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Lpn Utilization Review Nurse Jobs (NOW HIRING)

Acrisure LLC

Utilization Review Nurse

Bradenton, FL · On-site

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...

Acrisure

Utilization Review Nurse

Bradenton, FL

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...

Hired by Matrix

RN Utilization Review

Tuba City, AZ · On-site

Day 5x8-Hour (08:00 - 16:30) Weekly Schedule: 40 Hours Certifications/License: Mandatory Experience: * RN Utilization Review * Shift: Monday - Friday from 8am - 5pm. Callback on weekends/holidays

talent4health

RN - Utilization Review

Cleveland, OH · On-site

$2.2K/wk

... Utilization Review Job ID 18807560 Job Title RN - Utilization Review Weekly Pay $2214.0 Shift ... Current licensure by Ohio State Board of Nursing. * Minimum of five (5) years recent experience in ...

Global Force

Utilization Review Nurse

Las Vegas, NV · On-site

About the job Utilization Review Nurse Sign on bonus may apply up to $15,000 Position Summary ... Valid license by the State of Nevada to practice as a Registered Nurse. Additional Position ...

US Tech Solutions

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

Active, unrestricted Registered Nurse (RN) license. * Associate Degree in Nursing (ADN) required ... Utilization Management (UM) * Medical Necessity Review * Prior Authorization * Precertification

Care Career

Travel Utilization Review RN

Fort Myers, FL · On-site

Utilization Review * Discipline: RN * Start Date: 09/08/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Utilization review nurses perform frequent case ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

... LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and ... utilization review experience preferred * Experience in the clinical areas of OR, ICU, CCU, ER and ...

Shannon Health

Utilization Review Nurse

Big Spring, TX · On-site

Three years of experience in Inpatient Utilization Review Certification/Licensure: * Required * Registered Nurse (RN), with authorization to practice in the State of Texas * Preferred * Accredited ...

Voyage Health

Travel RN Utilization Review

Kinston, NC · On-site

$2.3K - $2.4K/wk

Position Details Specialty: RN Utilization Review Location: Kinston, North Carolina Employment Type: Travel/Contract Pay: $2304 - $2425 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13 ...

Shannon Health

Utilization Review Nurse

Big Spring, TX · On-site

Three years of experience in Inpatient Utilization Review Certification/Licensure: * Required * Registered Nurse (RN), with authorization to practice in the State of Texas * Preferred * Accredited ...

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Lpn Utilization Review Nurse information

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How much do lpn utilization review nurse jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for lpn utilization review nurse 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 does an LPN Utilization Review Nurse do?

An LPN Utilization Review Nurse evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance requirements to ensure compliance with established guidelines and regulations. Their work helps determine whether proposed healthcare services are covered and assists in preventing unnecessary treatments, ensuring cost-effective patient care. These nurses collaborate closely with physicians, insurance companies, and other healthcare professionals.

What are the key skills and qualifications needed to thrive as an LPN Utilization Review Nurse?

To thrive as an LPN Utilization Review Nurse, you need a valid LPN license, strong clinical knowledge, and experience in patient care or case management. Familiarity with medical coding systems (like ICD-10 and CPT), electronic health records (EHRs), and utilization review software is typically required. Excellent analytical thinking, attention to detail, and effective communication skills help you evaluate cases and collaborate with healthcare teams. These skills ensure accurate review of medical records, compliance with regulations, and optimal patient outcomes while controlling healthcare costs.

What are some common challenges faced by LPN Utilization Review Nurses, and how can they be managed?

LPN Utilization Review Nurses often encounter challenges such as managing high caseloads, staying current with ever-changing insurance policies, and ensuring timely communication with interdisciplinary teams. Balancing the need for thorough documentation with efficiency can also be demanding. To manage these challenges, it's helpful to develop strong organizational skills, maintain open communication with colleagues, and participate in ongoing training to keep up with policy changes and best practices.

What is the difference between Lpn Utilization Review Nurse vs Lpn Case Manager?

