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Lpn Utilization Review Work From Home Jobs (NOW HIRING)

Dane Street

PRN Utilization Review Nurse Reviewer

Licensed Practical/Vocational Nurse with an active and unrestricted license to practice. JOB ... WORK FROM HOME TECHNICAL REQUIREMENTS: Supply and support their own internet services. Maintaining ...

Ascension

RN Utilization Review

Southport, FL · On-site +1

$84K - $118K/yr

Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state ... Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold ...

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Successful candidates must hold a valid, current license issued by the Massachusetts Board of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

Successful candidates must hold a valid, current license issued by the Massachusetts Board of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

Successful candidates must hold a valid, current license issued by the Massachusetts Board of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

CorVel

CA Utilization Review Nurse I

$30.64 - $45.80/hr

Documents all work in the appropriate manner * Promotes utilization review services with ... LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and ...

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Successful candidates must hold a valid, current license issued by the Massachusetts Board of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

While your daily work will be completed from your home office, occasional travel may be required ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

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How much do lpn utilization review work from home jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for lpn utilization review work from home 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 work from home?

An LPN Utilization Review work from home job involves Licensed Practical Nurses (LPNs) evaluating medical records and patient care data remotely to determine the appropriateness and necessity of healthcare services. They review treatment plans, ensure compliance with insurance guidelines, and help manage healthcare costs by preventing unnecessary procedures. This role typically requires strong clinical knowledge, attention to detail, and excellent communication skills, as LPNs collaborate with other healthcare professionals and insurance companies. Working from home, they use secure electronic systems to access patient information and complete their reviews.

How to become an LPN utilization review work from home?

To become a work from home LPN utilization review worker, you first need to become a licensed practical nurse. An LPN program awards applicants a diploma or certificate and involves supervised clinical experience. You must become licensed through the NCLEX-PN exam before gaining care experience, participating in on-the-job training, and continuing your education. Hospital practice is often a requirement before you can secure an LPN utilization review role and handle duties effectively. Understanding insurance details and medical language and terminology are critical skills for the job. Diverse in-facility experience is also beneficial, and advanced training and qualifications are ideal. Since this is a telecommute role, you also need computer skills.

What are the key skills and qualifications needed to thrive as an LPN utilization review work from home?

To excel as an LPN Utilization Review Work From Home, you need a valid LPN license, strong clinical judgment, and experience in patient care or case management. Familiarity with utilization management software, electronic medical records (EMR), and healthcare regulations such as Medicare/Medicaid guidelines is typically required. Exceptional communication, attention to detail, and organizational skills are vital for remote collaboration and accurate documentation. These competencies ensure efficient case review, regulatory compliance, and high-quality patient outcomes in a remote work environment.

What are common challenges faced by LPNs working in utilization review from home, and how can they be managed?

LPNs in utilization review who work from home often encounter challenges such as adapting to remote communication with healthcare teams, balancing productivity with limited in-person supervision, and staying current with healthcare regulations. To manage these, it’s important to establish a dedicated workspace, proactively communicate via email or video calls, and participate in ongoing training provided by employers. Utilizing organizational tools and maintaining regular check-ins with supervisors can also help ensure productivity and collaboration remain strong.

What is the difference between Lpn Utilization Review Work From Home vs Lpn Case Manager?

AspectLpn Utilization Review Work From HomeLpn Case Manager
CertificationsLicensed Practical Nurse (LPN), possibly additional certifications in utilization reviewLicensed Practical Nurse (LPN), often with case management certifications
Work EnvironmentRemote, home-basedTypically office or healthcare facility, but can be remote
Primary ResponsibilitiesReview medical necessity, approve or deny insurance claims based on criteriaCoordinate patient care, develop care plans, monitor patient progress
Industry UsageInsurance companies, utilization review organizationsHospitals, healthcare providers, insurance companies

While both roles require an LPN license and involve patient or medical review, Lpn Utilization Review Work From Home focuses on insurance claim assessments remotely, whereas Lpn Case Manager emphasizes direct patient care coordination, often in a healthcare setting.

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Lpn Utilization Review Work From Home jobs near you
Infographic showing various Lpn Utilization Review Work From Home job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $62,140 per year, or $29.9 per hour.

Registered Nurse-Utilization Review

Remote

3B Healthcare, Inc.
Health Care and Social Assistance • 51 - 200 employees
Learn more about 3B Healthcare, Inc.external

Other

Re-posted 26 days ago

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)

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