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 ...
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 ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
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 ...
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Vermilion Behavioral Health Systems is seeking a part time with benefits UR Specialist (30-35 hours ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Vermilion Behavioral Health Systems is seeking a part time with benefits UR Specialist (30-35 hours ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist LPN
Lafayette, LA · On-site
Overview Vermilion Behavioral Health Systems is seeking a part time with benefits UR Specialist (30 ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist LPN
Lafayette, LA · On-site
Overview Vermilion Behavioral Health Systems is seeking a part time with benefits UR Specialist (30 ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
... timely review of healthcare service and coverage denials. In this position, you will evaluate ... You will collaborate closely with Medical Directors, Utilization Management, and Case Management ...
... timely review of healthcare service and coverage denials. In this position, you will evaluate ... You will collaborate closely with Medical Directors, Utilization Management, and Case Management ...
... timely review of healthcare service and coverage denials. In this position, you will evaluate ... You will collaborate closely with Medical Directors, Utilization Management, and Case Management ...
... timely review of healthcare service and coverage denials. In this position, you will evaluate ... You will collaborate closely with Medical Directors, Utilization Management, and Case Management ...
Utilization Mgmt Rep- Per Diem (As Needed)
Oak Brook, IL · On-site
$20.80 - $31.20/hr
Department: 11215 Advocate Aurora Health Corporate - Utilization Management Status: Part time ... Communicate clinical needs, authorizations, and denials to the Utilization Review Nurses and ...
Utilization Mgmt Rep- Per Diem (As Needed)
Oak Brook, IL · On-site
$20.80 - $31.20/hr
Department: 11215 Advocate Aurora Health Corporate - Utilization Management Status: Part time ... Communicate clinical needs, authorizations, and denials to the Utilization Review Nurses and ...
HSA with qualifying HDHP plans with company match * 401k plan with company match (Part-time ... A Case Manager/Utilization Review Nurse, in collaboration with patients/families, physicians and ...
Quick apply
HSA with qualifying HDHP plans with company match * 401k plan with company match (Part-time ... A Case Manager/Utilization Review Nurse, in collaboration with patients/families, physicians and ...
As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
Payor Specialist - Toledo Hospital - Utilization Management
$15 - $30.75/hr
Utilization Management Weekly Hours: 20 Status: Part time Shift: Variable (United States of America) Pay Grade: $15.00 - $30.75 This is a remote position; however, employment is limited to residents ...
Payor Specialist - Toledo Hospital - Utilization Management
$15 - $30.75/hr
Utilization Management Weekly Hours: 20 Status: Part time Shift: Variable (United States of America) Pay Grade: $15.00 - $30.75 This is a remote position; however, employment is limited to residents ...
Type of Opportunity: Part-time Work Schedule: Days - 8 hour and 10 hour shifts available Weekend ... utilization review or case management experience desirable. * National Case Management ...
Type of Opportunity: Part-time Work Schedule: Days - 8 hour and 10 hour shifts available Weekend ... utilization review or case management experience desirable. * National Case Management ...
Type of Opportunity: Part-time Work Schedule: Days - 8 hour and 10 hour shifts available Weekend ... utilization review or case management experience desirable. * National Case Management ...
Type of Opportunity: Part-time Work Schedule: Days - 8 hour and 10 hour shifts available Weekend ... utilization review or case management experience desirable. * National Case Management ...
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Peer Review Nurse
Madera, CA · On-site
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Quick apply
Peer Review Nurse
Madera, CA · On-site
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
RN Manager of Utilization Management
Robbinsdale, MN · On-site +1
$52.46 - $81.30/hr
Most part-time and all full-time positions are eligible for benefits. * Health & Welfare Benefit ... review goals of NMH. The Manager manages the NMH System Utilization Management program and staff ...
RN Manager of Utilization Management
Robbinsdale, MN · On-site +1
$52.46 - $81.30/hr
Most part-time and all full-time positions are eligible for benefits. * Health & Welfare Benefit ... review goals of NMH. The Manager manages the NMH System Utilization Management program and staff ...
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?
As of Jul 11, 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?
| 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
Re-posted 8 days ago
Acadia Healthcare rating
6.2
Based on 189 frontline employees who took The Breakroom Quiz
696th of 881 rated healthcare providers
Job description
Overview
PURPOSE STATEMENT:
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
Responsibilities
ESSENTIAL FUNCTIONS:
OTHER FUNCTIONS:
Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
LICENSES/DESIGNATIONS/CERTIFICATIONS:
ADDITIONAL REGULATORY REQUIREMENTS:
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
ASCST
PURPOSE STATEMENT:
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
Responsibilities
ESSENTIAL FUNCTIONS:
- Act as liaison between managed care organizations and the facility professional clinical staff.
- Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
- Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
- Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
- Conduct quality reviews for medical necessity and services provided.
- Facilitate peer review calls between facility and external organizations.
- Initiate and complete the formal appeal process for denied admissions or continued stay.
- Assist the admissions department with pre-certifications of care.
- Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Required Education: High school diploma or equivalent.
- Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
- Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
- First aid may be required based on state or facility requirements.
ADDITIONAL REGULATORY REQUIREMENTS:
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
ASCST
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About Acadia Healthcare
Sourced by ZipRecruiter
Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Franklin, TN, US
Year founded
2005