Active RN license (state-specific requirement applies) * Minimum of 2 years of acute care nursing experience * Prior utilization review, case management, or payer review experience preferred * Strong ...
Active RN license (state-specific requirement applies) * Minimum of 2 years of acute care nursing experience * Prior utilization review, case management, or payer review experience preferred * Strong ...
Active RN license (state-specific requirement applies) * Minimum of 2 years of acute care nursing experience * Prior utilization review, case management, or payer review experience preferred * Strong ...
Active RN license (state-specific requirement applies) * Minimum of 2 years of acute care nursing experience * Prior utilization review, case management, or payer review experience preferred * Strong ...
Active RN license (state-specific requirement applies) * Minimum of 2 years of acute care nursing experience * Prior utilization review, case management, or payer review experience preferred * Strong ...
Active RN license (state-specific requirement applies) * Minimum of 2 years of acute care nursing experience * Prior utilization review, case management, or payer review experience preferred * Strong ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
Quick apply
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
Bachelors Degree in Nursing with case management certification LICENSE/CERTIFICATION Licensed RN in ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
Bachelors Degree in Nursing with case management certification LICENSE/CERTIFICATION Licensed RN in ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
LPN - Licensed Practical Nurse
Mishawaka, IN · On-site
$23.50 - $32/hr
We rely on and trust our Licensed Practical Nurse (LPN) to provide quality healthcare and enrich ... through utilization of the nursing process. * Identify needs and provide input for discharge ...
LPN - Licensed Practical Nurse
Mishawaka, IN · On-site
$23.50 - $32/hr
We rely on and trust our Licensed Practical Nurse (LPN) to provide quality healthcare and enrich ... through utilization of the nursing process. * Identify needs and provide input for discharge ...
LPN - Licensed Practical Nurse
Elkhart, IN · On-site
$24.75 - $33.50/hr
We rely on and trust our Licensed Practical Nurse (LPN) to provide quality healthcare and enrich ... through utilization of the nursing process. * Identify needs and provide input for discharge ...
LPN - Licensed Practical Nurse
Elkhart, IN · On-site
$24.75 - $33.50/hr
We rely on and trust our Licensed Practical Nurse (LPN) to provide quality healthcare and enrich ... through utilization of the nursing process. * Identify needs and provide input for discharge ...
LPN - Licensed Practical Nurse
Knox, IN · On-site
$22.75 - $30.75/hr
We rely on and trust our Licensed Practical Nurse (LPN) to provide quality healthcare and enrich ... through utilization of the nursing process. * Identify needs and provide input for discharge ...
New
LPN - Licensed Practical Nurse
Knox, IN · On-site
$22.75 - $30.75/hr
We rely on and trust our Licensed Practical Nurse (LPN) to provide quality healthcare and enrich ... through utilization of the nursing process. * Identify needs and provide input for discharge ...
New
LPN - Licensed Practical Nurse
La Porte, IN · On-site
$23.75 - $32.50/hr
We rely on and trust our Licensed Practical Nurse (LPN) to provide quality healthcare and enrich ... through utilization of the nursing process. * Identify needs and provide input for discharge ...
LPN - Licensed Practical Nurse
La Porte, IN · On-site
$23.75 - $32.50/hr
We rely on and trust our Licensed Practical Nurse (LPN) to provide quality healthcare and enrich ... through utilization of the nursing process. * Identify needs and provide input for discharge ...
LPN - Licensed Practical Nurse
La Porte, IN · On-site
$23.75 - $32.50/hr
We rely on and trust our Licensed Practical Nurse (LPN) to provide quality healthcare and enrich ... through utilization of the nursing process. * Identify needs and provide input for discharge ...
LPN - Licensed Practical Nurse
La Porte, IN · On-site
$23.75 - $32.50/hr
We rely on and trust our Licensed Practical Nurse (LPN) to provide quality healthcare and enrich ... through utilization of the nursing process. * Identify needs and provide input for discharge ...
LPN - Licensed Practical Nurse
Mishawaka, IN · On-site
$24.25 - $32.75/hr
We rely on and trust our Licensed Practical Nurse (LPN) to provide quality healthcare and enrich ... through utilization of the nursing process. * Identify needs and provide input for discharge ...
LPN - Licensed Practical Nurse
Mishawaka, IN · On-site
$24.25 - $32.75/hr
We rely on and trust our Licensed Practical Nurse (LPN) to provide quality healthcare and enrich ... through utilization of the nursing process. * Identify needs and provide input for discharge ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life ...
Previous utilization review experience in a psychiatric healthcare facility preferred ... License: Current unencumbered clinical license strongly preferred. * Additional Requirements: CPR ...
Previous utilization review experience in a psychiatric healthcare facility preferred ... License: Current unencumbered clinical license strongly preferred. * Additional Requirements: CPR ...
Licensed Practical Nurse (LPN)
Winfield, IN · On-site
$24.50 - $33.25/hr
Licensed Practical Nurse (LPN) - Where Skill Meets Compassion Enjoy being part of a great Nursing ... We appreciate your time and review each resume that is submitted. You will receive an email within ...
