Utilization Review Nurse
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Lawrence, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Asheboro, NC · On-site
... the Utilization Review Plan for Randolph Hospital. Review patient record and plan of care at ... Graduate from an accredited school of nursing. BSN preferred. Current license to practice as a ...
New
Asheboro, NC · On-site
... the Utilization Review Plan for Randolph Hospital. Review patient record and plan of care at ... Graduate from an accredited school of nursing. BSN preferred. Current license to practice as a ...
New
Fort Lauderdale, FL · On-site
$28.85 - $31.25/hr
Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) * Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License ...
Fort Lauderdale, FL · On-site
$28.85 - $31.25/hr
Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) * Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License ...
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
Houston, TX · On-site
$82K - $95K/yr
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
New
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Houston, TX · On-site
$82K - $95K/yr
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
New
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
$80 - $100/hr
The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for ...
$80 - $100/hr
The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for ...
Manhattan, NY · On-site
$60 - $61/hr
Minimum 5 years of clinical nursing experience * Experience in Care Coordination, Utilization Review, and Discharge Planning * MLTC experience required * Computer proficiency required * PRI and ...
Manhattan, NY · On-site
$60 - $61/hr
Minimum 5 years of clinical nursing experience * Experience in Care Coordination, Utilization Review, and Discharge Planning * MLTC experience required * Computer proficiency required * PRI and ...
Kotzebue, AK · On-site
$90 - $110/hr
Yes POSITION SUMMARY The Utilization Management Nurse (UMN) is responsible for performing Utilization Review and managing risk, coordinates and facilitates with departmental staff on Durable Medical ...
Kotzebue, AK · On-site
$90 - $110/hr
Yes POSITION SUMMARY The Utilization Management Nurse (UMN) is responsible for performing Utilization Review and managing risk, coordinates and facilitates with departmental staff on Durable Medical ...
Syracuse, NY · On-site
Utilization Review Experience, the nurse can come from a Hospital, Home Health, or Managed Care company/ health plan Additional Information Hello! My name is Krishna Gapuz and I am a R ecruiting ...
Syracuse, NY · On-site
Utilization Review Experience, the nurse can come from a Hospital, Home Health, or Managed Care company/ health plan Additional Information Hello! My name is Krishna Gapuz and I am a R ecruiting ...
Bakersfield, CA · On-site
$90 - $142/hr
Shift: 8:00am - 4:30pm with rotating weekend coverage Compensation: The estimated pay for this ... The Utilization Review Nurse classification ranges from less experienced nurses, who will perform ...
Bakersfield, CA · On-site
$90 - $142/hr
Shift: 8:00am - 4:30pm with rotating weekend coverage Compensation: The estimated pay for this ... The Utilization Review Nurse classification ranges from less experienced nurses, who will perform ...
Oxford, NC · On-site
Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques ...
Oxford, NC · On-site
Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques ...
Queens, NY · On-site
$2.8K/wk
Job title: RN - Utilization Review Job location : East Elmhurst, NY 11370-1381 Shift : 8:30 AM-5:00 PM Length : 8 weeks, Possible extension Local Hourly pay: $60 - $63/hr Travel Weekly Pay upto ...
Queens, NY · On-site
$2.8K/wk
Job title: RN - Utilization Review Job location : East Elmhurst, NY 11370-1381 Shift : 8:30 AM-5:00 PM Length : 8 weeks, Possible extension Local Hourly pay: $60 - $63/hr Travel Weekly Pay upto ...
Plano, TX · Remote
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 ...
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Plano, TX · Remote
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 ...
Warner Robins, GA · On-site
$80 - $100/hr
The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for ...
Warner Robins, GA · On-site
$80 - $100/hr
The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for ...
The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for ...
The Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for ...
$77 - $119/hr
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full ... Minimum Qualifications:** • Registered nurse with a New York State current license. • Associate ...
$77 - $119/hr
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full ... Minimum Qualifications:** • Registered nurse with a New York State current license. • Associate ...
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
Methuen, MA · On-site
... they relate to utilization review and discharge planning and payer regulations. MINIMUM EDUCATION AND EXPERIENCE: Required: * Graduate of an accredited professional nursing school * Current ...
$77K - $119K/yr
While performing utilization review identifies areas for clinical documentation improvement and ... Registered nurse with a New York State current license. Associate's degree required. Bachelor ...
$77K - $119K/yr
While performing utilization review identifies areas for clinical documentation improvement and ... Registered nurse with a New York State current license. Associate's degree required. Bachelor ...
Albany, NY · On-site
$77 - $119/hr
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full ... Minimum Qualifications:** • Registered nurse with a New York State current license. • Associate ...
Albany, NY · On-site
$77 - $119/hr
## Utilization Review NurseApplylocations: 43 New Scotland Avenue Albany, NY 12208time type: Full ... Minimum Qualifications:** • Registered nurse with a New York State current license. • Associate ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
| Aspect | Weekend Cigna Utilization Review Nurse |
|---|
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.
Cities with the most Weekend Cigna Utilization Review Nurse job openings:
The most popular types of Cigna Utilization Review Nurse jobs are:
States with the most job openings for Weekend Cigna Utilization Review Nurse jobs include:
Full-time
Posted 9 days ago
Position Summary
Responsible for determining the appropriateness of hospital admission, utilization of resources and medical necessity for continued stay. Responsible for working with the Clinical Care Coordinator and Complex Care Manager to facilitate timely discharge, assure medical documentation accurately reflects the patient’s severity of illness; and ensures compliance with the conditions of participation as they relate to utilization review and discharge planning and payer regulations.
MINIMUM EDUCATION AND EXPERIENCE:
Required:
Preferred: