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Manager Cigna Rn Remote Jobs in Anaheim, CA (NOW HIRING)

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 ...

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Manager Cigna Rn Remote information

See Anaheim, CA salary details

$36.6K

$92K

$145.5K

How much do manager cigna rn remote jobs pay per year?

As of Jul 27, 2026, the average yearly pay for manager cigna rn remote in Anaheim, CA is $91,982.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,200.00 and $109,900.00 per year, depending on experience, location, and employer.

What is the difference between Manager Cigna Rn Remote vs Cigna Rn Case Manager?

AspectManager Cigna Rn RemoteCigna Rn Case Manager
CertificationsRN license, management experienceRN license, case management certification often preferred
Work EnvironmentRemote management, team oversightRemote or in-office, direct patient or provider interaction
Employer & IndustryHealth insurance, managed careHealth 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.

What job categories do people searching Manager Cigna Rn Remote jobs in Anaheim, CA look for? The top searched job categories for Manager Cigna Rn Remote jobs in Anaheim, CA are:
What cities near Anaheim, CA are hiring for Manager Cigna Rn Remote jobs? Cities near Anaheim, CA with the most Manager Cigna Rn Remote job openings:
Care Review Clinician (RN) Remote

Care Review Clinician (RN) Remote

Molina Healthcare

Long Beach, CA • Remote

Full-time

Posted 25 days ago


Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

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

Sourced by ZipRecruiter

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

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