Licensed Physician Reviewer-3
Miami, FL · On-site +1
$204K - $292K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
Lead and support a team of nurses, clinical reviewers, and appeal specialists--including potential ... Experience managing remote and/or offshore teams (Philippines experience preferred). * Strong ...
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Lead and support a team of nurses, clinical reviewers, and appeal specialists--including potential ... Experience managing remote and/or offshore teams (Philippines experience preferred). * Strong ...
West Palm Beach, FL · Remote
$23 - $31.50/hr
Conduct utilization reviews to determine medical necessity and documentation compliance * Review ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
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West Palm Beach, FL · Remote
$23 - $31.50/hr
Conduct utilization reviews to determine medical necessity and documentation compliance * Review ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
West Palm Beach, FL · Remote
$23.25 - $31/hr
Conduct utilization reviews to determine medical necessity and documentation compliance * Review ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
Quick apply
West Palm Beach, FL · Remote
$23.25 - $31/hr
Conduct utilization reviews to determine medical necessity and documentation compliance * Review ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
Pompano Beach, FL · On-site +1
$236K - $449K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Pompano Beach, FL · On-site +1
$236K - $449K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
West Palm Beach, FL · On-site +1
$236K - $449K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
West Palm Beach, FL · On-site +1
$236K - $449K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Lake Worth, FL · On-site +1
$16.50 - $22.25/hr
... utilization review, and insurance verification for substance abuse and mental health treatment ... Work Environment Office or remote work environment, depending on company policy. Fast-paced ...
Lake Worth, FL · On-site +1
$16.50 - $22.25/hr
... utilization review, and insurance verification for substance abuse and mental health treatment ... Work Environment Office or remote work environment, depending on company policy. Fast-paced ...
Work Environment In this remote role, you will be part of a collaborative team dedicated to ... Manage a caseload of clients, including regular case management and utilization review updates, to ...
Work Environment In this remote role, you will be part of a collaborative team dedicated to ... Manage a caseload of clients, including regular case management and utilization review updates, to ...
Work Environment In this remote role, you will be part of a collaborative team dedicated to ... Manage a caseload of clients, including regular case management and utilization review updates, to ...
Work Environment In this remote role, you will be part of a collaborative team dedicated to ... Manage a caseload of clients, including regular case management and utilization review updates, to ...
West Palm Beach, FL · On-site +1
$290K - $320K/yr
... Nurse and Psychiatry Residents assigned to MH&BSS; coordination of consults; referral of patients; and operation of quality management and utilization programs including peer reviews, open and closed ...
West Palm Beach, FL · On-site +1
$290K - $320K/yr
... Nurse and Psychiatry Residents assigned to MH&BSS; coordination of consults; referral of patients; and operation of quality management and utilization programs including peer reviews, open and closed ...
West Palm Beach, FL · On-site +1
$290K - $320K/yr
... Nurse and Psychiatry Residents assigned to MH&BSS; coordination of consults; referral of patients; and operation of quality management and utilization programs including peer reviews, open and closed ...
West Palm Beach, FL · On-site +1
$290K - $320K/yr
... Nurse and Psychiatry Residents assigned to MH&BSS; coordination of consults; referral of patients; and operation of quality management and utilization programs including peer reviews, open and closed ...
Fort Lauderdale, FL · Remote
$70K - $105K/yr
Work Environment The role of LCSW is fully remote, offering flexibility and a modern approach to ... and utilization review updates as necessary. * Coordinate resources and support services for ...
Fort Lauderdale, FL · Remote
$70K - $105K/yr
Work Environment The role of LCSW is fully remote, offering flexibility and a modern approach to ... and utilization review updates as necessary. * Coordinate resources and support services for ...
Fort Lauderdale, FL · Remote
$70K - $105K/yr
Work Environment The role of LCSW is fully remote, offering flexibility and a modern approach to ... and utilization review updates as necessary. * Coordinate resources and support services for ...
Fort Lauderdale, FL · Remote
$70K - $105K/yr
Work Environment The role of LCSW is fully remote, offering flexibility and a modern approach to ... and utilization review updates as necessary. * Coordinate resources and support services for ...
