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 ...
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 ...
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 ...
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 ...
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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 ...
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 ...
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 ...
RN Case Manager - Utilization Management - Part Time
$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
$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 ...
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 ...
Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ... Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of ...
Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ... Preferred 3+ years of Utilization Review or Case Management experience. Case Management Society of ...
Utilization Revenue Coordinator PRN
Charlotte, NC · On-site
$35.50 - $53.25/hr
Department: 11972 Regional Non Enterprise Corporate - Resource Center Status: Part time Benefits ... Performs admission and concurrent reviews. * Applies clinical guidelines during Admission and ...
Utilization Revenue Coordinator PRN
Charlotte, NC · On-site
$35.50 - $53.25/hr
Department: 11972 Regional Non Enterprise Corporate - Resource Center Status: Part time Benefits ... Performs admission and concurrent reviews. * Applies clinical guidelines during Admission and ...
Medical Director - Part Time
Phoenix, AZ · On-site +1
As the Part-Time Medical Director, you'll provide physician leadership for the organization ... Ensure clinical programs, utilization review activities, and medical management processes align ...
Medical Director - Part Time
Phoenix, AZ · On-site +1
As the Part-Time Medical Director, you'll provide physician leadership for the organization ... Ensure clinical programs, utilization review activities, and medical management processes align ...
As the Part-Time Medical Director, you'll provide physician leadership for the organization ... Ensure clinical programs, utilization review activities, and medical management processes align ...
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As the Part-Time Medical Director, you'll provide physician leadership for the organization ... Ensure clinical programs, utilization review activities, and medical management processes align ...
Registered Nurse (RN) Utilization Review - Care Management (Acute Care)
Glens Falls, NY · On-site
$35.50 - $60.24/hr
Team Impact As a Utilization Review RN, you will work in collaboration with the physician and ... A summary of these offerings, which are available to active, full-time and part-time employees who ...
Registered Nurse (RN) Utilization Review - Care Management (Acute Care)
Glens Falls, NY · On-site
$35.50 - $60.24/hr
Team Impact As a Utilization Review RN, you will work in collaboration with the physician and ... A summary of these offerings, which are available to active, full-time and part-time employees who ...
Registered Nurse (RN) Utilization Review - Care Management (Acute Care)
Glens Falls, NY · On-site
$35.50 - $60.24/hr
Team Impact As a Utilization Review RN, you will work in collaboration with the physician and ... A summary of these offerings, which are available to active, full-time and part-time employees who ...
Registered Nurse (RN) Utilization Review - Care Management (Acute Care)
Glens Falls, NY · On-site
$35.50 - $60.24/hr
Team Impact As a Utilization Review RN, you will work in collaboration with the physician and ... A summary of these offerings, which are available to active, full-time and part-time employees who ...
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:
RN, Utilization Management | Utilization Management| Night | Part Time
Gainesville, FL • On-site
Part-time
Re-posted 3 days ago
Job description
Make an impact by supporting the right care at the right time through utilization management excellence.
Work Style: Onsite
Location: Gainesville, FL
FTE: Part-Time (.6 FTE)
⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM
Plays a critical role in evaluating patient medical records to ensure the necessity and appropriateness of healthcare services. Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization. Requires clear communication of authorization decisions and ongoing monitoring to support timely discharge planning. Analyzes utilization data to identify trends and collaborates with interdisciplinary teams to enhance care coordination while ensuring accurate documentation and regulatory compliance.
Responsibilities
Key Responsibilities
- Evaluates patient medical records to determine the medical necessity and appropriateness of healthcare services.
- Coordinates with healthcare providers and care teams to ensure compliance with utilization management guidelines and payer requirements.
- Supports effective treatment planning, patient care coordination, and appropriate resource utilization.
- Communicates authorization decisions and utilization determinations while supporting timely discharge planning efforts.
- Analyzes utilization management data and trends to identify opportunities for improved care coordination and operational efficiency.
- Collaborates with interdisciplinary teams to ensure accurate documentation, regulatory compliance, and quality patient outcomes.
Qualifications
Education & Licensure
- Registered Nurse (RN) with a current Florida nursing license required.
Experience & Skills
- Minimum of three (3) years of experience in utilization review, utilization management, or case management required.
- Knowledge of healthcare utilization guidelines, payer requirements, and regulatory compliance standards.
- Experience evaluating medical necessity, treatment plans, and appropriate levels of care.
- Strong communication and collaboration skills related to authorization determinations and care coordination.
- Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958