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Clinical Reviewer Lpn Jobs (NOW HIRING)

BOTG LLC

Nurse Reviewer (LPN/LVN)

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 ...

Astyra Corporation

Clinical Reviewer

Denver, CO

$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 ...

Integrated Resources INC

HEDIS RN/LPN

Trenton, NJ

$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 ...

NHC

Licensed Practical Nurse LPN

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.

lri

Licensed Practical Nurse (LPN)

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.

NHC

Licensed Practical Nurse LPN

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.

NHC

Licensed Practical Nurse LPN

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.

A New Well

(LPN) Licensed Practical Nurse

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 ...

Wexford House

LPN (Licensed Practical Nurse)

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 ...

NHC

Licensed Practical Nurse LPN

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.

Wexford House

LPN (Licensed Practical Nurse)

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 ...

NHC

Licensed Practical Nurse LPN

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.

NHC

Licensed Practical Nurse LPN

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.

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Clinical Reviewer Lpn information

See salary details

$15

$29

$43

How much do clinical reviewer lpn jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for clinical reviewer lpn in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $24.76 and $33.65 per hour, depending on experience, location, and employer.

What is a clinical reviewer Lpn?

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.

What does a clinical reviewer lpn do?

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.

What are the key skills and qualifications needed to thrive as a clinical reviewer lpn?

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.

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Clinical Reviewer Lpn jobs near you
Infographic showing various Clinical Reviewer Lpn job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 72% Full Time, 17% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $62,140 per year, or $29.9 per hour.

Utilization Reviewer (LPN)

Healthcare Support Staffing

Tampa, FL

$19 - $26/hr

Full-time

Re-posted 13 days ago

Job description

Company Description

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!

Job Description

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:

  • Evaluates requested services following Plan approved criteria.
  • Demonstrates effective communication methods and skills, using lines of authority appropriately.
  • Establishes a relationship with providers in order to determine/provide needed services for members
  • Arranges discharge planning services prior to pre-planned admissions when available.
  • Acts as liaison and member advocate between the member/family, physician and facilities/agencies.
  • Maintains accurate record of pre-certification decisions.
  • Performs decisions within time frames required by regulatory agencies.
  • Adheres to quality standards and confidentiality policies and procedures.
  • Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.
  • Adapts to changes in policies, procedures, new techniques and additional responsibilities.


Qualifications

Active FL LPN license with a minimum of 2 years varied clinical experience required. 

Managed Care experience (utilization review, pre-certification, concurrent review) is preferred. 

Proficiency in MS Office with basic computer and typing skills.

Additional Information

Advantages of this Opportunity: 

Competitive salary $19 - $26/hr+ (based off experience)

Excellent Medical Benefits Offered

Growth potential 

Fun and positive work environment

If you are interested in applying to this position please call Jonathan Comstock at (407) 478-0332 Ext. 133

Healthcare Support logo

About Healthcare Support

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.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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