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Lpn Utilization Review Jobs in Georgia (NOW HIRING)

UHS

Utilization Review Nurse (RN)

Augusta, GA · On-site

Utilization Review/Business Office Coordinator will ensure input of pre-certifications and ... Registered Nurse (RN) preferred or License Professional Nurse (LPN) * Current GA or Multistate ...

UHS

Utilization Review Nurse (RN)

Augusta, GA · On-site

Utilization Review Nurse . Under the direction of the Director of Utilization Management. Website ... Registered Nurse (RN) preferred or License Professional Nurse (LPN) * Current GA or Multistate ...

UHS

Utilization Review Nurse (RN)

Augusta, GA

Utilization Review/Business Office Coordinator will ensure input of pre-certifications and ... Registered Nurse (RN) preferred or License Professional Nurse (LPN) * Current GA or Multistate ...

UHS

Utilization Review Clinician

Augusta, GA · On-site

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... Nurses with a current GA or Multistate license encouraged to apply. (LPN, RN) Certifications ...

UHS

Utilization Review Clinician

Augusta, GA · On-site

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... Nurses with a current GA or Multistate license encouraged to apply. (LPN, RN) Certifications ...

UHS

Utilization Review Clinician

Augusta, GA · On-site

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... Nurses with a current GA or Multistate license encouraged to apply. (LPN, RN) Certifications ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

Lancesoft INC

Utilization Review RN

Atlanta, GA · On-site

$3.0K - $3.1K/wk

Utilization Review RN - Target Review * Health Plan Insurance (no acute care ... BLS (AHA) * RN state license Company Description LanceSoft is rated as one of the largest staffing ...

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Lpn Utilization Review information

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$13

$25

$36

How much do lpn utilization review jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for lpn utilization review in Georgia is $25.23, according to ZipRecruiter salary data. Most workers in this role earn between $20.91 and $28.41 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 Georgia?

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

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

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

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

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Lpn Utilization Review jobs near you
Infographic showing various Lpn Utilization Review job openings in Georgia as of August 2026, with employment types broken down into 72% Full Time, 14% Part Time, and 14% Contract. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $52,470 per year, or $25.2 per hour.

Utilization Review Clinician

Wellington Regional Medical Center

Augusta, GA • On-site

Other

Medical, Dental, Vision, Retirement, PTO

Posted 25 days ago

Job description

Utilization Review Clinician Opportunity

Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15 years. Located in Augusta, GA, our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.

The Utilization Review Clinician opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing, and accreditation requirements. Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued stay reviews.

Job duties/responsibilities include reviewing clinical content of medical records, participating in treatment team meetings, and collaborating with physicians, therapists, nurses, and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved. Ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before, coordinate with the treatment team on any follow-ups necessary, verify insurance coverage at the first of the month, and post patient payments into MS4. Trained in all aspects relative to timely gathering of clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer-based systems, in addition to other job duties.

Benefit highlights include a referral bonus program, challenging and rewarding work environment, competitive compensation & generous paid time off, excellent medical, dental, vision, and prescription drug plans, 401(k) with company match and discounted stock plan, and career development opportunities within UHS and its 300+ subsidiaries!

Qualifications include a masters level education in social science field (social work, counseling, sociology, psychology). Must be license-eligible or licensed in Georgia (LAPC, LPC, LMSW, LCSW, LMFT, LMHC). Nurses with a current GA or multistate license encouraged to apply (LPN, RN). Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review. LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.

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