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Part Time Cigna Utilization Review Nurse Jobs (NOW HIRING)

Virginia Mason Medical Center

$52.03 - $101.24/hr

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

New

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Part-time employees which includes: • Medical, Dental and Vision plans • Life Insurance • ...

silvercross

Utilization Review Nurse

New Lenox, IL

$34.73 - $45.15/hr

Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Part-time employees which includes: Medical, Dental and Vision plans Life Insurance Flexible ...

Stcharles

RN Utilization Review

Bend, OR

$48.30 - $72.45/hr

CHARLES HEALTH SYSTEM TITLE: RN Utilization Management REPORTS TO POSITION: Manager- Utilization Management DEPARTMENT: Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating ...

St. Charles Health System

RN Utilization Review

Bend, OR · On-site

$48.30 - $72.45/hr

CHARLES HEALTH SYSTEM TITLE: RN Utilization Management REPORTS TO POSITION: Manager- Utilization Management DEPARTMENT: Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating ...

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

As of Jul 30, 2026, the average hourly pay for part time cigna utilization review nurse 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 Nurse vs Part Time Cigna Case Manager?

AspectPart Time Cigna Utilization Review NursePart Time Cigna Case Manager
CredentialsRN license, certification in case management or utilization review often preferredRN or licensed healthcare professional, case management certification beneficial
Work EnvironmentReviewing medical records, assessing insurance claims, working remotely or in officeCoordinating patient care, communicating with providers and members, often remote or office-based
Employer & Industry UsageInsurance companies, healthcare organizations, primarily in health insurance industryHealth insurance providers, healthcare organizations, focusing on patient care coordination

While both roles require healthcare credentials and involve working within the insurance industry, the Part Time Cigna Utilization Review Nurse primarily focuses on reviewing medical necessity and insurance claims, whereas the Part Time Cigna Case Manager emphasizes coordinating patient care and services. Understanding these differences helps job seekers identify the role that best matches their skills and career goals.

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Part Time Cigna Utilization Review Nurse jobs near you

Utilization Review Nurse

Virginia Mason Medical Center

Seattle, WA

$52.03 - $101.24/hr

Part-time

Posted 3 days ago

New

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

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