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Part Time Cigna Utilization Review Jobs (NOW HIRING)

$52.03 - $101.24/hr

Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical ... Employment Type: Part Time

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Part-time employees which includes: • Medical, Dental and Vision plans • Life Insurance • ...

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Part-time employees which includes: Medical, Dental and Vision plans Life Insurance Flexible ...

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Part Time Cigna Utilization Review information

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$42

$68

How much do part time cigna utilization review jobs pay per hour?

As of Aug 1, 2026, the average hourly pay for part time cigna utilization review 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.

What is the difference between Part Time Cigna Utilization Review vs Part Time Cigna Claims Processor?

AspectPart Time Cigna Utilization ReviewPart Time Cigna Claims Processor
CertificationsTypically requires healthcare or insurance-related certificationsUsually requires basic insurance processing knowledge, no specialized certifications needed
Work EnvironmentOffice-based, healthcare or insurance company settingOffice-based, insurance claims department
Job ResponsibilitiesReview medical necessity, approve or deny coverage based on policiesProcess and review insurance claims for accuracy and completeness
Industry UsageCommon in health insurance companies like CignaCommon in insurance companies, including Cigna

Part Time Cigna Utilization Review focuses on evaluating medical necessity and approving coverage, requiring healthcare knowledge and certifications. In contrast, Part Time Cigna Claims Processor handles claims processing, emphasizing accuracy and data entry. Both roles are office-based within the insurance industry but serve different functions in claims management.

What cities are hiring for Part Time Cigna Utilization Review jobs? Cities with the most Part Time Cigna Utilization Review job openings:
What are the most commonly searched types of Cigna Utilization Review jobs? The most popular types of Cigna Utilization Review jobs are:
What states have the most Part Time Cigna Utilization Review jobs? States with the most job openings for Part Time Cigna Utilization Review jobs include:

$52.03 - $101.24/hr

Part-time

Posted 5 days ago


Job description


Job Summary and Responsibilities

As our Utilization Review Nurse, you will ensure the medical necessity and appropriateness of care for all hospitalized patients, promoting fiscal responsibility and optimal patient outcomes. You will leverage specialized utilization review criteria, technologies, and tools to verify the correct level of care throughout their acute stay.
Every day you will perform meticulous clinical assessments, identify and coordinate cost-effective alternatives, and proactively support provider decision-making. You will collaborate with the healthcare team, patients, families, and both internal/external customers to achieve optimal outcomes efficiently and ethically, ensuring compliance with payer guidelines and regulatory standards.
To be successful in this role you will have strong analytical skills, persuasive communication, and a steadfast commitment to patient advocacy.  Fiscal stewardship is crucial for navigating complex clinical and financial landscapes, ensuring appropriate resource utilization.

Job Requirements

Required

  • Bachelor's degree in Nursing and 3 years of professional nursing experience in a hospital setting.
  • Active Washington State Registered Nurse License.
  • Experience in utilization review.
  • Demonstrated ability to work collaboratively with all members of the care team (CNLs, MSWs, MDs) in conveyance of information that affects patient care.
  • An understanding of variable payor rules and regulations is also required.

Preferred

  • Knowledge of core insurance coverage guidelines and financial principles.
  • Acute care nursing experience.
Where You'll Work

Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.

Qualifications:

Required

  • Bachelor's degree in Nursing and 3 years of professional nursing experience in a hospital setting.
  • Active Washington State Registered Nurse License.
  • Experience in utilization review.
  • Demonstrated ability to work collaboratively with all members of the care team (CNLs, MSWs, MDs) in conveyance of information that affects patient care.
  • An understanding of variable payor rules and regulations is also required.

Preferred

  • Knowledge of core insurance coverage guidelines and financial principles.
  • Acute care nursing experience.
Employment Type: Part Time