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Licensed Practical Nurse (LPN)
Winfield, IN · On-site
$24.50 - $33.25/hr
Licensed Practical Nurse (LPN) - Where Skill Meets Compassion Enjoy being part of a great Nursing ... We appreciate your time and review each resume that is submitted. You will receive an email within ...
Licensed Practical Nurse
Brazil, IN · On-site
$26 - $31/hr
... utilization of materials, equipment, and supplies. The Nurse is responsible for the overall ... Qualifications • A Licensed Practical Nurse (LPN) licensed to practice as required by State ...
Quick apply
Licensed Practical Nurse
Brazil, IN · On-site
$26 - $31/hr
... utilization of materials, equipment, and supplies. The Nurse is responsible for the overall ... Qualifications • A Licensed Practical Nurse (LPN) licensed to practice as required by State ...
Lpn Utilization Review information
See Indiana salary details
$15.10 - $17.51
2% of jobs
$17.51 - $19.92
6% of jobs
$19.92 - $22.33
8% of jobs
$23.54 is the 25th percentile. Wages below this are outliers.
$22.33 - $24.75
17% of jobs
$24.75 - $27.16
16% of jobs
The median wage is $27.30 / hr.
$27.16 - $29.57
18% of jobs
$31.50 is the 75th percentile. Wages above this are outliers.
$29.57 - $31.98
10% of jobs
$31.98 - $34.39
8% of jobs
$34.39 - $36.81
6% of jobs
$36.81 - $39.22
5% of jobs
$39.22 - $41.63
3% of jobs
$15
$28
$41
How much do lpn utilization review jobs pay per hour?
Can an LPN be a utilization review nurse?
What is an LPN Utilization Review job?
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.
Can an LPN make $50 an hour?
What is the highest paying LPN position?
What are typical daily responsibilities for an LPN Utilization Review nurse?
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.
How do I get into utilization review nursing?
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.
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- Lpn Utilization Review Nurse
- Remote Hca Utilization Review

Part-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 8 days ago
Trinity Health rating
6.5
Based on 353 frontline employees who took The Breakroom Quiz
603rd of 890 rated healthcare providers
Job description
Part timeShift:
Rotating Shift
Description:
This is a remote position but will need onsite training in Mishawaka Indiana.
Shift: PRN/Days - 8 hr shift
Considering local candidates only!!!
Why Choose Saint Joseph Health System?
- At Saint Joseph Health System, our values guide every decision we make. Even when challenges arise, we remain committed to our mission: caring for every person who needs us. We invest in our people, our technology, and our capabilities so we can continue delivering exceptional, compassionate care to our communities.
What We Offer
- Tuition reimbursement for all full-time and part-time colleagues starting on day one
- Comprehensive benefits beginning day one (Medical, Dental, Vision, PTO, Life Insurance, STD/LTD, and more)
- Retirement savings plan with employer match
- Generous paid time off program plus 7 paid holidays
- No mandatory overtime
- Employee referral incentive program
- Access to state-of-the-art equipment, unlimited CEUs, and a supportive team-focused work environment
- Conduct clinical reviews of patient records to evaluate medical necessity, appropriateness of admission, treatment, and length of stay across all payor types
- Apply standardized criteria, regulatory guidelines, and insurance requirements to support reimbursement and compliance
- Collaborate with physicians, nursing staff, and interdisciplinary teams to ensure appropriate resource utilization and care planning
- Review admissions and ongoing patient cases; recommend or escalate cases that do not meet criteria to leadership or the Utilization Review Committee
- Facilitate timely discharges, transfers, and recertifications when level of care is no longer appropriate
- Partner with Medicare, Medicaid, and private insurers to ensure accurate documentation and reimbursement processes
- Respond to denials and authorization changes by reviewing medical records and communicating outcomes to care teams and patients
- Identify trends and utilization concerns; contribute to performance improvement and quality initiatives
- Maintain accurate records, compile reports, and support utilization review program operations
- Provide education to clinical staff on documentation requirements, coverage guidelines, and utilization processes
- Support compliance with all regulatory, accreditation, and organizational standards
- Participate in committee meetings and assist in development of utilization review plans and processes
What You Will Need
- Graduate of an accredited Registered Nurse (RN) program; Bachelor's Degree in Nursing preferred
- Active RN license (state-specific requirement applies)
- Minimum of 2 years of acute care nursing experience
- Prior utilization review, case management, or payer review experience preferred
- Strong knowledge of Medicare, Medicaid, and commercial insurance guidelines
- Solid understanding of clinical care practices, diagnoses, treatment modalities, and hospital operations
- Excellent communication skills with the ability to collaborate effectively across teams
- Strong analytical and critical thinking skills to assess clinical appropriateness and compliance
- Proficiency in computer systems and Microsoft Office applications
- Ability to manage multiple priorities in a fast-paced healthcare environment
- Flexibility to adapt to changing schedules, workflows, and departmental needs
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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About Trinity Health
Sourced by ZipRecruiter
Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Livonia, MI, US