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Lpn Utilization Review information

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$15

$28

$41

How much do lpn utilization review jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for lpn utilization review in Indiana is $28.43, according to ZipRecruiter salary data. Most workers in this role earn between $23.56 and $32.02 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.

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 education program and pass the National Council Licensure Examination for Practical Nurses (NCLEX-PN). Gaining experience in medical or healthcare settings and developing skills in patient assessment and documentation can also support a transition into utilization review roles.

Can an LPN become a utilization review nurse?

Yes, an LPN can become a utilization review nurse, but they typically need additional training or certification in utilization review, case management, or health insurance processes. Many employers prefer or require experience in nursing and knowledge of medical coding, documentation, and healthcare policies for this role.

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.

What are the most commonly searched types of Lpn Utilization Review jobs in Indiana? The most popular types of Lpn Utilization Review jobs in Indiana are:
What are popular job titles related to Lpn Utilization Review jobs in Indiana? For Lpn Utilization Review jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Lpn Utilization Review jobs in Indiana look for? The top searched job categories for Lpn Utilization Review jobs in Indiana are:
Lpn Utilization Review jobs near you
Infographic showing various Lpn Utilization Review job openings in Indiana as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution, with an average salary of $59,130 per year, or $28.4 per hour.

Utilization Reviewer (UR) - Fulltime

Rehabilitation Hospital of Indiana

Indianapolis, IN • On-site

Full-time

Retirement

Posted 5 days ago

Job description

The Rehabilitation Hospital of Indiana (RHI) is nationally ranked among the Best Hospitals for Rehabilitation by U.S. News and World Report for 2025-2026 and the Best Rehabilitation Hospital in Indiana for the third year in a row. RHI provides high quality, evidence-based rehabilitation services to those facing life-changing injuries or illness. RHI is the only Traumatic Brain Injury (TBI) Model System in the state of Indiana and one of only 16 in the U.S We offer a competitive compensation and benefits package, along with a 401k match and tuition reimbursement program.
Summary:
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful transition to the discharge setting and or goal achievement, and durability of outcome.
Essential Functions
  • Assesses all of patient's payer sources for rehabilitation course, determines resources available for patient, and ensures maximal use of available health coverage resources for each patient.
  • Completes pre-certification and prior authorization timely for admission and or services.
  • Documents all insurance information appropriately on forms and in computer system as applicable.
  • Functions as liaison with payer representatives to manage the rehabilitation process in keeping with the patient's financial resources, including verification of benefits for this and future settings.
  • Completes retro authorizations as applicable and ensures follow through relative to authorizations for all services through the complete revenue cycle.
  • Other duties as assigned.

Education and Experience
  • Greater than two (2) years of UR experience with a strong clinical background and competence with a rehabilitation population
  • Bachelor's degree in related field with 3-5 years' experience
  • LPN or RN experience preferred

Hours
  • Monday - Friday (8:30am-5:00pm)
  • This position is on-site at RHI

The Rehabilitation Hospital of Indiana is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, or any other characteristic protected by law.

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