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Full Time Remote Lpn Utilization Review Jobs (NOW HIRING)

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Full Time Remote Lpn Utilization Review information

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How much do full time remote lpn utilization review jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for full time remote lpn utilization review 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 Full Time Remote Lpn Utilization Review vs Full Time Remote Lpn Case Management?

AspectFull Time Remote Lpn Utilization ReviewFull Time Remote Lpn Case Management
CertificationsLicensed Practical Nurse (LPN), possibly Utilization Review certificationLicensed Practical Nurse (LPN), Case Management certification often preferred
Work EnvironmentRemote, reviewing medical records for insurance or healthcare providersRemote, coordinating patient care and discharge planning
Employer & IndustryInsurance companies, healthcare organizationsHospitals, healthcare providers, insurance companies

Both roles require LPN licensure and involve remote work, but Utilization Review focuses on assessing medical necessity, while Case Management emphasizes coordinating patient care. Understanding these differences helps job seekers find the right fit based on their skills and career goals.

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What are the most commonly searched types of Remote Lpn Utilization Review jobs?

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States with the most job openings for Full Time Remote Lpn Utilization Review jobs include:

RN Utilization Review Behavioral Health

Allmed Staffing Inc

Nevada Mass, NV โ€ข Remote

$42/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 2 days ago

New


Job description

RN Utilization Review Behavioral Health

Work Location: Telecommute (Remote) Work Hours: 8:00 AM–5:00 PM PST Pay Rate: $42.00/hour License Preference: Nevada (NV) license preferred Professional Certification Required: Yes Minimum Education Requirement: Master's degree TRICARE-Related Work: No

About the Role

We are seeking a Utilization Review Clinician to review outpatient Applied Behavior Analysis (ABA) requests for medical necessity. This role evaluates provider-submitted treatment plans, progress reports, and assessments against established clinical criteria to support appropriate, timely determinations for behavioral health services.

Key Responsibilities

  • Review outpatient ABA requests for medical necessity using established clinical criteria (e.g., MCG, InterQual, ASAM, plan-specific guidelines)
  • Evaluate treatment plans, progress reports, and assessments submitted by providers
  • Collaborate with providers to clarify documentation and ensure appropriate level of care
  • Make determinations or recommendations for approval, modification, or denial of services
  • Document clinical decisions and rationale in the utilization management system

Required Qualifications

  • BCBA or LBA, RN, or Master's degree in social work or a related behavioral health field (LCSW, LPC, MFT, etc.)
  • Active, unrestricted behavioral health license in the State of Nevada
  • 2+ years of behavioral health clinical experience, including ABA
  • Familiarity with Medicaid and Commercial benefit structures and utilization management protocols
  • Ability to work independently and within a team in a remote or office-based environment
  • Proficient in using clinical systems, Microsoft Office applications, and electronic documentation platforms
  • Proven ability to multi-task in a high-volume, deadline-driven setting

Company Description

Allmed is a National Staffing and Recruiting company offering short and long term staffing solutions.
We have been serving large Fortune 100 companies and providing career opportunities to job seekers for over 25 years. We specialize within the medical and healthcare industries offering temporary and permanent placement options. Our team takes the time to recognize, assess and listen to the goals of both our clients and employees. Our team is dedicated to providing the highest quality services and best qualified medical professionals throughout the United States. We stand by our promise and guarantee success and satisfaction between our clients and employees.