Utilization Reviewer (LPN)
$19 - $26/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... The Utilization Review LPN is responsible for the pre-certification of determined procedures ...
$19 - $26/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... The Utilization Review LPN is responsible for the pre-certification of determined procedures ...
$19 - $26/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... The Utilization Review LPN is responsible for the pre-certification of determined procedures ...
Fort Lee, NJ · On-site
$27.50/hr
License(s) Required LPN/LVN Compensation $27.50 - $27.50 / Hourly Hours Per Week 40 Number Of Positions 1 Shift First Shift (Day) Title: Nurse Reviewer Location: 100% Remote Duration: 6 months ...
Fort Lee, NJ · On-site
$27.50/hr
License(s) Required LPN/LVN Compensation $27.50 - $27.50 / Hourly Hours Per Week 40 Number Of Positions 1 Shift First Shift (Day) Title: Nurse Reviewer Location: 100% Remote Duration: 6 months ...
$35 - $40/hr
Medical
Dental
Vision
Life
Retirement
Job Summary As a Nurse Reviewer, you will evaluate clinical documentation to ensure services meet ... Active, unrestricted RN or LPN license in Colorado or a Compact state. * Diploma, certificate, or ...
Quick apply
$35 - $40/hr
Medical
Dental
Vision
Life
Retirement
Job Summary As a Nurse Reviewer, you will evaluate clinical documentation to ensure services meet ... Active, unrestricted RN or LPN license in Colorado or a Compact state. * Diploma, certificate, or ...
$30.25 - $40/hr
Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Title ... records reviews LPN or Coder with HEDIS experience required. Qualifications RN/LPN license ...
$30.25 - $40/hr
Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Title ... records reviews LPN or Coder with HEDIS experience required. Qualifications RN/LPN license ...
Webster City, IA · On-site
$30/hr
Medical
Dental
Vision
Life
PTO
Crestview Nursing & Rehabilitationis actively hiring a Licensed Practical Nurse (LPN) to deliver skilled nursing care and clinical support. The Licensed Practical Nurse (LPN) plays an essential role ...
Quick apply
Webster City, IA · On-site
$30/hr
Medical
Dental
Vision
Life
PTO
Crestview Nursing & Rehabilitationis actively hiring a Licensed Practical Nurse (LPN) to deliver skilled nursing care and clinical support. The Licensed Practical Nurse (LPN) plays an essential role ...
Stockbridge, GA · On-site
$30 - $35/hr
Licensed Practical Nurse (LPN) - Adult Day Program Location: Stockbridge, Georgia Schedule: Monday ... Conduct clinical record reviews as assigned * Document supervisory observations, medication ...
Stockbridge, GA · On-site
$30 - $35/hr
Licensed Practical Nurse (LPN) - Adult Day Program Location: Stockbridge, Georgia Schedule: Monday ... Conduct clinical record reviews as assigned * Document supervisory observations, medication ...
North Charleston, SC · On-site
$24.50 - $33.50/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
North Charleston, SC · On-site
$24.50 - $33.50/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
Fulton, NY · On-site
$60K/yr
Medical
Dental
Vision
Retirement
PTO
Review laboratory and diagnostic results with providers and assist with patient follow-up as ... Ensure compliance with clinical quality measures, infection control standards, and agency policies.
Fulton, NY · On-site
$60K/yr
Medical
Dental
Vision
Retirement
PTO
Review laboratory and diagnostic results with providers and assist with patient follow-up as ... Ensure compliance with clinical quality measures, infection control standards, and agency policies.
Athens, TN · On-site
$21.50 - $29.25/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
Athens, TN · On-site
$21.50 - $29.25/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
Sparta, TN · On-site
$21 - $28.75/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
Sparta, TN · On-site
$21 - $28.75/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
Franklin, TN · On-site
$25.50 - $34.50/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
Franklin, TN · On-site
$25.50 - $34.50/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
Stockbridge, GA · On-site
$30 - $35/hr
Licensed Practical Nurse (LPN) - Adult Day Program Location: Stockbridge, Georgia Schedule: Monday ... Conduct clinical record reviews as assigned * Document supervisory observations, medication ...
Quick apply
Stockbridge, GA · On-site
$30 - $35/hr
Licensed Practical Nurse (LPN) - Adult Day Program Location: Stockbridge, Georgia Schedule: Monday ... Conduct clinical record reviews as assigned * Document supervisory observations, medication ...
Kingsport, TN · On-site
$24.50 - $33.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
Initiate, review, and update care plans. * Report any changes in a resident's condition to the ... Perform other assigned duties given by clinical or administrative leadership. * Maintain ...
Kingsport, TN · On-site
$24.50 - $33.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
Initiate, review, and update care plans. * Report any changes in a resident's condition to the ... Perform other assigned duties given by clinical or administrative leadership. * Maintain ...
Hendersonville, TN · On-site
$24.25 - $33/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
Hendersonville, TN · On-site
$24.25 - $33/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
Charlotte, NC · On-site
$24.50 - $33.25/hr
Medical
Retirement
PTO
Clinical Supervisor ABOUT THE ROLE Anuvia Prevention and Recovery Center is seeking a compassionate ... Participate in peer review, record review, staff meetings, and in-service training as assigned ...
