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Weekend Cigna Utilization Review Nurse Jobs (NOW HIRING)

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Various, Day; weekend rotation; holiday rotation; occasional on site requirement for meetings and ...

Utilization Review Nurse Remote Ability to travel on-site to 3031 NE Stephens St., Roseburg OR, 97457, as needed for business operations. Employment Type: Full-Time, Exempt About Umpqua Health At ...

Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...

Job Summary Our client is seeking a Utilization Review Nurse. This role involves managing the full ... Some weekend coverage may be needed occasionally. Open to overtime if required and candidates are ...

Utilization Review Nurse

Orange, CA · On-site

$38 - $53/hr

Job Summary Our client is seeking a Utilization Review Nurse responsible for managing the complete Utilization Management (UM) process, from admission through discharge planning. The primary goal is ...

Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

Showing results 41-60

Weekend Cigna Utilization Review Nurse information

See salary details

$21

$42

$68

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

As of Aug 15, 2026, the average hourly pay for weekend 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 Weekend Cigna Utilization Review Nurse vs Weekend Case Manager?

AspectWeekend Cigna Utilization Review Nurse
  • Certifications: RN license, possibly certifications like CCM or ANCC
  • Work Environment: Healthcare facilities, insurance companies, remote options
  • Employer & Industry: Cigna, health insurance industry
  • Job Focus: Reviewing medical necessity, authorizations, and coverage decisions

Weekend Cigna Utilization Review Nurses primarily evaluate medical cases for insurance coverage, focusing on utilization review. In contrast, Weekend Case Managers coordinate patient care, discharge planning, and resource management. Both roles require nursing credentials and work within healthcare or insurance settings, but their core responsibilities differ—review vs. care coordination.

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

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

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

Utilization Review Nurse

Shannon Health

Big Spring, TX

Full-time

Re-posted 21 days ago


Job description

Job Summary

The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the UM program by developing and/or maintaining effective and efficient processes for determining the appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers. This individual is responsible for performing a variety of concurrent and retrospective UM-related reviews and functions and for ensuring that appropriate data is tracked, evaluated, and reported. There will be interaction with providers, patient, and the care team for continued UM process. Further job duties will include Denial prevention, denial management, Implementation of process improvements to mitigate payer denials & improve front-end processes, Collaboration with internal Physician Advisor and external physician advisors regarding physician practices (particularly documentation deficiencies/admission practices). This individual identifies, develops, and provides orientation, and training, for appropriate staff and colleagues on an ongoing basis. He/she actively participates in process improvement initiatives, working with a variety of departments and multi-disciplinary staff. This individual maintains current and accurate knowledge regarding commercial and government payers and CIHQ regulations/guidelines/criteria related to UM. The UR Nurse effectively and efficiently manages a diverse workload in a dynamic regulatory environment. The UR Nurse is a member of, and provides support to, the hospital’s UR Committee. He/she collaborates with multiple leaders at various levels throughout Shannon Health, for the purpose of supporting and improving the UM program.

Qualifications

Education

  • Required
    • High School Diploma, GED, or equivalent
    • Associate’s degree in Nursing
  • Preferred
    • Bachelor’s degree in Nursing

Experience:

  • Required
    • Five years of experience in Clinical Nursing
  • Preferred
    • Three years of experience in Inpatient Utilization Review

Certification/Licensure:

  • Required
    • Registered Nurse (RN), with authorization to practice in the State of Texas
  • Preferred
    • Accredited Case Manager (ACM) through ACMA
    • Certified Case Manager (CCM) through CCMC