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Lpn Utilization Management Jobs (NOW HIRING)

Integrated Resources INC

License Practical Nurse

Columbus, OH · On-site

$24.75 - $33.75/hr

Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Active, unrestricted State Nursing (LPN) license in good standing. Additional Information All your ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS ... Successful candidates must hold a valid, current license issued by the Massachusetts Board of ...

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS ... Successful candidates must hold a valid, current license issued by the Massachusetts Board of ...

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Lpn Utilization Management information

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How much do lpn utilization management jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for lpn utilization management 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 an LPN Utilization Management nurse?

An LPN Utilization Management nurse is a Licensed Practical Nurse who works within the healthcare system to review and evaluate the necessity, appropriateness, and efficiency of healthcare services and treatments. Their primary role is to help ensure patients receive the right care while managing healthcare costs and resources effectively. They often work with insurance companies, hospitals, or clinics, collaborating with other healthcare professionals to make determinations about coverage and care plans. This position requires strong analytical skills, communication abilities, and a solid understanding of medical guidelines and regulations.

What are the key skills and qualifications needed to thrive as an LPN Utilization Management nurse?

To thrive as an LPN Utilization Management Nurse, you need a current LPN license, strong clinical knowledge, and experience in care coordination or case management. Familiarity with utilization review software, electronic health records (EHRs), and compliance tools is often required, along with knowledge of insurance and regulatory guidelines. Excellent communication, critical thinking, and organizational skills are crucial for collaborating with healthcare teams and advocating for patients. These skills ensure effective resource utilization, regulatory compliance, and high-quality patient outcomes.

What are some common challenges LPNs face in utilization management roles, and how can they be addressed?

LPNs in Utilization Management often encounter challenges such as interpreting complex medical records, balancing administrative tasks with clinical judgment, and keeping up with evolving insurance guidelines. To address these, it's helpful to develop strong attention to detail, stay current with payer requirements, and seek mentorship or ongoing training in medical coding and documentation. Collaboration with RNs, physicians, and case managers is key to overcoming these hurdles and ensuring accurate, efficient patient care assessments.

What is the difference between Lpn Utilization Management vs Lpn Case Management?

AspectLpn Utilization ManagementLpn Case Management
CertificationsLicensed Practical Nurse (LPN)Licensed Practical Nurse (LPN)
Work EnvironmentInsurance companies, utilization review departmentsHospitals, clinics, community health settings
Primary FocusReviewing medical necessity and insurance coverageCoordinating patient care and discharge planning
Employer & Industry UsageInsurance providers, managed care organizationsHealthcare facilities, outpatient clinics

While both roles require an LPN license, Lpn Utilization Management focuses on reviewing medical necessity for insurance purposes, whereas Lpn Case Management emphasizes coordinating patient care and discharge planning. Understanding these differences helps in choosing the right career path or job search focus within healthcare.

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Cities with the most Lpn Utilization Management job openings:

What states have the most Lpn Utilization Management jobs?

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Lpn Utilization Management jobs near you
Infographic showing various Lpn Utilization Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $62,140 per year, or $29.9 per hour.

Utilization Management Coordinator - LPN

VEST SEATTLE LLC

Marysville, WA • On-site

$35 - $39/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

JOIN OUR TEAM AS A UTILIZATION MANAGEMENT COORDINATOR!
LPN Required
100% Company-paid medical benefits up to family coverage, or opt out for additional pay!
Your Work Matters How will you make a difference?
The LPN Utilization Management Coordinator at Smokey Point Behavioral Hospital plays a pivotal role in contacting external case managers/managed care organizations to obtain insurance benefits certification and recertification throughout the patient's stay. If you're looking to make a meaningful impact in the healthcare industry and be part of a dynamic team, this role is for you. Join us in our mission to provide exceptional care to our patients and support our dedicated staff.
  • Review the treatment plan and advocate for additional services as indicated.
  • Promote effective use of resources for patients.
  • Ensure that patient rights are upheld.
  • Maintain ongoing contact with the attending physician, program manager, nurse manager, and other team members.
  • Collaborate with the treatment team on continued stay and discharge planning.
  • Advocate for the patient to be placed in the appropriate level of care and program.
  • Interface with program staff to facilitate a smooth transition at the time of transfer or discharge.

Your Experience Matters What we're looking for:
  • Education: Graduate from an accredited licensed practical nursing program required.
  • Experience: At least two (2) years' experience in a healthcare setting or managed care company, with experience in patient assessment, treatment planning, utilization management, and/or case management.
  • Licensure: Currently licensed to practice by the State of Washington.

Your Care Matters What we provide for our team:
  • 100% Company paid medical benefits (up to family coverage)
  • 401(k) + matching
  • Health insurance
  • 100% company-paid life insurance coverage up to 2x your annual salary
  • Vision insurance
  • Dental insurance
  • 100% company-paid long-term disability insurance
  • Paid time off
  • Paid Holidays
  • Cafeteria on site + one free meal per day
  • Employee engagement events
  • Employee assistance program
  • Employee recognition program
  • Free parking

What sets us apart:
  • Career & training development opportunities
  • Dynamic and inclusive work environment
  • Engaged management team dedicated to your success
  • A guiding mission and set of values that serve as both our northstar and yours, anchoring our collective purpose and aspirations

Disclaimer: Benefits are subject to change at the discretion of Smokey Point Behavioral Hospital.
Compensation:
This is a full-time role, and the expected compensation range is $35.00-$39.00 per hour. We're eager to speak with all qualified candidates, and we will consider experience and skill level. Join us as our LPN Utilization Management Coordinator!
Get to know us Outstanding Care, Compassionate People, Unparalleled Service
Welcome to Smokey Point Behavioral Hospital (SPBH), a premier healthcare provider in Marysville, WA, setting the gold standard for excellence in mental health and addiction treatment support. Located in Marysville, WA, SPBH offers a full continuum of care, including inpatient and outpatient psychiatric services and specialized, evidence-based programs for all patients, regardless of their ability to pay.
At SPBH, the community is an integral part of our team, fostering collaboration to build an efficient, comprehensive, and seamless continuum of care. We take pride in offering dynamic, challenging, and highly rewarding positions. You'll have the opportunity to work closely with a team of experts, ensuring our patients receive personalized services that guide them toward achieving their treatment goals.
Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Smokey Point Behavioral Hospital.
To learn more about SPBH, visit us at: https://www.smokeypointbehavioralhospital.com/
TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.
Individuals Maintaining Positive Attitude and Commitment To Service
At Smokey Point Behavioral Hospital, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

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