Accredo Specialty Pharmacy-32 Hours Join Accredo Specialty ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully ... Preferred candidates will have previous utilization management, managed care, or post-acute ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully ... Preferred candidates will have previous utilization management, managed care, or post-acute ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... Preferred candidates will have previous utilization management, case management, managed care, or ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... Preferred candidates will have previous utilization management, case management, managed care, or ...
(RN) REMOTE Care Manager - High Risk OB
Long Beach, CA · Remote
$26.41 - $51.49/hr
This is a remote telephonic care manager position with a speciality in helping members navigate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
(RN) REMOTE Care Manager - High Risk OB
Long Beach, CA · Remote
$26.41 - $51.49/hr
This is a remote telephonic care manager position with a speciality in helping members navigate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
This is a remote telephonic care manager position with a speciality in helping members navigate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
This is a remote telephonic care manager position with a speciality in helping members navigate ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members who have recently been ... Preferred candidates will have previous case management, managed care, or inpatient hospital ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members who have recently been ... Preferred candidates will have previous case management, managed care, or inpatient hospital ...
Care Manager, LTSS (RN) Remote (Detroit MI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote position with substantial field work and productivity is important. Preferred ... regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40 ...
Care Manager, LTSS (RN) Remote (Detroit MI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This is a remote position with substantial field work and productivity is important. Preferred ... regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40 ...
(RN) Remote Care Manager - SC based
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
... Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. Required Qualifications • At least 2 years ...
(RN) Remote Care Manager - SC based
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
... Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. Required Qualifications • At least 2 years ...
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · Remote
$26.41 - $51.49/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · Remote
$26.41 - $51.49/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Care Manager, LTSS (RN) Remote (Detroit MI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required ...
Care Manager, LTSS (RN) Remote (Detroit MI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required ...
(RN) Remote Clinical Care Manager (KY Based)
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
... manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required ...
(RN) Remote Clinical Care Manager (KY Based)
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
... manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required ...
Care Manager, LTSS (RN) Remote (Westland, MI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required ...
Care Manager, LTSS (RN) Remote (Westland, MI)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required ...
Partners with providers, case management, and care coordination teams to facilitate appropriate ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Partners with providers, case management, and care coordination teams to facilitate appropriate ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Partners with providers, case management, and care coordination teams to facilitate appropriate ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Partners with providers, case management, and care coordination teams to facilitate appropriate ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician and provide clinical review support for Medicare ... Partners with providers, case management, and care coordination teams to facilitate appropriate ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician and provide clinical review support for Medicare ... Partners with providers, case management, and care coordination teams to facilitate appropriate ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician and provide clinical review support for Medicare ... Partners with providers, case management, and care coordination teams to facilitate appropriate ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician and provide clinical review support for Medicare ... Partners with providers, case management, and care coordination teams to facilitate appropriate ...
Transition of Care Coach (RN) Remote (Michigan)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Preferred candidates will have previous case management, managed care, or inpatient hospital ... Nurse (RN). License must be active and unrestricted in state of practice. • Valid and ...
Transition of Care Coach (RN) Remote (Michigan)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
Preferred candidates will have previous case management, managed care, or inpatient hospital ... Nurse (RN). License must be active and unrestricted in state of practice. • Valid and ...
Manager Cigna Rn Remote information
See Anaheim, CA salary details
$36.6K - $46.5K
4% of jobs
$46.5K - $56.4K
4% of jobs
$56.4K - $66.3K
10% of jobs
$70.1K is the 25th percentile. Wages below this are outliers.
$66.3K - $76.2K
18% of jobs
$76.2K - $86.1K
12% of jobs
The median wage is $87.8K / yr.
$86.1K - $96K
13% of jobs
$96K - $105.9K
14% of jobs
$106.4K is the 75th percentile. Wages above this are outliers.
$105.9K - $115.8K
12% of jobs
$115.8K - $125.7K
7% of jobs
$125.7K - $135.6K
4% of jobs
$135.6K - $145.5K
2% of jobs
$36.6K
$92K
$145.5K
How much do manager cigna rn remote jobs pay per year?
What is the difference between Manager Cigna Rn Remote vs Cigna Rn Case Manager?
| Aspect | Manager Cigna Rn Remote | Cigna Rn Case Manager |
|---|---|---|
| Certifications | RN license, management experience | RN license, case management certification often preferred |
| Work Environment | Remote management, team oversight | Remote or in-office, direct patient or provider interaction |
| Employer & Industry | Health insurance, managed care | Health insurance, case management services |
The Manager Cigna Rn Remote typically oversees teams and operations within Cigna's health insurance services, requiring management skills and RN licensure. In contrast, the Cigna Rn Case Manager focuses on direct patient or provider interactions, coordinating care plans. Both roles are remote and within the same industry but differ in responsibilities and focus areas.
Full-time
Posted 25 days ago
Molina Healthcare rating
8.0
Based on 196 frontline employees who took The Breakroom Quiz
161st of 299 rated insurance
Job description
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between systems, talk with providers on the phone, and adhere to Medicare guidelines.
This is a remote position and productivity is important. Preferred candidates will have previous utilization management, managed care, or post-acute experience.
Schedule: Monday through Friday 8:30AM to 5:00PM EST (Occasional weekends, no nights, occasional holidays.)
Job Summary
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to utilization management (UM) policies and procedures.
Required Qualifications
At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Professional in Healthcare Management (CPHM).
Recent hospital experience in an intensive care unit (ICU) or emergency room.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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About Molina Healthcare
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980