AspectLpn Utilization Review NurseLpn Case Manager
CertificationsLicensed Practical Nurse (LPN), possibly additional certifications in utilization reviewLicensed Practical Nurse (LPN), often with case management or care coordination certifications
Work EnvironmentUtilization review departments, insurance companies, healthcare organizationsHospitals, clinics, insurance companies, community health settings
Primary FocusAssessing medical necessity and appropriateness of servicesCoordinating patient care and discharge planning
Employer & Industry UsageInsurance providers, healthcare organizationsHospitals, healthcare agencies, insurance companies

While both roles involve patient care and healthcare assessment, the Lpn Utilization Review Nurse primarily focuses on evaluating the necessity of services, whereas the Lpn Case Manager concentrates on coordinating ongoing patient care and discharge planning. Understanding these differences helps in choosing the right career path or job search focus.

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What job categories do people searching Lpn Utilization Review Nurse jobs look for?

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Lpn Utilization Review Nurse jobs near you
Infographic showing various Lpn Utilization Review Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Nurse

Acrisure LLC

Bradenton, FL • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

About Acrisure
A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more.
In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.
Job summary:
Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines and regulatory requirements. This role reviews medical information submitted by treating providers, determines whether treatment can be authorized at the nurse level, and refers requests for physician review when additional clinical evaluation is required.
This position is ideal for an experienced LPN with a strong clinical background who enjoys applying their medical knowledge in an analytical, process-driven environment. Experience in utilization review or case management is highly beneficial, particularly within workers' compensation. Clinical experience involving orthopedic or neurological conditions is also highly valued.
This is a hybrid position with two days per week in the office and three days remote. Candidates must also have flexibility to periodically work a later schedule to support business needs across multiple time zones.
Responsibilities:
  • Review medical treatment requests and supporting clinical documentation for adherence to applicable state guidelines and utilization review requirements
  • Apply clinical knowledge and established guidelines to determine whether treatment requests can be authorized at the nurse level
  • Refer treatment requests requiring additional clinical evaluation to physicians for review
  • Evaluate medical records and treatment information to support timely and appropriate utilization review decisions
  • Complete required documentation and administrative processing throughout the utilization review process
  • Manage assigned reviews within applicable state-mandated and URAC turnaround requirements
  • Accurately document treatment requests, clinical information, review activity, and determinations within client records
  • Maintain confidentiality of medical and client information in accordance with HIPAA and applicable standards
  • Collaborate with physicians, healthcare providers, claims professionals, and internal team members to facilitate the review process
  • Maintain current clinical and industry knowledge relevant to utilization review and workers' compensation
  • Provide responsive service while managing multiple reviews and competing deadlines
Requirements:
  • Active LPN license required
  • Active multistate/compact nursing license required
  • Strong clinical nursing experience with the ability to review medical records and evaluate treatment requests
  • Ability to interpret medical terminology, treatment plans, and clinical documentation
  • Ability to apply established clinical guidelines and determine when requests require physician review
  • Flexibility to periodically work later hours to support business needs across multiple time zones
  • Workers' compensation utilization review experience highly beneficial
  • Utilization review or case management experience highly beneficial
  • Clinical experience involving orthopedic or neurological conditions strongly preferred
  • Strong organizational skills with the ability to prioritize a high volume of time-sensitive reviews
  • Strong written and verbal communication skills
  • Proficiency with Microsoft Office applications and ability to learn new clinical and claims systems
Education and licenses:
  • Active Licensed Practical Nurse (LPN) license required
  • Active multistate/compact nursing license required
  • Additional utilization review, case management, workers' compensation, or related professional certifications beneficial
Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.
Why Join Us:
At Acrisure, we're building more than a business, we're building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.
Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.
Employee Benefits
We also offer our employees a comprehensive suite of benefits and perks, including:
  • Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
  • Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
  • Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
  • Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
  • ... and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.
Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.
Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.
California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.
Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.
Welcome, your new opportunity awaits you.

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