ZipRecruiter

Log In

1

Lpn Utilization Review Jobs (NOW HIRING)

ADN Healthcare

RN - Utilization Review

Fort Myers, FL · On-site

Utilization Review RN Our client is currently seeking Utilization Review for positions in Fort ... The ideal candidate will possess a current Florida license. This is a RN position in the Nursing.

Care Career

RN - Utilization Review

Fort Myers, FL · On-site

RN - Utilization Review Utilization review nurses perform frequent case reviews, check medical records, speak with patients and care providers regarding treatment, and respond to the plan of care.

New

Care Career

RN - Utilization Review

Hanover, MD · On-site

RN - Utilization Review Utilization review nurses perform frequent case reviews, check medical records, speak with patients and care providers regarding treatment, and respond to the plan of care.

Voyage Health

Travel RN Utilization Review

Pocatello, ID · On-site

$1.8K - $1.9K/wk

Position Details Specialty: RN Utilization Review Location: Pocatello, Idaho Employment Type: Travel/Contract Pay: $1859 - $1957 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

next page

Showing results 1-20

All JobsLpn Utilization Review Jobs

Lpn Utilization Review information

See salary details

$15

$29

$43

How much do lpn utilization review jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for lpn utilization review 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.

Can an LPN be a utilization review nurse?

Yes, Licensed Practical Nurses (LPNs) can work as utilization review nurses, typically assisting with case assessments, documentation, and supporting the review process under the supervision of registered nurses or physicians. However, some employers may require additional certifications or experience in case management or insurance review. LPNs should review specific job requirements for each position to ensure eligibility.

What is an LPN Utilization Review job?

An LPN Utilization Review (UR) job involves evaluating medical services to ensure they are necessary, cost-effective, and meet healthcare guidelines. LPNs in this role review patient records, collaborate with healthcare providers, and verify insurance coverage for treatments. They help prevent unnecessary procedures and control healthcare costs while ensuring patients receive appropriate care. This position typically requires strong analytical skills, attention to detail, and knowledge of medical policies.

Can an LPN make $50 an hour?

LPN utilization review roles typically pay between $20 and $35 per hour, depending on experience, location, and employer. Earning $50 an hour is uncommon for LPNs, but some specialized or senior positions may approach higher wages, especially with additional certifications or in high-demand areas.

What is the highest paying LPN position?

The highest paying LPN positions typically involve specialized roles such as LPNs in home health, hospice, or working in outpatient clinics, with salaries increasing based on experience, certifications, and geographic location. Advanced roles like LPNs in management or those with additional certifications may also command higher pay, but generally, specialized and outpatient settings offer the highest compensation for LPNs.

What are typical daily responsibilities for an LPN Utilization Review nurse?

LPN Utilization Review nurses typically spend their day reviewing patient records to ensure that medical care meets established guidelines for necessity and efficiency. They collaborate with physicians, registered nurses, and insurance representatives to verify the appropriateness of treatments and authorizations for procedures or hospital stays. The role often includes documenting findings, communicating approvals or denials, and sometimes participating in appeals processes. This position provides a mix of independent case assessment and teamwork, making it ideal for those who value both analytical work and interpersonal collaboration.

How do I get into utilization review nursing?

To become an LPN in utilization review, you typically need to complete a state-approved practical nursing program and obtain licensure. Gaining experience in clinical settings and developing skills in medical documentation and insurance policies can also help transition into utilization review roles, which often require knowledge of healthcare regulations and strong analytical skills.

What are the key skills and qualifications needed to thrive in the Lpn Utilization Review position, and why are they important?

To thrive as an LPN Utilization Review nurse, you need a current LPN license, a solid understanding of clinical procedures, and experience with medical record review. Familiarity with utilization management software, electronic health records (EHRs), and possibly certification in case management or utilization review is often required. Strong attention to detail, critical thinking, and effective communication skills are also essential for success in this position. These competencies help ensure accurate assessments, efficient workflow, and effective collaboration between healthcare providers, payers, and patients.

More about Lpn Utilization Review jobs
What cities are hiring for Lpn Utilization Review jobs? Cities with the most Lpn Utilization Review job openings:
What are the most commonly searched types of Lpn Utilization Review jobs? The most popular types of Lpn Utilization Review jobs are:
What states have the most Lpn Utilization Review jobs? States with the most job openings for Lpn Utilization Review jobs include:
What job categories do people searching Lpn Utilization Review jobs look for? The top searched job categories for Lpn Utilization Review jobs are:
Lpn Utilization Review jobs near you
Infographic showing various Lpn Utilization Review job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 66% Full Time, 29% Part Time, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $62,140 per year, or $29.9 per hour.
Utilization Review Specialist (Flexi)

Utilization Review Specialist (Flexi)

Chesapeake Regional Healthcare

Chesapeake, VA • On-site

Part-time

Medical

Posted 10 days ago

Chesapeake Regional Healthcare rating

6.9

Company rating: 6.9 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Summary
The Utilization Review Specialist supports the organization's utilization management program by conducting routine admission, concurrent, and retrospective reviews utilizing established screening criteria and organizational guidelines. This position collects, reviews, and documents clinical information to support medical necessity determinations and appropriate resource utilization. Complex, high-risk, or ambiguous cases requiring clinical judgment are referred to a RN Utilization Review for review and determination.
Essential Duties and Responsibilities
These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.
  • Conduct routine utilization reviews using approved screening criteria, established workflows, and departmental guidelines.
  • Collect and organize clinical documentation necessary to support utilization review activities.
  • Review patient records to identify required information for admission, continued stay, and discharge planning processes.
  • Apply established criteria to routine cases and document findings in designated systems.
  • Monitor assigned cases for required documentation and timely review completion.
  • Communicate with providers, clinical staff, payers, and care team members to obtain necessary information.
  • Identify cases that do not clearly meet established criteria and escalate them to an RN Utilization Review.
  • Present complex, high-acuity, disputed, or clinically ambiguous cases to an RN Utilization Review Specialist for evaluation and determination.
  • Assist with obtaining payer authorizations and tracking authorization status as directed.
  • Maintain accurate utilization management records, reports, and audit documentation.
  • Support denial prevention efforts through timely documentation and communication.
  • Participate in quality improvement initiatives related to utilization management processes.
  • Maintain knowledge of applicable payer requirements, regulatory standards, and organizational policies.
  • Assist with data collection and reporting related to utilization management metrics.
  • Perform other utilization management support duties within the scope of licensure and training.

Supervisory Responsibilities
Reports to: RN Clinical Doc Manager
Supervises: n/a
Responsibilities: n/a
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Experience
Minimum Required Education:
Graduate of an approved healthcare program leading to licensure as a healthcare professional i.e. Licensed Practical Nurse (LPN) or other clinically licensed healthcare professionals as approved by the organization.
Experience:
Two (2) years of clinical healthcare experience required. Experience in utilization review, utilization management, case management, care coordination, discharge planning, or other related clinical healthcare functions may be considered.
Certificates, Licenses, Registrations:
Current unrestricted license as a Licensed Practical Nurse required at minimum in the Commonwealth of Virginia or compact state. Candidates possessing a higher level of clinical licensure are also eligible for consideration.
Certification in utilization management or case management preferred.
Physical Demands & Work Environment
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

What Chesapeake Regional Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply