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Lpn Utilization Review Jobs in Michigan (NOW HIRING)

Medix

Utilization Review Nurse

Southfield, MI · On-site

$42 - $46/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Active RN license and BSN required. * Experience with Independent Review Organizations (IROs), or Utilization Review/Appeals within a Health Plan or TPA. * Strong clinical documentation review, case ...

Medix

Utilization Review Nurse

Southfield, MI · On-site

$42 - $46/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Active RN license and BSN required. * Experience with Independent Review Organizations (IROs), or Utilization Review/Appeals within a Health Plan or TPA. * Strong clinical documentation review, case ...

McLaren

Licensed Practical Nurse

Port Huron, MI · On-site

$24.25 - $33/hr

The License Practical Nurse delivers quality nursing care through the utilization of the nursing ... review process and assists in establishing resident goals, problem resolutions, approaches and ...

McLaren

Licensed Practical Nurse

Port Huron, MI · On-site

$24.25 - $33/hr

The License Practical Nurse delivers quality nursing care through the utilization of the nursing ... review process and assists in establishing resident goals, problem resolutions, approaches and ...

Park Pharmacy

Licensed Practical Nurse (LPN)

Detroit, MI · On-site

$23.50 - $32/hr

  • Medical

  • Dental

  • Vision

  • PTO

Licensed Practical Nurse (LPN) - Corrections Facility Location: Detroit, MI Employment Type ... verification by reviewing pharmacy records, contacting pharmacies as directed, and cross ...

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All JobsLpn Utilization Review JobsLpn Utilization Review Jobs in Michigan

Lpn Utilization Review information

See Michigan salary details

$13

$26

$38

How much do lpn utilization review jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for lpn utilization review in Michigan is $26.04, according to ZipRecruiter salary data. Most workers in this role earn between $21.59 and $29.33 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 Michigan?

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

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

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

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

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

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

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

Lpn Utilization Review jobs near you
Infographic showing various Lpn Utilization Review job openings in Michigan as of August 2026, with employment types broken down into 53% Full Time, and 47% Part Time. Highlights an 100% In-person job distribution, with an average salary of $54,161 per year, or $26 per hour.

RN Utilization Review Nurse

Healthcare Support Staffing

Troy, MI

$33 - $37/hr

Full-time

Re-posted 5 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Are you an experienced RN Utilization Review Nurse looking for a new opportunity with a prestigious healthcare company as a RN Utilization Review Nurse. Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the RN Utilization Review Nurse position for you!


Company Job Description/Day to Day Duties:

  • Providing utilization review for the Medicaid and Medicare line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare.
  • Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines
  • Provider appeals and Utilization reviews and assist with Denial Letters
  • Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization Management team.
  • Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.
  • Participates in interdepartmental integration and collaboration to enhance the continuity of care for members including Behavioral Health and Long Term Care.


Hours for this Position:

  • Mon-Fri: 8:30am - 5pm


Advantages of this Opportunity:

  • Great salary between $33 - 37!
  • Great benefits!!!
  • Fun and positive work environment!
Qualifications

Minimum Education/Qualifications/Licensures:

  • Must be an RN
  • Utilization Review background in either Managed Care of Provider environment (at least one year)
  • Interqual experience (at least one year)
  • Also has a background in patient, skilled nurses facilities, rehab, and home healthcare.
  • Other basic computer skills necessary: Microsoft Office, Data Entry, etc.
  • Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management.
  • Great typing and data entry skills
Additional Information

Interested in being considered?

If you are interested in being considered for this position, please click the apply button below.  Or call John Wood 407-478-0332 ext 225

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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