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Miami, FL · On-site +1
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Miami, FL · On-site +1
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Miami, FL · On-site +1
$105K - $133K/yr
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Miami, FL · On-site +1
$105K - $133K/yr
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Miami, FL · On-site +1
... systems through the utilization of data demonstrating program effectiveness and success ... Bachelor's degree in Nursing (BSN) and graduate of a school of nursing for Advanced Practice ...
Miami, FL · On-site +1
... systems through the utilization of data demonstrating program effectiveness and success ... Bachelor's degree in Nursing (BSN) and graduate of a school of nursing for Advanced Practice ...
Sunrise, FL · Remote
$18 - $23/hr
Review and work all daily correspondence. Appeals denied claims via mail, telephone, or websites ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · Remote
$18 - $23/hr
Review and work all daily correspondence. Appeals denied claims via mail, telephone, or websites ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · On-site +1
$18 - $23/hr
Review and work all daily correspondence. Appeals denied claims via mail, telephone, or websites ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · On-site +1
$18 - $23/hr
Review and work all daily correspondence. Appeals denied claims via mail, telephone, or websites ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · Remote
$18 - $23/hr
Review and work all daily correspondence. Appeals denied claims via mail, telephone, or websites ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
Sunrise, FL · Remote
$18 - $23/hr
Review and work all daily correspondence. Appeals denied claims via mail, telephone, or websites ... Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer ...
$20.30 - $24.41
2% of jobs
$24.41 - $28.51
9% of jobs
$31.32 is the 25th percentile. Wages below this are outliers.
$28.51 - $32.62
21% of jobs
The median wage is $35.94 / hr.
$32.62 - $36.73
23% of jobs
$36.73 - $40.83
13% of jobs
$44.03 is the 75th percentile. Wages above this are outliers.
$40.83 - $44.94
10% of jobs
$44.94 - $49.05
8% of jobs
$49.05 - $53.15
5% of jobs
$53.15 - $57.26
5% of jobs
$57.26 - $61.36
2% of jobs
$61.36 - $65.47
2% of jobs
$20
$40
$65
| Aspect | Remote Cigna Utilization Review Nurse | Remote UnitedHealthcare Utilization Review Nurse |
|---|---|---|
| Certifications | RN license, possibly AHC or UR certifications | RN license, possibly AHC or UR certifications |
| Work Environment | Remote, healthcare insurance setting | Remote, healthcare insurance setting |
| Employer & Industry | Cigna, health insurance industry | UnitedHealthcare, health insurance industry |
Both roles involve reviewing medical necessity and determining coverage for insurance claims. They require similar credentials and work environments, primarily serving their respective insurance companies. The main difference lies in the employer and specific policies they follow, but the core responsibilities and qualifications are comparable.
The most popular types of Cigna Utilization Review Nurse jobs in Boca Raton, FL are:
For Remote Cigna Utilization Review Nurse jobs in Boca Raton, FL, the most frequently searched job titles are:
The top searched job categories for Remote Cigna Utilization Review Nurse jobs in Boca Raton, FL are:
Cities near Boca Raton, FL with the most Remote Cigna Utilization Review Nurse job openings:

$204K - $292K/yr
Part-time
Posted 6 days ago
8.4
Based on 40 frontline employees who took The Breakroom Quiz
1st of 247 rated social care providers
Sourced by ZipRecruiter
We're expanding healthcare equity across America. We're already in 15 states with 100+ medical centers. As a rapidly growing, physician-led organization, we have one central focus: rescue any and every senior from a healthcare system that has failed them. Our family of brands include Chen Senior Medical Center, JenCare Senior Medical Center, and Dedicated Senior Medical Center. Recently named a 2021 Best Places To Work and one of the only healthcare companies recognized in Fortune's 2020 "Change The World" list, ChenMed prides itself on creating a culture that enables career growth and promotes inclusion for all.
Health care and social assistance
5,001 - 10,000 Employees
Miami, FL, US
1985