ZipRecruiter

Log In

1

Clinical Reviewer Lpn Jobs (NOW HIRING)

Aviata at Bryan Dairy

Licensed Practical Nurse (LPN)

Largo, FL · On-site

$22.25 - $30.25/hr

... clinical excellence, and connection. We are driven by a deep commitment to understand each patient ... Please review the job requirements and submit your application today. We look forward to welcoming ...

lri

Licensed Practical Nurse (LPN)

Fulton, NY · On-site

$60K/yr

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.

A-Line Staffing Solutions

Clinical Care LPN/LVN

Lutz, FL · On-site

$37.17/hr

... (LPN / LVN) - Outpatient Clinic will provide high-quality, patient-facing clinical care in an ... reviews and identify potential side effects or drug interactions Perform mental health screenings ...

A-Line Staffing Solutions

Clinical Care LPN/LVN

Fate, TX · On-site

$37.17/hr

... (LPN / LVN) - Outpatient Clinic will provide high-quality, patient-facing clinical care in an ... reviews and identify potential side effects or drug interactions Perform mental health screenings ...

A-Line Staffing Solutions

Clinical Care LPN/LVN

Fate, TX · On-site

$37.17/hr

... (LPN / LVN) - Outpatient Clinic will provide high-quality, patient-facing clinical care in an ... reviews and identify potential side effects or drug interactions Perform mental health screenings ...

previous pagenext page

Showing results 21-40

All JobsHealthcare JobsNursing JobsNurse Case Manager JobsClinical Reviewer Lpn Jobs

Clinical Reviewer Lpn information

See salary details

$15

$29

$43

How much do clinical reviewer lpn jobs pay per hour?

As of Sep 6, 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.

More about Clinical Reviewer Lpn jobs

What cities are hiring for Clinical Reviewer Lpn jobs?

Cities with the most Clinical Reviewer Lpn job openings:

What are the most commonly searched types of Clinical Reviewer Lpn jobs?

The most popular types of Clinical Reviewer Lpn jobs are:

What states have the most Clinical Reviewer Lpn jobs?

States with the most job openings for Clinical Reviewer Lpn jobs include:

What job categories do people searching Clinical Reviewer Lpn jobs look for?

The top searched job categories for Clinical Reviewer Lpn jobs are:

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, 71% Full Time, 18% 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.

LPN Case Manager Clinical Authorization

MedStar Health

Washington, DC • On-site

$32.71 - $53.49/hr

Full-time

Posted 14 days ago

Medstar Health rating

7.8

Company rating: 7.8 out of 10

Based on 241 frontline employees who took The Breakroom Quiz

136th of 898 rated healthcare providers

Job description

About the Job
General Summary of Position
LPN Case Manager provides support for the Care Management Department by coordinating and promoting comprehensive quality, cost-effective care.
Primary Duties and Responsibilities
  • Assists in the identification of potential Case Management candidates through clinical review selected diagnoses etc. and makes appropriate referrals.
  • Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
  • Demonstrates behavior consistent with MedStar Health mission vision goals objectives and patient care philosophy.
  • Identifies and reports potential coordination of benefits subrogation third party liability workers compensation cases etc. Identifies quality risk or utilization issues to appropriate MedStar personnel.
  • Initiates contact with providers to obtain clinical information to facilitate care or pending pre-certification requests. Interacts with assigned disease management populations of limited volume. Interaction is designed to improve patient access to care and education regarding the disease and support services.
  • Maintains current knowledge of MedStar Family Choice benefits and enrollment issues in order to accurately coordinate services.
  • Maintains expertise in general benefit management and serves as a resource for MedStar Family Choice members physicians and staff for benefit interpretation and coordination.
  • Maintains timely and accurate documentation in the IS System per Case Management policy.
  • Participates in meetings work groups etc. as assigned.
  • Processes pre-authorizations for medical necessity LOC covered benefits and participation of the provider at the discretion of the guidelines and Medical Reviewer.
  • Sends reviews to Medical Reviewer as appropriate. Coordinates review decisions and notifications per policy.

Minimal Qualifications
Education
  • Valid LPN License in the State of Maryland. required

Experience
  • 1-2 years Utilization review experience required and
  • 3-4 years Diverse clinical experience required

Licenses and Certifications
  • LPN - Licensed Practical Nurse - State Licensure Valid LPN license in the State of Maryland or District of Columbia. Upon Hire required

Knowledge Skills and Abilities
  • Knowledge of current trends in healthcare delivery and utilization review criteria.
  • Ability to use computer to enter and retrieve data.
  • Ability to create edit and analyze (Word Excel and PowerPoint) preferred

This position has a hiring range of
USD $32.71 - USD $53.49 /Hr.

What Medstar Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Medstar Health logo

About Medstar Health

Sourced by ZipRecruiter

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbia, MD, US

Social media

FacebookTwitter

View All Medstar Health Jobs

Apply