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 ...
Case Manager - Utilization Review RN
Chicago, IL · On-site
$53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team ... Community First Medical Center offers benefits to all its full-time and part-time employees
Case Manager - Utilization Review RN
Chicago, IL · On-site
$53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team ... Community First Medical Center offers benefits to all its full-time and part-time employees
Case Manager - Utilization Review RN
Chicago, IL · On-site
$43.47 - $53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team ... Community First Medical Center offers benefits to all its full-time and part-time employees
Case Manager - Utilization Review RN
Chicago, IL · On-site
$43.47 - $53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team ... Community First Medical Center offers benefits to all its full-time and part-time employees
Case Manager - Utilization Review RN
Chicago, IL · On-site
$43.47 - $53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team ... Community First Medical Center offers benefits to all its full-time and part-time employees
Quick apply
Case Manager - Utilization Review RN
Chicago, IL · On-site
$43.47 - $53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team ... Community First Medical Center offers benefits to all its full-time and part-time employees
JOIN OUR TEAM AS A Administrative Assistant - Utilization Review - Part Time Your Work Matters How will you make a difference? The Administrative Assistant is responsible for providing administrative ...
JOIN OUR TEAM AS A Administrative Assistant - Utilization Review - Part Time Your Work Matters How will you make a difference? The Administrative Assistant is responsible for providing administrative ...
Administrative Assistant for Utilization Review
Waukegan, IL · On-site
$19 - $26/hr
JOIN OUR TEAM AS A Administrative Assistant - Utilization Review - Part Time Your Work Matters How will you make a difference? The Administrative Assistant is responsible for providing administrative ...
Administrative Assistant for Utilization Review
Waukegan, IL · On-site
$19 - $26/hr
JOIN OUR TEAM AS A Administrative Assistant - Utilization Review - Part Time Your Work Matters How will you make a difference? The Administrative Assistant is responsible for providing administrative ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and ...
This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and ...
Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D ...
Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Part-time, working every other weekend. This position requires availability to work alternating ... The Utilization Management (UM) RN performs utilization review activities, including, but not ...
Part-time, working every other weekend. This position requires availability to work alternating ... The Utilization Management (UM) RN performs utilization review activities, including, but not ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
General overview of key roles and responsibilities The Utilization Reviewer Specialist plays a ... This position is part-time, 20-25 hours per week and blends strong relationship-building skills ...
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General overview of key roles and responsibilities The Utilization Reviewer Specialist plays a ... This position is part-time, 20-25 hours per week and blends strong relationship-building skills ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Join our team as a day shift/variable, part time, RN Case Manager - Utilization Review, at INTEGRIS Baptist Medical Center, Oklahoma City, OK. Get to Know Your Team: * INTEGRIS Health, Oklahoma ...
New
Join our team as a day shift/variable, part time, RN Case Manager - Utilization Review, at INTEGRIS Baptist Medical Center, Oklahoma City, OK. Get to Know Your Team: * INTEGRIS Health, Oklahoma ...
New
Utilization Specialist
Riverdale, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
Utilization Specialist
Riverdale, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM Plays a critical ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM Plays a critical ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
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 ...
Part Time Cigna Utilization Review 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 jobs pay per hour?
What is the difference between Part Time Cigna Utilization Review vs Part Time Cigna Claims Processor?
| 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.
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:
Part-time
Medical, Dental, Vision, Life, Retirement
Re-posted 4 days ago
Job description
Come work at the best place to give and receive care!
Job Description:
This Role is On-Site
Who We Are:
Southern NH Medical Centers strives to keep patients on a continuous track to discharge and receive the continuity of care that our patients and their families need. Our Patient and Family Services Department is the driving force to assure communication, respect, and safety follows our patients throughout the admission phase, all the way through the discharge process. This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ensure that all care is equal, and our patient's dignity is maintained above all else.
About the Job:
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and proactively prevent denials. This specialist ensures level of care charges are applied accurately and meet compliance with CMS and commercial insurance guidelines as well as reviewing appeal options for medical necessity insurance denials
What You'll Do:
- Assess acute medical necessity utilizing appropriate criteria.
- Collect and trend Utilization Review data metrics.
- Review appeal options for commercial insurance, RAC, and QIO medical necessity denials.
- Understand and apply CMSRegulations to meet compliance
Who You Are:
- Current NH Nursing License as a Registered Nurse.
- ASN accepted; BSN required within 10 years of hire.
- A minimum of 5-years' of experience as a Registered Nurse.
- Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred.
Why You'll Love Us:
- Health, dental, prescription, and vision coverage for full-time & part-time employees
- Short-term, long-term disability, life & pet insurance
- Student Loan Forgiveness & Discounts
- 403(b) Retirement savings plans
- Continuous earned time accrual
& So much more!
Work Shift:
Per diem weekends and holiday. Other days available if staff have availability.SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
About SolutionHealth
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Nashua, NH, US
Year founded
2018