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Lpn Utilization Review Jobs (NOW HIRING)

Prime

RN - Utilization Review

Kinston, NC

The ideal candidate will possess a current North Carolina license. This is a RN position in the Utilization Review Unit. You must have a Nursing License and at least 2 years of recent Utilization ...

Midland Health

Nurse Utilization Review

Midland, TX

Assists with ensuring compliance with CMS Conditions of Participation for Utilization Review, Appendix A/42 CFR 482.30 EDUCATION AND EXPERIENCE Current State of Texas License as a Registered Nurse. 5 ...

Midland Health

Nurse Utilization Review

Midland, TX · On-site

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... Texas License as a Registered Nurse. 5 years of nursing experience (preferably in utilization ...

Midland Health

Nurse Utilization Review

Midland, TX · On-site

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... Texas License as a Registered Nurse. 5 years of nursing experience (preferably in utilization ...

Midland Health

Nurse Utilization Review

Midland, TX

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... Texas License as a Registered Nurse. 5 years of nursing experience (preferably in utilization ...

Pacer Group

RN - UTILIZATION REVIEW

Everett, WA · On-site

$60 - $65/hr

Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date ... BLS, WA RN License Will this traveler need to float between like units? No Locals accepted? No.

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How much do lpn utilization review jobs pay per hour?

As of Jun 1, 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.

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.

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.

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.
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Lpn Utilization Review jobs near you
Infographic showing various Lpn Utilization Review job openings in the United States as of May 2026, with employment types broken down into 98% Full Time, and 2% Part Time. Highlights an 58% Physical, and 42% Remote job distribution, with an average salary of $62,140 per year, or $29.9 per hour.
RN - Utilization Review

RN - Utilization Review

Prime

Kinston, NC

Other

Medical, Dental, Vision, Retirement

Posted 20 days ago

Prime Inc. rating

5.8

Company rating: 5.8 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

Job description

RN - Utilization Review

Prime HealthCare Staffing, a national health care staffing company with over 20 years in the business, is looking for an experienced RN - Utilization Review for our customer in Kinston, North Carolina. The ideal candidate will possess a current North Carolina license. This is a RN position in the Utilization Review Unit. You must have a Nursing License and at least 2 years of recent Utilization Review US nursing experience as a RN - Utilization Review. Prime’s team of experienced health care professionals are here to guide you through the process 24/7.

Prime Benefits

  • First Day Medical, Dental, Vision and Rx benefits
  • Housing and Meal stipends
  • 401(k) Savings plan after 90 days
  • Travel/Licensure Reimbursement
  • Competitive pay rates
  • Referral Bonus Plan
  • Assignment Bonus on select assignments (ask your recruiter for details)
  • Weekly Direct Deposit

Qualifications

  • At least 2-years total experience in your specialty
  • Current BLS and/or ACLS (AHA Preferred) and/or Specialty Certifications
  • Active Nursing License per state
  • Current Updated Resume
  • Supervisory Professional References
  • Must complete Drug Screen and Background Screen

Prime HealthCare Staffing has day and night shifts available. Submit your resume and experience the Prime difference.

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