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Lpn Utilization Review information

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$14

$27

$39

How much do lpn utilization review jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for lpn utilization review in Alabama is $27.08, according to ZipRecruiter salary data. Most workers in this role earn between $22.45 and $30.48 per hour, depending on experience, location, and employer.

What is an LPN Utilization Review?

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 typical daily responsibilities of an LPN Utilization Review?

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.

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.

Can an LPN become a utilization review nurse?

Yes, an LPN can become a utilization review nurse, but additional training or certification in utilization review or case management may be required. Many employers prefer candidates with experience in nursing, strong analytical skills, and knowledge of healthcare policies and documentation processes.

How do I become a licensed practical nurse utilization review?

To become a licensed practical nurse (LPN) involved in utilization review, you must complete a state-approved LPN educational program, pass the National Council Licensure Examination for Practical Nurses (NCLEX-PN), and obtain licensure. Additional training or certification in case management or utilization review may enhance your qualifications for this specialized role.

What are the most commonly searched types of Lpn Utilization Review jobs in Alabama?

The most popular types of Lpn Utilization Review jobs in Alabama are:

What are popular job titles related to Lpn Utilization Review jobs in Alabama?

For Lpn Utilization Review jobs in Alabama, the most frequently searched job titles are:

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

The top searched job categories for Lpn Utilization Review jobs in Alabama are:

What cities in Alabama are hiring for Lpn Utilization Review jobs?

Cities in Alabama with the most Lpn Utilization Review job openings:

Lpn Utilization Review jobs near you
Infographic showing various Lpn Utilization Review job openings in Alabama as of September 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $56,323 per year, or $27.1 per hour.

RN Utilization Review-Crestwood Medical Center-FT-1st shift

Huntsville Hospital

Huntsville, AL • On-site

Other

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Job Title

Utilization Management Nurse

Job Description

Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures that an authorization for services is obtained from payer, if required, and that documentation supports the care delivered in such a way that minimizes the risk of denials after discharge.

Qualifications

Required Education: Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse

Preferred Education: Bachelors Science Nursing or higher

Required Experience: 2 years previous nursing experience

Preferred Experience: Utilization Review or Case Management experience

Required License/Registration/Certification: Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse

Preferred License/Registration/Certification: ACM or CCM Certification

Computer Skills Required: Data entry skills; Demonstrable skills with Google Docs, Google Sheets, Microsoft Suite and email applications.

Huntsville Hospital logo

About Huntsville Hospital

Sourced by ZipRecruiter

Huntsville Hospital, located in Huntsville, Alabama, USA, operates in the healthcare industry. The organization's official website can be visited at huntsvillehospital.org. The hospital is a community-owned, not-for-profit healthcare system that was first established in 1895. This institution of paramount importance currently offers comprehensive health services dedicated to meeting the diverse needs of its community. The institution provides its services across a broad spectrum; this includes a children's hospital, women and infants’ hospital, a senior-orientated network, surgical services, orthopedic services, and more. Above all, Huntsville Hospital's core values emphasize patient safety, dignity, and care. Their mission is to deliver high-quality care and create a healthier community.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Huntsville, AL, US

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