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Part Time Cigna Utilization Review Jobs (NOW HIRING)

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Clinical Audit Specialist

Austintown, OH · On-site

... 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 ...

St. Joseph's Health

Physician Advisor

Paterson, NJ

An enhanced case review by the PA is necessary to reduce denials and resource utilization issues ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...

Spectrum Health

RN Care Coordinator

Grosse Pointe, MI · On-site

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 ...

Corewell Health

RN Care Coordinator

Grosse Pointe, MI · On-site

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 ...

Corewell Health

RN Care Coordinator Rehab inpatient

Taylor, MI · On-site

$34.50 - $41.75/hr

Identifies patients that need care management services (i.e. utilization review; care coordination ... Part time Shift Day (United States of America) Weekly Scheduled Hours 20 Hours of Work 8:00 a.m. to ...

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

As of Jul 12, 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:
Part Time Cigna Utilization Review jobs near you

Case Manager PRN

Conway Regional

Conway, AR • On-site

Part-time

Posted 28 days ago

Job description

Overview

Provides discharge planning and utilization review services in compliance with patients discharge planning needs and the hospital’s utilization review program. 

SAFETY SENSITIVE POSITION:

 

This position is a designated as “Safety Sensitive Position” under Act 593 of the State of Arkansas. An employee who is under the influence of Marijuana constitutes a threat to patients/customers which Conway Regional is responsible for in providing and supporting the delivery health care related services. 


Responsibilities
  • Apply clinical knowledge to determine appropriate acuity levels and utilization through chart review.
  • Effectively organizes workflow to consistently complete assignments in a timely manner.
  • Demonstrates ability to access and effectively utilize primary sources of data.
  • Obtains and maintains medical records in conformance with Medical Information policies.
  • Communicates with co-workers in a manner that is conducive to positive and effective working relationships. Demonstrates respect, honesty and integrity when working with other service providers.
  • Demonstrates compliance with all relevant hospital, state and federal requirements related to maintenance of confidentiality of persons, data and information systems.
  • Takes advantage of opportunities made available through CRHS and other professional organizations for continued professional growth and development.
  • Responsible for analysis of patient information for determination of necessity of admission or continuation of stay.
  • Review for medical necessity of admission on the first working day after admission using approved review criteria.
  • Reviews inpatient procedures to determine appropriate utilization and acuity level. Reviews potential for outpatient setting or swing bed utilization.
  • Reviews all patients for medical necessity of continued stay, or before the next review date, using approved review criteria.
  • Performs retroactive reviews, as necessary, and responds to the appropriate review agency or third party payor.

Qualifications
  • Registered Nurse or Licensed Practical Nurse with current, active license to practice in Arkansas, required
  • Proof of the highest level of nursing education achieved, required
  • At least one-year experience in the area of case management/utilization review, preferred
Qualifications:
  • Registered Nurse or Licensed Practical Nurse with current, active license to practice in Arkansas, required
  • Proof of the highest level of nursing education achieved, required
  • At least one-year experience in the area of case management/utilization review, preferred
Education:UNAVAILABLEEmployment Type: PART_TIME

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