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How much do lvn utilization review jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for lvn utilization review in the United States is $31.85, according to ZipRecruiter salary data. Most workers in this role earn between $26.44 and $35.58 per hour, depending on experience, location, and employer.

What are LVN Utilization Review nurses?

LVN Utilization Review nurses are Licensed Vocational Nurses who specialize in evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, coordinate with healthcare providers, and help ensure that treatments meet established guidelines and insurance requirements. By assessing the quality and cost-effectiveness of care, they play a vital role in managing healthcare resources and supporting patient advocacy.

What are some common challenges faced by LVNs in Utilization Review positions, and how can they be managed?

LVNs in Utilization Review often encounter challenges such as balancing clinical knowledge with administrative tasks, adapting to evolving insurance guidelines, and managing high caseloads. Navigating frequent policy updates and documentation requirements can be demanding, but staying organized and proactively communicating with healthcare teams helps maintain efficiency. Utilizing available training resources and collaborating closely with RNs, physicians, and insurance representatives can also ease the transition and support professional growth in the role.

What is the difference between Lvn Utilization Review vs Lvn Case Manager?

AspectLvn Utilization ReviewLvn Case Manager
CertificationsLicensed Vocational Nurse (LVN)Licensed Vocational Nurse (LVN)
Work EnvironmentReviewing medical records, insurance, and treatment plans in office or hospital settingsCoordinating patient care, communicating with providers and families, often in clinical or home settings
Employer & IndustryInsurance companies, healthcare facilities, utilization review organizations

While both roles require LVN licensure, Lvn Utilization Review focuses on evaluating medical necessity and reviewing records, whereas Lvn Case Managers actively coordinate patient care and support treatment plans. The roles differ mainly in daily responsibilities but share similar credentials and work environments.

What are the key skills and qualifications needed to thrive as an LVN Utilization Review nurse, and why are they important?

To thrive as an LVN Utilization Review nurse, you need a strong clinical background, current LVN licensure, and knowledge of medical terminology and care standards. Familiarity with utilization management software, electronic health records (EHRs), and insurance guidelines is typically required. Strong analytical skills, attention to detail, and effective communication are vital soft skills for collaborating with healthcare teams and ensuring accurate reviews. These skills ensure that patient care is both appropriate and cost-effective while maintaining compliance with regulatory and payer requirements.
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Lvn Utilization Review jobs near you
Infographic showing various Lvn Utilization Review job openings in the United States as of June 2026, with employment types broken down into 68% Full Time, 19% Part Time, and 13% Contract. Highlights an 81% In-person, 6% Hybrid, and 13% Remote job distribution, with an average salary of $66,243 per year, or $31.8 per hour.
LVN Utilization Review Coordinator

LVN Utilization Review Coordinator

Vista del Mar Hospital

Ventura, CA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine record keeping tasks. Provide clerical support to the department.

Requirements

Associate or equivalent combination of training, education, certification and experience.

One (1) year utilization review, chart review and/or previous experience in healthcare preferred. Computer skills, data entry and filing skills.

Licenses

LVN, LPT (preferred),

Benefits

At Vista del Mar Hospital, you will find yourself in a position with great growth potential. We make it a priority to provide advancement opportunities and ongoing education for our entire team, in both clinical and non-clinical roles. This helps us ensure ongoing patient safety and quality care across our facility.

Each of our professionals is compassionate and committed to the goal of excellence in the mental health care industry. Because we bring on the most reputable and experienced healthcare professionals to fill our open behavioral health jobs, our goal is to keep them long-term. This is better for patients and our own staff, as it allows everyone to feel more comfortable in their environment.

Although a mental health career with Vista del Mar can be extremely rewarding in its own right, we understand the importance of employee benefits. Vista del Mar offers the following:

  • Health Insurance
  • Vision Insurance
  • Dental Insurance
  • 401K Retirement Plan
  • Healthcare Spending Account
  • Dependent Care Spending Account
  • PTO Plan
  • Discounted Cafeteria Meal Plan
  • Life Insurance (Supplemental Life, Term and Universal plans are also available.)
  • Short and Long-Term Disability (with additional buy-in opportunities)