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Overnight Cigna Rn Remote Jobs in Baltimore, MD (NOW HIRING)

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Overnight Cigna Rn Remote information

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$23

$56

$109

How much do overnight cigna rn remote jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for overnight cigna rn remote in Baltimore, MD is $56.86, according to ZipRecruiter salary data. Most workers in this role earn between $38.22 and $63.99 per hour, depending on experience, location, and employer.

What is the difference between Overnight Cigna Rn Remote vs Night Shift Cigna Rn?

AspectOvernight Cigna Rn RemoteNight Shift Cigna Rn
Work EnvironmentRemote, home-basedOn-site or hospital setting during night hours
ScheduleOvernight hours, typically 10 PM - 6 AMNight shift hours, usually 7 PM - 7 AM
CertificationsRN license, Cigna-specific trainingRN license, Cigna-specific training
Employer UsageRemote telehealth servicesHospital or healthcare facility

Overnight Cigna Rn Remote roles involve providing patient care remotely from home during overnight hours, focusing on telehealth services. In contrast, Night Shift Cigna Rn positions are on-site or hospital-based roles working during night hours. Both require RN licensure and Cigna-specific training, but the work environment and schedule differ significantly.

What are the most commonly searched types of Cigna Rn Remote jobs in Baltimore, MD? The most popular types of Cigna Rn Remote jobs in Baltimore, MD are:
What are popular job titles related to Overnight Cigna Rn Remote jobs in Baltimore, MD? For Overnight Cigna Rn Remote jobs in Baltimore, MD, the most frequently searched job titles are:
What job categories do people searching Overnight Cigna Rn Remote jobs in Baltimore, MD look for? The top searched job categories for Overnight Cigna Rn Remote jobs in Baltimore, MD are:
What cities near Baltimore, MD are hiring for Overnight Cigna Rn Remote jobs? Cities near Baltimore, MD with the most Overnight Cigna Rn Remote job openings:
Overnight Cigna Rn Remote jobs near you
Utilization Management Specialist

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 27 days ago

Job description

Utilization Management Specialist (UM / Utilization Review Nurse) — Remote

Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch) - Flex after ramp-up start time between 7:00am–9:00am ET Pay (W2): USD 51.00/H

Job overview

In this role, you’ll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You’ll work fully remote and leverage MCG, medical policy, and regulatory guidelines while collaborating with Medical Directors and internal teams to support timely, accurate authorization decisions.

What you’ll do

  • Perform prospective, concurrent, and retrospective utilization reviews (medical + behavioral health).
  • Make medical necessity / appropriateness determinations and support prior authorizations.
  • Use clinical criteria and policy resources daily (including MCG / Milliman Care Guidelines).
  • Review clinical documentation, benefits, and mandates to ensure services align with coverage and guidelines.
  • Research diagnoses/treatments and high-cost services; summarize findings and escalate complex cases to Medical Directors as needed.
  • Collaborate with internal partners and providers to support benefit application and appropriate levels/settings of care.
  • Maintain accurate documentation and protect PHI while managing a busy caseload.

Required qualifications

  • Active RN or LPN license (RN preferred) — Maryland compact/eligibility required
  • 5+ years clinical nursing experience
  • 2+ years care management / utilization management experience
  • MCG experience (required)
  • Experience supporting Commercial/FEP/Medicare lines of business and applying medical policy/regulatory standards
  • Strong critical thinking, written communication, and ability to work independently in a remote setting
  • Comfortable with web-based tools + Microsoft Office (Word/Excel/PowerPoint)
  • Guiding Care and FACETS (required)

Nice to have

  • Critical Care or ER clinical background
  • Experience with LCD/NCD, Medicare guidelines, ASAM, or other authorization criteria sets

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1

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