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Senior Cigna Utilization Review Nurse Jobs (NOW HIRING)

Fusion HCR

Utilization Review Nurse

Las Vegas, NV · On-site

Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...

Acrisure LLC

Utilization Review Nurse

Bradenton, FL · On-site

Utilization Review Nurse, LPN Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with ...

New

Acrisure

Utilization Review Nurse

Bradenton, FL · On-site

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...

New

Global Force

Utilization Review Nurse

Las Vegas, NV · On-site

About the job Utilization Review Nurse Sign on bonus may apply up to $15,000 Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with ...

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...

Penn Medicine

Utilization Review Nurse

West Chester, PA · On-site

The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...

US Tech Solutions

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

... Nurse to support outpatient utilization review and prior authorization activities for a leading healthcare organization. The ideal candidate will have a strong background in managed care, utilization ...

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Senior Cigna Utilization Review Nurse information

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

As of Aug 16, 2026, the average hourly pay for senior 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 Senior Cigna Utilization Review Nurse vs Cigna Utilization Review Nurse?

AspectSenior Cigna Utilization Review NurseCigna Utilization Review Nurse
CredentialsRN license, experience in utilization review, possibly certifications like CCMRN license, entry to mid-level experience, similar certifications
Work EnvironmentMore complex cases, leadership responsibilities, mentorship rolesPerforming reviews, case assessments, following protocols
Employer & Industry UsageUsed in healthcare insurance companies, especially CignaCommonly used in healthcare insurance, including Cigna

The Senior Cigna Utilization Review Nurse typically handles more complex cases, provides mentorship, and may take on leadership roles within the utilization review team. In contrast, the Cigna Utilization Review Nurse focuses on performing routine case reviews and assessments. Both roles require RN licensure and similar certifications, but the senior position involves greater responsibility and experience.

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

Cities with the most Senior 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 Senior Cigna Utilization Review Nurse jobs?

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

Senior Cigna Utilization Review Nurse jobs near you

Utilization Review Nurse

Fusion HCR

Las Vegas, NV • On-site

Other

Re-posted 9 days ago

Job description

Fusion HCR is hiring!Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care.
Overview
Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care, and compliance with payer guidelines. This role works closely with clinical teams to ensure efficient resource utilization and quality patient outcomes.
Responsibilities
  • Review admissions using InterQual and/or Milliman criteria
  • Evaluate medical necessity, level of care, and documentation accuracy
  • Ensure compliance with Medicare, Medicaid, and regulatory guidelines
  • Collaborate with physicians, case management, and care teams
  • Support discharge planning and care coordination
  • Document findings and communicate recommendations

Requirements
  • Active RN license (Nevada)
  • 5+ years acute care nursing experience
  • 3+ years Utilization Review experience
  • 3+ years discharge planning experience (acute care)
  • Experience with InterQual (must be able to pass exam)
  • Experience with Milliman guidelines

Preferred
  • Background in Case Management or CDI
  • Strong knowledge of Joint Commission and CMS guidelines

Why Apply
  • Competitive pay
  • Stable, high-demand role
  • Collaborative healthcare environment

Apply Now
If you have strong Utilization Review, InterQual, and acute care experience, we want to hear from you!

Apply