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Charlotte, NC · On-site
$24.50 - $33.25/hr
Medical
Retirement
PTO
Clinical Supervisor ABOUT THE ROLE Anuvia Prevention and Recovery Center is seeking a compassionate ... Participate in peer review, record review, staff meetings, and in-service training as assigned ...
Gretna, LA · On-site
$22.25 - $30.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
Position will require travel to various clinical sites in Louisiana . Position may include Daily ... For further information, please review the Know Your Rights notice from the Department of Labor.
Gretna, LA · On-site
$22.25 - $30.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
Position will require travel to various clinical sites in Louisiana . Position may include Daily ... For further information, please review the Know Your Rights notice from the Department of Labor.
Kingsport, TN · On-site
$24.50 - $33.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
Initiate, review, and update care plans. * Report any changes in a resident's condition to the ... Perform other assigned duties given by clinical or administrative leadership. * Maintain ...
Quick apply
Kingsport, TN · On-site
$24.50 - $33.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
Initiate, review, and update care plans. * Report any changes in a resident's condition to the ... Perform other assigned duties given by clinical or administrative leadership. * Maintain ...
Clinton, SC · On-site
$24.25 - $33/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
Clinton, SC · On-site
$24.25 - $33/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
Aiken, SC · On-site
$22 - $29.75/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
Aiken, SC · On-site
$22 - $29.75/hr
Dental
Vision
Retirement
Minimum one (1) year clinical experience as an LPN * Individuals with less than one full year ... For further information, please review the Know Your Rights notice from the Department of Labor.
$30 - $37/hr
As a Licensed Practical Nurse (LPN) , you will play a vital role in providing quality care and support to our residents while working alongside an experienced and supportive clinical team. At Autumn ...
Quick apply
$30 - $37/hr
As a Licensed Practical Nurse (LPN) , you will play a vital role in providing quality care and support to our residents while working alongside an experienced and supportive clinical team. At Autumn ...
$15.87 - $18.40
2% of jobs
$18.40 - $20.94
6% of jobs
$20.94 - $23.47
8% of jobs
$24.74 is the 25th percentile. Wages below this are outliers.
$23.47 - $26.01
17% of jobs
$26.01 - $28.54
16% of jobs
The median wage is $28.69 / hr.
$28.54 - $31.08
18% of jobs
$33.10 is the 75th percentile. Wages above this are outliers.
$31.08 - $33.61
10% of jobs
$33.61 - $36.15
8% of jobs
$36.15 - $38.68
6% of jobs
$38.68 - $41.22
5% of jobs
$41.22 - $43.75
3% of jobs
$15
$29
$43
A Clinical Reviewer LPN (Licensed Practical Nurse) evaluates medical records and healthcare documentation to ensure accuracy, compliance, and adherence to clinical guidelines. They assess treatment plans, authorization requests, and medical necessity for procedures or medications. This role typically involves working with insurance companies, healthcare organizations, or government agencies to review claims and support utilization management. Strong knowledge of medical terminology, healthcare regulations, and patient care standards is essential.
As a Clinical Reviewer LPN, your daily responsibilities typically involve reviewing patient records, assessing medical necessity for treatments or procedures, and ensuring documentation aligns with clinical guidelines. You may collaborate closely with physicians, case managers, and insurance representatives to clarify patient information or advocate for appropriate care. Most positions require frequent use of healthcare software systems to track cases and input recommendations. This role often combines independent analysis with teamwork, offering a dynamic yet structured workday that directly impacts patient outcomes and resource management.
To excel as a Clinical Reviewer LPN, you need a valid LPN license, strong clinical judgment, and a thorough understanding of medical terminology and patient care standards. Familiarity with utilization management software, electronic health records (EHRs), and coding systems such as ICD-10 and CPT codes is frequently required. Excellent analytical thinking, attention to detail, and effective written and verbal communication are valuable soft skills in this job. These abilities are vital for accurately reviewing medical records, ensuring compliance, and efficiently facilitating patient care decisions.
Cities with the most Clinical Reviewer Lpn job openings:
The most popular types of Clinical Reviewer Lpn jobs are:
States with the most job openings for Clinical Reviewer Lpn jobs include:
The top searched job categories for Clinical Reviewer Lpn jobs are:

$19 - $26/hr
Full-time
Re-posted 13 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Are you an experienced LPN looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!
Daily Responsibilities:
The Utilization Review LPN is responsible for the pre-certification of determined procedures utilizing the organizations Plan approved criteria. The position helps manage healthcare costs by influencing patient care decision making through case-by-case assessments of the care prior to it's delivery.
 ESSENTIAL DUTIES AND RESPONSIBILITIES:
Active FL LPN license with a minimum of 2 years varied clinical experience required.Â
Managed Care experience (utilization review, pre-certification, concurrent review) is preferred.Â
Proficiency in MS Office with basic computer and typing skills.
Advantages of this Opportunity:Â
Competitive salary $19 - $26/hr+ (based off experience)
Excellent Medical Benefits Offered
Growth potentialÂ
Fun and positive work environment
If you are interested in applying to this position please call Jonathan Comstock at (407) 478-0332 Ext. 133
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003