Utilization Review Nurse
$52.03 - $101.24/hr
Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical ... Employment Type: Part Time
$52.03 - $101.24/hr
Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical ... Employment Type: Part Time
$52.03 - $101.24/hr
Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical ... Employment Type: Part Time
$52.03 - $101.24/hr
Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical ... Employment Type: Part Time
$52.03 - $101.24/hr
Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical ... Employment Type: Part Time
Summary In support of the Director and their area(s) of responsibility, the Utilization Review Specialist provides clerical and administrative support for UR departmental daily activities. Education ...
Summary In support of the Director and their area(s) of responsibility, the Utilization Review Specialist provides clerical and administrative support for UR departmental daily activities. Education ...
Summary In support of the Director and their area(s) of responsibility, the Utilization Review Specialist provides clerical and administrative support for UR departmental daily activities. Education ...
Summary In support of the Director and their area(s) of responsibility, the Utilization Review Specialist provides clerical and administrative support for UR departmental daily activities. Education ...
As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Tucson, AZ · On-site
As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Tucson, AZ · On-site
As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
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 • ...
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 • ...
Employment Type: Part time Shift: Rotating Shift Description: This is a remote position but will ... Maintain accurate records, compile reports, and support utilization review program operations
Employment Type: Part time Shift: Rotating Shift Description: This is a remote position but will ... Maintain accurate records, compile reports, and support utilization review program operations
$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 Flexible ...
$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 Flexible ...
Employment Type: Part time Shift: Rotating Shift Description: This is a remote position but will ... Maintain accurate records, compile reports, and support utilization review program operations
Employment Type: Part time Shift: Rotating Shift Description: This is a remote position but will ... Maintain accurate records, compile reports, and support utilization review program operations
Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Employment Type: Part time Shift: Rotating Shift Description: This is a remote position but will ... Maintain accurate records, compile reports, and support utilization review program operations
Employment Type: Part time Shift: Rotating Shift Description: This is a remote position but will ... Maintain accurate records, compile reports, and support utilization review program operations
Watertown, SD · On-site
$28.09 - $44.81/hr
Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Watertown, SD · On-site
$28.09 - $44.81/hr
Utilization Review Registered Nurse Job Summary Join our team and be a part of our mission to ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Kankakee, IL · On-site
$41.31/hr
The Utilization Review Nurse will play a crucial role in ensuring that patients receive appropriate and effective care while optimizing resource utilization. This position involves reviewing patient ...
Kankakee, IL · On-site
$41.31/hr
The Utilization Review Nurse will play a crucial role in ensuring that patients receive appropriate and effective care while optimizing resource utilization. This position involves reviewing patient ...
Aurora, CO · On-site
Utilization Management Job Status: part time, 24 hours per week, eligible for benefits Shift ... review process with appropriate Payors. 2. Assesses the continuity of care in conjunction with the ...
Aurora, CO · On-site
Utilization Management Job Status: part time, 24 hours per week, eligible for benefits Shift ... review process with appropriate Payors. 2. Assesses the continuity of care in conjunction with the ...
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting utilization reviews to determine the medical necessity and appropriateness of patient admissions ...
Meeker, CO · On-site
$33.50 - $49/hr
The Part-Time Utilization Review Nurse is a Registered Nurse (RN) responsible for conducting utilization reviews to determine the medical necessity and appropriateness of patient admissions ...
Bakersfield, CA · On-site
$27.07 - $33.37/hr
ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review ... Benefits eligibility varies based on employment status (full-time, part-time, per diem, temporary ...
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Bakersfield, CA · On-site
$27.07 - $33.37/hr
ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review ... Benefits eligibility varies based on employment status (full-time, part-time, per diem, temporary ...
Employment Type: Part time Shift: Description: The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status ...
Employment Type: Part time Shift: Description: The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Conducts admission reviews for Medicare, Medicaid beneficiaries, as well as private insurers and ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
| Aspect | Part Time Cigna Utilization Review | Part Time Cigna Claims Processor |
|---|---|---|
| Certifications | Typically requires healthcare or insurance-related certifications | Usually requires basic insurance processing knowledge, no specialized certifications needed |
| Work Environment | Office-based, healthcare or insurance company setting | Office-based, insurance claims department |
| Job Responsibilities | Review medical necessity, approve or deny coverage based on policies | Process and review insurance claims for accuracy and completeness |
| Industry Usage | Common in health insurance companies like Cigna | Common 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.
$52.03 - $101.24/hr
Part-time
Posted 5 days ago
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.
Required
Preferred
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
Preferred
Sourced by ZipRecruiter
Health care and social assistance
5,001 - 10,000 Employees
Seattle, WA, US
1920