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Part Time Cigna Utilization Review Jobs (NOW HIRING)

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Part Time Cigna Utilization Review information

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

As of Sep 13, 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?

AspectPart Time Cigna Utilization ReviewPart Time Cigna Claims Processor
CertificationsTypically requires healthcare or insurance-related certificationsUsually requires basic insurance processing knowledge, no specialized certifications needed
Work EnvironmentOffice-based, healthcare or insurance company settingOffice-based, insurance claims department
Job ResponsibilitiesReview medical necessity, approve or deny coverage based on policiesProcess and review insurance claims for accuracy and completeness
Industry UsageCommon in health insurance companies like CignaCommon 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.

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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:

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States with the most job openings for Part Time Cigna Utilization Review jobs include:

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For Part Time Cigna Utilization Review jobs, the most frequently searched job titles are:

Part Time Utilization Specialist

Memphis, TN • On-site

Acadia Healthcare
Hospitals • 10K+ employees

Part-time

Re-posted 24 days ago


Acadia Healthcare rating

6.3

Company rating: 6.3 out of 10

Based on 192 frontline employees who took The Breakroom Quiz


Job description

PURPOSE STATEMENT: 

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.  


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. 

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


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About Acadia Healthcare

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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

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