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Lpn Utilization Review Jobs in Remote, OR (NOW HIRING)

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state * Graduation from an ...

Enterprise Engineering

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Concurrent Utilization Review (UR) Nurse

OR · Remote

$30 - $38/hr

Concurrent Utilization Review (UR) Nurse Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time ...

Umpqua Health

Utilization Review Clinician

Roseburg, OR · Remote

$80K - $94K/yr

UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) with Behavioral Health ...

New

Sapphire Health

Licensed Practical Nurse - LPN

Bandon, OR · On-site

$24.50 - $33.25/hr

LPN Med Pass Shifts Available: Part-time On-call PRN Day Evening $2,800 Sign-On Bonus for Full-Time Employees! This job is located in Myrtle Point, OR. OVERVIEW: Sapphire Health Services specializes ...

New

Sapphire Health

Licensed Practical Nurse - LPN

Myrtle Point, OR · On-site

$24.25 - $32.75/hr

LPN Med Pass Shifts Available: Part-time On-call PRN Day Evening $2,800 Sign-On Bonus for Full-Time Employees! This job is located in Myrtle Point, OR. OVERVIEW: Sapphire Health Services specializes ...

New

Sapphire Health

Licensed Practical Nurse - LPN

Coos Bay, OR · On-site

$24.25 - $33/hr

LPN Med Pass Shifts Available: Part-time On-call PRN Day Evening $2,800 Sign-On Bonus for Full-Time Employees! This job is located in Myrtle Point, OR. OVERVIEW: Sapphire Health Services specializes ...

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All JobsLpn Utilization Review JobsLpn Utilization Review Jobs in Remote, OR

Lpn Utilization Review information

See Remote, OR salary details

$15

$29

$43

How much do lpn utilization review jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for lpn utilization review in Remote, OR is $29.85, according to ZipRecruiter salary data. Most workers in this role earn between $24.71 and $33.61 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 popular job titles related to Lpn Utilization Review jobs in Remote, OR? For Lpn Utilization Review jobs in Remote, OR, the most frequently searched job titles are:
What job categories do people searching Lpn Utilization Review jobs in Remote, OR look for? The top searched job categories for Lpn Utilization Review jobs in Remote, OR are:
What cities near Remote, OR are hiring for Lpn Utilization Review jobs? Cities near Remote, OR with the most Lpn Utilization Review job openings:
Lpn Utilization Review jobs near you
Infographic showing various Lpn Utilization Review job openings in Remote, OR as of August 2026, with employment types broken down into 82% Full Time, and 18% Contract. Highlights an 91% In-person, and 9% Remote job distribution, with an average salary of $62,079 per year, or $29.8 per hour.

Utilization Review Nurse

Umpqua Health

Roseburg, OR • Remote

$85K - $105K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Job description


UTILIZATION REVIEW NURSE 
REMOTE
Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. 
EMPLOYMENT TYPE: Full-Time, Exempt

About Umpqua Health

At Umpqua Health, we’re more than a healthcare organization—we’re a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon. We provide integrated, whole-person care through primary care, specialty care, behavioral health services, and care coordination. Our collaborative approach ensures members receive high-quality, personalized care while supporting a stronger, healthier community.
POSITION PURPOSE
The Utilization Management Nurse evaluates clinical service requests to ensure medically necessary, cost-effective, and evidence-based care for members. This role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare, and applicable regulations. The UM Nurse collaborates with interdisciplinary teams and community providers to promote integrated, high-quality care.
ESSENTIAL JOB RESPONSIBILITIES

  • Perform clinical assessments and prior authorizations to determine medical necessity
  • Escalate complex cases to Medical Directors and request additional documentation as needed
  • Collaborate with care coordinators, discharge planners, and interdisciplinary teams for care transitions
  • Liaise with internal departments to resolve eligibility, benefits, or service issues
  • Participate in discharge planning for members transitioning from acute, long-term, or residential care
  • Conduct audits and support quality improvement initiatives
  • Provide training and mentorship on UM protocols and workflows
  • Maintain relationships with community providers and service organizations
  • Ensure compliance with organizational policies, clinical standards, and federal/state regulations
  • Perform other nursing-related duties as assigned

CHALLENGES

  • Working with a variety of personalities, maintaining a consistent and fair communication style.
  • Satisfying the needs of a fast-paced and challenging company.

MINIMUM QUALIFICATIONS

  • Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state
  • Graduation from an accredited nursing program
  • Minimum 5 years of direct patient care experience
  • Proficiency with Microsoft Office, EHR systems, and UM software
  • Strong clinical knowledge, communication, and organizational skills
  • No suspension, exclusion, or debarment from federal healthcare programs

PREFERRED QUALIFICATIONS

  • 2+ years of utilization review or case management experience in managed care
  • Oregon residency and license
  • Bilingual or translation skills a plus
  • Experience with quality improvement audits and diverse team collaboration
  • Ability to work independently in fast-paced environments
SCHEDULE
Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines.
SALARY
Wage Band: $85,000- $105,340
BENEFITS
  • Salary is dependent on skills, experience, and education
  • Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave
  • Medical, dental, and vision insurance
  • 401(k) with company match (fully vested immediately)
  • Company-sponsored life insurance and additional benefits
  • Fitness reimbursement program
  • Tuition reimbursement and more
 
Why Umpqua Health?
We are committed to advancing health equity by collaborating across communities, addressing systemic barriers, and ensuring fair access to care and resources. At Umpqua Health, every team member plays a vital role in making a meaningful impact, empowering healthier lives and strengthening the communities we serve.
Inclusive Culture
We foster a respectful, inclusive environment where employees feel valued, supported, and empowered.
Growth & Development
We support ongoing learning through mentorship, clear career pathways, and professional development opportunities.
Work/Life Balance
We promote flexibility and well-being so employees can thrive both professionally and personally.
 
Equal Opportunity
Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.
 

 

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