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Lpn Utilization Review Jobs in Tennessee (NOW HIRING)

Covenant Health

RN UTILIZATION MGMT I

Knoxville, TN · On-site

Prepares and reviews necessary documentation for insurance utilization management processes and ... Licensure Requirement: Current licensure as a Registered Nurse (RN) as issued by the State of ...

Summit BHC

Reviews application for client admission and approves admission or refers case to utilization ... Current licensure as an LPN or RN or current clinical professional license or certification, as ...

Wexford House

LPN (Licensed Practical Nurse)

Kingsport, TN · On-site

$24.50 - $33.25/hr

LPN - Licensed Practical Nurse Kingsport, Tennessee Join Wexford House - where compassion feels ... Initiate, review, and update care plans. * Report any changes in a resident's condition to the ...

Wexford House

LPN (Licensed Practical Nurse)

Kingsport, TN · On-site

$24.50 - $33.25/hr

Initiate, review, and update care plans. * Report any changes in a resident's condition to the ... LPN Requirements * Current unrestricted LPN License for the state of Tennessee * Current CPR/BLS ...

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All JobsLpn Utilization Review JobsLpn Utilization Review Jobs in Tennessee

Lpn Utilization Review information

See Tennessee salary details

$14

$27

$39

How much do lpn utilization review jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for lpn utilization review in Tennessee is $27.11, according to ZipRecruiter salary data. Most workers in this role earn between $22.45 and $30.53 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 Tennessee?

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

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

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

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

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

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

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

Lpn Utilization Review jobs near you
Infographic showing various Lpn Utilization Review job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $56,399 per year, or $27.1 per hour.

RN-Utilization Review

Baptist Memorial Health Care Corporation

Memphis, TN • On-site

Full-time

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

Baptist Memorial Health Care rating

7.3

Company rating: 7.3 out of 10

Based on 115 frontline employees who took The Breakroom Quiz

303rd of 898 rated healthcare providers

Job description

Description
Job Summary
Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life situation. Performs other duties as assigned.
Responsibilities
  • Utilization Review
  • Discharge planning
  • Readmission Reduction Participation
  • Payer Communication and denial reduction
  • Completes assigned goals.
Specifications
Experience
Minimum Required
  • RN with at least one (1) year of clinical experience
Preferred/Desired
  • RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting
Education
Minimum Required
  • Diploma or Associate Degree in Nursing
Preferred/Desired
  • BSN or MSN
Training
Minimum Required
Preferred/Desired
  • Certified Case Manager
Special Skills
  • .
Minimum Required
  • Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations.
Preferred/Desired
  • Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.
Licensure
  • RN
Minimum Required
  • RN
Preferred/Desired
  • RN;CCM;ACM

What Baptist Memorial Health Care employees say

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About Baptist Memorial

Sourced by ZipRecruiter

Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Memphis, TN, US

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