Utilization review, Resource management, Managing the continuum of care, and Clinical documentation ... Registered Nurse; Licensure: Ohio Nursing License. * Training and Experience * 3 years clinical ...
Utilization review, Resource management, Managing the continuum of care, and Clinical documentation ... Registered Nurse; Licensure: Ohio Nursing License. * Training and Experience * 3 years clinical ...
Utilization Review Specialist
Tucson, AZ ยท On-site
Collaborates with the Director of Nursing (DON) to ensure documentation requirements are met ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Utilization Review Specialist
Tucson, AZ ยท On-site
Collaborates with the Director of Nursing (DON) to ensure documentation requirements are met ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Five years' clinical nursing and three years quality management, utilization review or discharge ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Five years' clinical nursing and three years quality management, utilization review or discharge ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Five years' clinical nursing and three years quality management, utilization review or discharge ...
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... Five years' clinical nursing and three years quality management, utilization review or discharge ...
Bachelor of Science in Nursing * Previous experience with MCG and/or InterQual systems * 2 years of experience in hospital or insurance related utilization review highly preferred Education
Bachelor of Science in Nursing * Previous experience with MCG and/or InterQual systems * 2 years of experience in hospital or insurance related utilization review highly preferred Education
Utilization review, Resource management, Managing the continuum of care, and Clinical documentation ... Registered Nurse; Licensure: Ohio Nursing License. * Training and Experience * 3 years clinical ...
Utilization review, Resource management, Managing the continuum of care, and Clinical documentation ... Registered Nurse; Licensure: Ohio Nursing License. * Training and Experience * 3 years clinical ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends ...
Active state licensure in [specify relevant states] (e.g., RN, LPN, PT, OT). Minimum [number] years of experience in [specialty]. BLS/CPR certification (ACLS, PALS, or others as required by specialty)
New
Active state licensure in [specify relevant states] (e.g., RN, LPN, PT, OT). Minimum [number] years of experience in [specialty]. BLS/CPR certification (ACLS, PALS, or others as required by specialty)
New
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends ...
Employment Type: Part time Shift: Day Shift Description: Job Title: Registered Nurse Department: Utilization Review Employment Type: Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for ... Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for ... Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for ... Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for ... Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ...
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 ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Utilization Review Specialist - HIM / RHIT
$27.74 - $41.61/hr
In addition, the Utilization Review Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (i.e. Physicians, Case Managers, Social Workers, etc ...
Utilization Review Specialist - HIM / RHIT
$27.74 - $41.61/hr
In addition, the Utilization Review Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (i.e. Physicians, Case Managers, Social Workers, etc ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Physician Reviewer - Utilization Management (Part Time)
New York, NY ยท On-site
$130 - $145/hr
We're hiring a part-time Physician Reviewer to join our Utilization Management team. Oscar is the ... Receive and review escalated reviews. * Conduct timely peer-to-peer discussions with treating ...
Physician Reviewer - Utilization Management (Part Time)
New York, NY ยท On-site
$130 - $145/hr
We're hiring a part-time Physician Reviewer to join our Utilization Management team. Oscar is the ... Receive and review escalated reviews. * Conduct timely peer-to-peer discussions with treating ...
Physician Reviewer - Utilization Management (Part Time)
New York, NY ยท Remote
$130 - $145/hr
We're hiring a part-time Physician Reviewer to join our Utilization Management team. Oscar is the ... Receive and review escalated reviews. * Conduct timely peer-to-peer discussions with treating ...
Quick apply
Physician Reviewer - Utilization Management (Part Time)
New York, NY ยท Remote
$130 - $145/hr
We're hiring a part-time Physician Reviewer to join our Utilization Management team. Oscar is the ... Receive and review escalated reviews. * Conduct timely peer-to-peer discussions with treating ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Part Time Cigna Utilization Review Nurse information
See salary details
$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
How much do part time cigna utilization review nurse jobs pay per hour?
What is the difference between Part Time Cigna Utilization Review Nurse vs Part Time Cigna Case Manager?
| Aspect | Part Time Cigna Utilization Review Nurse | Part Time Cigna Case Manager |
|---|---|---|
| Credentials | RN license, certification in case management or utilization review often preferred | RN or licensed healthcare professional, case management certification beneficial |
| Work Environment | Reviewing medical records, assessing insurance claims, working remotely or in office | Coordinating patient care, communicating with providers and members, often remote or office-based |
| Employer & Industry Usage | Insurance companies, healthcare organizations, primarily in health insurance industry | Health 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.
- Remote Cigna Utilization Review Nurse
- Remote Optum Utilization Review
- Full Time Anthem Utilization Review Nurse
- International Utilization Review Nurse
- From Home International Utilization Review Nurse
- Anthem Utilization Review Nurse
- Remote International Utilization Review Nurse
- Utilization Review Nurse Compact License
- Optum Utilization Review Nurse
- Remote Aetna Utilization Review Nurse
Part-time
Re-posted 19 days ago
Job description
- Performs the four key functions of case management: Utilization review, Resource management, Managing the continuum of care, and Clinical documentation management. Responsible for facilitating appropriate length of stay and reimbursement for all hospital admissions. Promotes quality care through collaboration with all team members.
QUALIFICATIONS
- Education
- Registered Nurse; Licensure: Ohio Nursing License.
- Training and Experience
- 3 years clinical nursing experience in an acute care setting preferred. Ability to assess medical necessity and progress by chart review.
- Preferred: Certification in Case Management. Computer literacy including operation and software application. Experience in utilization review, discharge planning, case management, or quality improvement.
- Health and Background Requirements
- Employment contingent upon successful completion of:
- Physical
- Background Check
- Must be physically able to perform all job duties as assigned.
- Employment contingent upon successful completion of: