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Lpn Utilization Review Jobs in Springfield, IL (NOW HIRING)

Memorial Health

Utilization Review RN

Springfield, IL · On-site

$32.95 - $52.73/hr

Current RN licensure in the State of Illinois required Experience: Minimum of 3- 5 years of recent ... Previous utilization review experience strongly preferred. Other Knowledge/Skills/Abilities:

Memorial Health

Utilization Review RN

Springfield, IL

$32.95 - $52.73/hr

Current RN licensure in the State of Illinois required Experience: Minimum of 3- 5 years of recent acute care and/or home health nursing or case management experience required. Previous utilization ...

Memorial Health

Utilization Review RN

Springfield, IL

$32.95 - $52.73/hr

Current RN licensure in the State of Illinois required Experience: Minimum of 3- 5 years of recent ... Previous utilization review experience strongly preferred. Other Knowledge/Skills/Abilities:

Magnet Medical

LPN - LPN

Petersburg, IL

$14/hr

LPN Travel Nursing Position Travel offering nursing profession LPN specialty LPN regular pay rate $14 shift details shift 8 hour mids job order details start date 05/24/2026 end date 06/28/2026 ...

Sunny Acres Nursing Home

LPN - LPN

Petersburg, IL

$952.50/wk

Details Client Name Sunny Acres Nursing Home Job Type Travel Offering Nursing Profession LPN Specialty LPN Job ID 36967591 Job Title LPN - LPN Weekly Pay $952.5 Shift Details Shift 8 hour nights ...

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All JobsLpn Utilization Review JobsLpn Utilization Review Jobs in Springfield, IL

Lpn Utilization Review information

See Springfield, IL salary details

$15

$29

$43

How much do lpn utilization review jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for lpn utilization review in Springfield, IL is $29.61, according to ZipRecruiter salary data. Most workers in this role earn between $24.52 and $33.37 per hour, depending on experience, location, and employer.

What jobs pay $2000 a day?

Jobs that can pay $2000 a day typically include specialized roles such as senior healthcare professionals, high-level consultants, or certain executive positions. In healthcare, experienced nurse practitioners or physicians with advanced certifications and extensive experience may reach such earnings, especially in private practice or consulting. These roles often require advanced skills, licensure, and a significant amount of experience or specialization.

Can an LPN be a utilization review nurse?

Yes, Licensed Practical Nurses (LPNs) can work as utilization review nurses, typically assisting with case assessments, documentation, and supporting the review process under the supervision of registered nurses or physicians. However, some employers may require additional certifications or experience in case management or insurance review. LPNs should review specific job requirements for utilization review roles as responsibilities and qualifications can vary.

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.

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?

To become a utilization review nurse, you typically need to be a licensed registered nurse (RN) with experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or case management credentials can enhance your qualifications, and familiarity with medical records, insurance policies, and utilization review software is beneficial.

What type of LPN gets paid the most?

In utilization review roles, LPNs with specialized certifications, extensive experience, or advanced skills tend to earn higher salaries. Factors such as working in high-demand healthcare settings or possessing knowledge of medical coding and insurance processes can also increase pay. Generally, LPNs in supervisory or senior positions with additional training earn the most in this field.

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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What job categories do people searching Lpn Utilization Review jobs in Springfield, IL look for? The top searched job categories for Lpn Utilization Review jobs in Springfield, IL are:
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Lpn Utilization Review jobs near you
Utilization Review RN

Utilization Review RN

Memorial Health

Springfield, IL • On-site

$32.95 - $52.73/hr

Full-time

Posted 11 days ago

Memorial Health rating

6.8

Company rating: 6.8 out of 10

Based on 170 frontline employees who took The Breakroom Quiz

486th of 870 rated healthcare providers

Job description

Min
USD $32.95/Hr.
Max
USD $52.73/Hr.
Overview
Shift: 12pm - 12am or 8:00-4:30pm
Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital admission for services reimbursement. Ensures the patient care team is aware of general length of stay requirements for all patients. Facilitates physician documentation through concurrent interaction with physicians to support reimbursement and clinical severity is captured for the service rendered to patients receiving hospital care. Provides clinical knowledge and data collection for quality improvement initiatives. Optimizes reimbursement for acute care services.
This is NOT a remote position.
Qualifications
Education:
Associates Degree in Nursing. Bachelor's Degree in Nursing preferred.
Evidence of continuing professional development
Licensure/Certification/Registry:
Current RN licensure in the State of Illinois required
Experience:
Minimum of 3- 5 years of recent acute care and/or home health nursing or case management experience required. Previous utilization review experience strongly preferred.
Other Knowledge/Skills/Abilities:
Understanding of healthcare reimbursement mechanisms preferred.
Strong oral and written communication skills.
Demonstrated adaptability to changes in health care environment with proactive problem solving attitudes
Understanding of the principles of performance improvement, team collaboration, and conflict resolution

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