ZipRecruiter

Log In

2

Remote Cigna Utilization Review Nurse Jobs (NOW HIRING)

Netsmart

Utilization Review Nurse (PRN)

Review, analyze, and identify utilization patterns and trends, problems, or inappropriate ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

McBee Associates

Utilization Review Nurse (PRN)

Review, analyze, and identify utilization patterns and trends, problems, or inappropriate ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...

Dane Street

PRN Utilization Review Nurse Reviewer

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...

Personify Health

Utilization Review Nurse - RN

$30 - $38/hr

Current, unrestricted RN license in the United States or a U.S. territory (compact license accepted ... Utilization review/utilization management experience preferred Technical Skills: * Proficiency with ...

Personify Health

Utilization Review Nurse - RN

$30 - $38/hr

Current, unrestricted RN license in the United States or a U.S. territory (compact license accepted ... Utilization review/utilization management experience preferred Technical Skills: * Proficiency with ...

Personify Health

Utilization Review Nurse - RN

$30 - $38/hr

Current, unrestricted RN license in the United States or a U.S. territory (compact license accepted ... Utilization review/utilization management experience preferred Technical Skills: * Proficiency with ...

previous pagenext page

Showing results 21-40

All JobsCigna Utilization Review Nurse JobsRemote Cigna Utilization Review Nurse Jobs

Remote Cigna Utilization Review Nurse information

See salary details

$21

$42

$68

How much do remote cigna utilization review nurse jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote cigna utilization review nurse 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 Remote Cigna Utilization Review Nurse vs Remote UnitedHealthcare Utilization Review Nurse?

AspectRemote Cigna Utilization Review NurseRemote UnitedHealthcare Utilization Review Nurse
CertificationsRN license, possibly AHC or UR certificationsRN license, possibly AHC or UR certifications
Work EnvironmentRemote, healthcare insurance settingRemote, healthcare insurance setting
Employer & IndustryCigna, health insurance industryUnitedHealthcare, 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.

More about Remote Cigna Utilization Review Nurse jobs

What cities are hiring for Remote Cigna Utilization Review Nurse jobs?

Cities with the most Remote Cigna Utilization Review Nurse job openings:

What are the most commonly searched types of Cigna Utilization Review Nurse jobs?

The most popular types of Cigna Utilization Review Nurse jobs are:

What states have the most Remote Cigna Utilization Review Nurse jobs?

States with the most job openings for Remote Cigna Utilization Review Nurse jobs include:

What job categories do people searching Remote Cigna Utilization Review Nurse jobs look for?

The top searched job categories for Remote Cigna Utilization Review Nurse jobs are:

Remote Cigna Utilization Review Nurse jobs near you
Infographic showing various Remote Cigna Utilization Review Nurse job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse (PRN)

Netsmart

Remote

Other

Posted 5 days ago

Netsmart rating

8.3

Company rating: 8.3 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

44th of 224 rated it services

Job description

Job Description
Responsibilities

  • Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria
  • Apply evidence-based clinical guidelines and criteria to assess and ensure proper utilization of healthcare resources
  • Participate in telephonic discussions with emergency department physicians relative to documentation and admission status
  • Enter clinical review information into system for transmission to insurance companies for authorization
  • Review, analyze, and identify utilization patterns and trends, problems, or inappropriate utilization of resources
Qualifications
Required
  • Current and unrestricted RN license
  • At least 3 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing
  • At least 2 years utilization management experience in acute admission and concurrent reviews
  • Intermediate level experience with InterQual and/or MCG criteria within the last two years
  • Proficiency in medical record review in an electronic medical record (EMR)
  • Experience in Microsoft Suite including Office and basic Excel
  • Ability to thrive in a fast-paced, dynamic environment and adapt to frequent changing business needs
  • Passing score(s) on job-related pre-employment assessment(s)
Preferred
  • At least 5 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing
  • At least 3 years utilization management experience within the hospital setting
  • Bachelor's of Science in Nursing (BSN)
  • Case Management Certifications such as Certified Case Manager (CCM), Accredited Case Manager (ACM), Certified Managed Care Nurse (CMCN), Case Management, Board Certified (CMGT-BC)
Expectations
  • Comfortable with remote work arrangements and virtual collaboration tools
  • Physical demands include extended periods of sitting, computer use, and telephone communication

Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.
Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart's sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart's third party screening provider.
If you are located in a state which grants you the right to receive information on salary range, pay scale, description of benefits or other compensation for this position, please use this form to request details which you may be legally entitled.
All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.
Netsmart's Job Applicant Privacy Notice may be found here.

What Netsmart employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply