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Lpn Utilization Review Jobs (NOW HIRING)

UHS

Utilization Review Coordinator

Augusta, GA · On-site

CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN preferred ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN ...

Ascension

Registered Nurse Utilization Review

Austin, TX · Remote

$78K - $110K/yr

Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state ... Additional Preferences Utilization Review experience require Why Join Our Team Ascension is a ...

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How much do lpn utilization review jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for lpn utilization review in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $24.76 and $33.65 per hour, depending on experience, location, and employer.

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 each position to ensure eligibility.

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?

LPN utilization review roles typically pay between $20 and $35 per hour, depending on experience, location, and employer. Earning $50 an hour is uncommon for LPNs, but some specialized or senior positions may approach higher wages, especially with additional certifications or in high-demand areas.

What is the highest paying LPN position?

The highest paying LPN positions typically involve specialized roles such as LPNs in home health, hospice, or working in outpatient clinics, with salaries increasing based on experience, certifications, and geographic location. Advanced roles like LPNs in management or those with additional certifications may also command higher pay, but generally, specialized and outpatient settings offer the highest compensation for LPNs.

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 an LPN in utilization review, you typically need to complete a state-approved practical nursing program and obtain licensure. Gaining experience in clinical settings and developing skills in medical documentation and insurance policies can also help transition into utilization review roles, which often require knowledge of healthcare regulations and strong analytical skills.

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 jobs near you
Infographic showing various Lpn Utilization Review job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 66% Full Time, 29% Part Time, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $62,140 per year, or $29.9 per hour.
Travel Nurse Supervisor RN - Utilization Review - $2,460 per week

Travel Nurse Supervisor RN - Utilization Review - $2,460 per week

Prime Staffing

Carlisle, PA • On-site

$2.4K/wk

Other

Posted 5 days ago

Job description

Prime Staffing is seeking a travel nurse RN Utilization Review Supervisor for a travel nursing job in Carlisle, Pennsylvania.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 08/03/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Job Title: RN – Utilization Manager

Location: Carlisle, PA

Contract Length: 7 Weeks

Shift: Days | 7:00 AM – 3:30 PM

Guaranteed Hours: 40 Hours/Week

Requirements:
  • Active RN license
  • Previous Utilization Management/Utilization Review experience required
  • Knowledge of InterQual and/or MCG criteria preferred
  • Strong clinical assessment and documentation skills
  • Experience with EMR systems
  • BLS Certification
Responsibilities:
  • Conduct utilization reviews to determine medical necessity and appropriate level of care
  • Collaborate with physicians, case managers, and interdisciplinary teams
  • Ensure compliance with payer and regulatory guidelines
  • Review and maintain accurate clinical documentation
  • Assist with discharge planning and care coordination
  • Communicate with insurance providers regarding authorizations and appeals

Apply today to join a dedicated healthcare team supporting quality patient care and efficient resource utilization.

About Prime Staffing

At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.

We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.

Apply