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Lpn Utilization Review Work From Home Jobs in Rochester, NY

HMG Careers

Work From Home Sales Specialist

Piffard, NY · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Insurance license required or willingness to obtain one * Basic computer skills * Must reside in ...

HMG Careers

Work From Home Sales Specialist

Retsof, NY · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Insurance license required or willingness to obtain one * Basic computer skills * Must reside in ...

HMG Careers

Work From Home Sales Specialist

Hemlock, NY · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Insurance license required or willingness to obtain one * Basic computer skills * Must reside in ...

HMG Careers

Work From Home Sales Specialist

Newark, NY · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Insurance license required or willingness to obtain one * Basic computer skills * Must reside in ...

HMG Careers

Work From Home Sales Specialist

Batavia, NY · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Insurance license required or willingness to obtain one * Basic computer skills * Must reside in ...

HMG Careers

Work From Home Sales Specialist

Holley, NY · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Insurance license required or willingness to obtain one * Basic computer skills * Must reside in ...

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Lpn Utilization Review Work From Home information

See Rochester, NY salary details

$15

$29

$43

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

As of Aug 19, 2026, the average hourly pay for lpn utilization review work from home in Rochester, NY is $29.49, according to ZipRecruiter salary data. Most workers in this role earn between $24.42 and $33.22 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 Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, and 4% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $61,312 per year, or $29.5 per hour.

Remote - Licensed Practical Nurse (LPN) - NY Licensure - Day Shift

CareHarmony

Rochester, NY • Remote

$28/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 29 days ago

CareHarmony rating

4.0

Company rating: 4.0 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

CareHarmony’s Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.

CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient’s healthcare journey.

You will have experience identifying resources and coordinating needs for chronic care management patients.

What's in it for you?

  • Fully remote position - Work from the comfort of your own home in cozy clothes without a commute. Score!
  • Consistent schedule - Full-Time Monday – Friday, no weekends, rotational on-call-once per year on average.
  • Career growth - Many of our team members move up in the company at a faster-than-average rate. We love to see our people succeed!

Requirements

Responsibilities:

  • Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical patient care.
  • Identify and coordinate community resources with patients that would benefit their care.
  • Provide patient education and health literacy on the management of chronic conditions.
  • Perform medication management, including identifying potential medication concerns, reconciliation, adherence, and coordinating refills.
  • Assist in ensuring timely delivery of services to your patients; Home Health, DME, Home Infusion, and other critical needs.
  • Resolve patients' questions and create an open dialogue to understand needs.
  • Assist/Manage referrals and appointment scheduling.

Additional Requirements:

  • Active New York License (LPN)
  • Technical aptitude – Microsoft Office Suite
  • Excellent written and verbal communication skills

Plusses:

  • Epic Experience
  • Bilingual
  • Any additional state licensures (LPN)

Remote Requirements:

  • Must have active high-speed Wi-Fi
  • Must have a home office or HIPAA-compliant workspace

Physical Requirements

  • This position is sedentary and will require sitting for long periods of time
  • This position will require the ability to speak clearly and listen attentively, often by telephone, for an extended period of time
  • The position will require the ability to understand, process, and take thorough notes in real-time on telephone conversations

Benefits:

  • Health Benefits (core medical, dental, vision)
  • Paid Holidays
  • Paid Time Off (PTO)
  • Sick Time Off (STO)
  • 401k with company match
  • Company laptop provided

Pay:

  • The position starts at $22/hr ($21/hr + $1/hr NY license bump) with the ability to earn up to $28/hr based on production
  • Quarterly bonus program
  • Opportunities to pick up OT to increase earnings

What CareHarmony employees say

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