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Full Time Remote Lpn Utilization Review Jobs (NOW HIRING)

Active Indiana or compact RN License * Bachelors in Nursing * Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management ...

RN Utilization Review PRN

$40.41 - $57.05/hr

Remote Facility: Ascension Care Management Insurance Department: Utilization Review Schedule: Day ... Licensure required relevant to state in which work is performed. Education: * Diploma from an ...

... licensure. Conducts primary functions of prior authorization, retrospective review, medical ... For positions that are available as remote work, Sentara Health employs associates in the following ...

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Full Time Remote Lpn Utilization Review information

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$42

$68

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

As of Sep 6, 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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Registered Nurse-Utilization Review

3B Healthcare, Inc.

Torrance, CA • Remote

Full-time

This job post has expired 2 days ago. Applications are no longer accepted.


Job description

Registered Nurse – Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable).InterQual experience is mandatory; candidates without this will not be considered. Proficient in Epic, with recent use within the last 6–12 months. Experience working with HMOs, IPAs, and similar managed care organizations. Strong knowledge of Medicare regulations and associated utilization management processes, including: Condition Code 44 (CC44)Advance Beneficiary Notices (ABNs)Hospital-Issued Notices of Noncoverage (HINNs)Medicare Coverage Status Notices (MCSNs)