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Part Time Cigna Utilization Review Jobs (NOW HIRING)

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 ...

... part-time work. ESSENTIAL FUNCTIONS: * Coordinate and manage behavioral health payer audits, denials, and utilization review activities * Prepare and submit audit responses, appeals, and supporting ...

Part time- 20 hours a week Scope of Work: Under general direction, integrates cost, quality and utilization to facilitate the admission, continued stay and discharge of the patient. Reviews and ...

Part time- 20 hours a week Scope of Work: Under general direction, integrates cost, quality and utilization to facilitate the admission, continued stay and discharge of the patient. Reviews and ...

Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise ...

Case Management Specialist

Medford, OR ยท On-site

$23.28 - $32.02/hr

... utilization review, and denials management activities as defined by the RN Discharge Coordinator ... Medical, dental, and vision coverage for part-time and above employees and their eligible ...

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Part Time Cigna Utilization Review information

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$42

$68

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

As of Jun 21, 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.

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:
Peer Review Nurse

Peer Review Nurse

Madera Community Hospital

Madera, CA โ€ข On-site

Part-time

Posted 29 days ago

Be an early applicant


Job description

Salary: $46-$61.91/hourly

Madera Community Hospital

Located in the heart of Central California, Madera Community Hospital is a General Acute Care, private, not-for-profit hospital dedicated to improving and maintaining the health and wellness of residents throughout the Central Valley. We are committed to identifying and serving our community's needs with compassion, concern, care and safety for every patient. Madera Community Hospital is a growing acute care facility seeking talented individuals with a drive to provide quality care and dedicated to making a difference in our community.


Position Summary:

The Peer Review Nurse will evaluate clinical documentation, patient charts, and care processes to ensure they meet quality standards, regulatory requirements, and medical necessity. Will identify opportunities to improve care, reduce risk, and prepare data for medical staff review committees. Will conduct comprehensive reviews of Electronic Medical Records (EMR) to assess the appropriateness and timeliness of care provided. Identifies trends, risks, and variations in clinical performance, preparing summary reports for committees. Will facilitate the peer review process and attend peer review meetings.


Part Time Position with flexible schedule.


Qualifications:

Requires completion of Registered Nurse program, prefer BSN. Requires Minimum 5 years clinical nursing experience, including experience in quality improvement and utilization review. Requires proficiency in data abstraction, EHR systems, and critical thinking.

Requires Current State of California Board of Registered Nursing License, Current American Heart Association BCLS certificate.


Madera Community Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.