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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Utilization Review Case Manager Extra on Call Nights
Fresno, CA · On-site
$49.47 - $71.74/hr
Employment Type: Part time Shift: 12 Hour Night Shift Description: Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient ...
Utilization Review Case Manager Extra on Call Nights
Fresno, CA · On-site
$49.47 - $71.74/hr
Employment Type: Part time Shift: 12 Hour Night Shift Description: Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient ...
Utilization Review Case Manager Extra on Call Days
Fresno, CA · On-site
$49.47 - $71.74/hr
Employment Type: Part time Shift: 12 Hour Day Shift Description: Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient ...
Utilization Review Case Manager Extra on Call Days
Fresno, CA · On-site
$49.47 - $71.74/hr
Employment Type: Part time Shift: 12 Hour Day Shift Description: Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient ...
RN Case Manager - Utilization Management - Part Time
Fishersville, VA · On-site
$35.43 - $54.21/hr
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and regulatory requirements in determining the appropriate patient status for any person destined for a bed on ...
RN Case Manager - Utilization Management - Part Time
Fishersville, VA · On-site
$35.43 - $54.21/hr
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and regulatory requirements in determining the appropriate patient status for any person destined for a bed on ...
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and regulatory requirements in determining the appropriate patient status for any person destined for a bed on ...
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and regulatory requirements in determining the appropriate patient status for any person destined for a bed on ...
Utilization Mgmt Spec
Southfield, MI · On-site
Provides clerical support for Utilization Management; sorting faxes and mail, obtaining ... Type Part time Shift Day (United States of America) Weekly Scheduled Hours 20 Hours of Work ...
Utilization Mgmt Spec
Southfield, MI · On-site
Provides clerical support for Utilization Management; sorting faxes and mail, obtaining ... Type Part time Shift Day (United States of America) Weekly Scheduled Hours 20 Hours of Work ...
UR COORDINATOR
Las Vegas, NV · On-site
The Utilization Review Coordinator proactively monitors utilization of services for patients to ... Competitive Compensation & Generous Paid Time Off (full-time and part-time positions)
UR COORDINATOR
Las Vegas, NV · On-site
The Utilization Review Coordinator proactively monitors utilization of services for patients to ... Competitive Compensation & Generous Paid Time Off (full-time and part-time positions)
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
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
Coordination of peer review data with HIM, Medical Staff Services office, and Utilization Review. Enters risk management event reports into the risk management software program. Participates in ...
Coordination of peer review data with HIM, Medical Staff Services office, and Utilization Review. Enters risk management event reports into the risk management software program. Participates in ...
Peer Review Coordinator, Part Time
Libby, MT · On-site
$18.77 - $26.28/hr
Coordination of peer review data with HIM, Medical Staff Services office, and Utilization Review. Enters risk management event reports into the risk management software program. Participates in ...
Peer Review Coordinator, Part Time
Libby, MT · On-site
$18.77 - $26.28/hr
Coordination of peer review data with HIM, Medical Staff Services office, and Utilization Review. Enters risk management event reports into the risk management software program. Participates in ...
... clinical review criteria sets evidenced through IRR testing Qualifications Graduate of an ... part-time team members) * Life & AD&D Insurance. * Short-Term and Long-Term Disability (with ...
New
... clinical review criteria sets evidenced through IRR testing Qualifications Graduate of an ... part-time team members) * Life & AD&D Insurance. * Short-Term and Long-Term Disability (with ...
New
Supervisory Acquisition & Utilization Specialist
Columbia, MO · On-site
$89K/yr
The Supervisory Acquisition Utilization Specialist renders expert contract pre-award and post award ... Part-time experience will be credited on the basis of time actually spent in appropriate activities.
Supervisory Acquisition & Utilization Specialist
Columbia, MO · On-site
$89K/yr
The Supervisory Acquisition Utilization Specialist renders expert contract pre-award and post award ... Part-time experience will be credited on the basis of time actually spent in appropriate activities.
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:
What are popular job titles related to Part Time Cigna Utilization Review jobs?
For Part Time Cigna Utilization Review jobs, the most frequently searched job titles are:
Part Time Utilization Specialist
Memphis, TN • On-site
Part-time
Re-posted 24 days ago
Acadia Healthcare rating
6.3
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