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Lvn Utilization Review Jobs (NOW HIRING)

Midland Health

Nurse Utilization Review

Midland, TX · On-site

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... Texas License as a Registered Nurse. 5 years of nursing experience (preferably in utilization ...

Midland Health

Nurse Utilization Review

Midland, TX

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... Texas License as a Registered Nurse. 5 years of nursing experience (preferably in utilization ...

Midland Health

Nurse Utilization Review

Midland, TX

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... Texas License as a Registered Nurse. 5 years of nursing experience (preferably in utilization ...

Midland Health

Nurse Utilization Review

Midland, TX

Assists with ensuring compliance with CMS Conditions of Participation for Utilization Review, Appendix A/42 CFR 482.30 EDUCATION AND EXPERIENCE Current State of Texas License as a Registered Nurse. 5 ...

Pacer Group

RN - UTILIZATION REVIEW

Everett, WA · On-site

$60 - $65/hr

Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date ... BLS, WA RN License Will this traveler need to float between like units? No Locals accepted? No.

Sedgwick

RN Utilization Review

Phoenix, AZ · On-site

$73K - $75K/yr

Education & Licensing Active unrestricted RN license in a state or territory of the United States ... Utilization review based certification preferred. Experience Four (4) years of related experience ...

Sedgwick

RN Utilization Review

Pierre, SD · On-site

$73K - $75K/yr

Education & Licensing Active unrestricted RN license in a state or territory of the United States ... Utilization review based certification preferred. Experience Four (4) years of related experience ...

Sedgwick

RN Utilization Review

Juneau, AK · On-site

$73K - $75K/yr

Education & Licensing Active unrestricted RN license in a state or territory of the United States ... Utilization review based certification preferred. Experience Four (4) years of related experience ...

Sedgwick

RN Utilization Review

Montgomery, AL · On-site

$73K - $75K/yr

Education & Licensing Active unrestricted RN license in a state or territory of the United States ... Utilization review based certification preferred. Experience Four (4) years of related experience ...

Sedgwick

RN Utilization Review

Atlanta, GA · On-site

$73K - $75K/yr

Education & Licensing Active unrestricted RN license in a state or territory of the United States ... Utilization review based certification preferred. Experience Four (4) years of related experience ...

Sedgwick

RN Utilization Review

Annapolis, MD · On-site

$73K - $75K/yr

Education & Licensing Active unrestricted RN license in a state or territory of the United States ... Utilization review based certification preferred. Experience Four (4) years of related experience ...

Sedgwick

RN Utilization Review

Tallahassee, FL · On-site

$73K - $75K/yr

Education & Licensing Active unrestricted RN license in a state or territory of the United States ... Utilization review based certification preferred. Experience Four (4) years of related experience ...

Sedgwick

RN Utilization Review

Augusta, ME · On-site

$73K - $75K/yr

Education & Licensing Active unrestricted RN license in a state or territory of the United States ... Utilization review based certification preferred. Experience Four (4) years of related experience ...

Sedgwick

RN Utilization Review

Boston, MA · On-site

$73K - $75K/yr

Education & Licensing Active unrestricted RN license in a state or territory of the United States ... Utilization review based certification preferred. Experience Four (4) years of related experience ...

Sedgwick

RN Utilization Review

Saint Paul, MN · On-site

$73K - $75K/yr

Education & Licensing Active unrestricted RN license in a state or territory of the United States ... Utilization review based certification preferred. Experience Four (4) years of related experience ...

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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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What cities are hiring for Lvn Utilization Review jobs? Cities with the most Lvn Utilization Review job openings:
What states have the most Lvn Utilization Review jobs? States with the most job openings for Lvn Utilization Review jobs include:
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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.
Travel Nurse RN - Utilization Review

Travel Nurse RN - Utilization Review

Prime Staffing

Rosedale, MD • On-site

Contractor

This job post has expired today. Applications are no longer accepted.

Job description

Prime Staffing is seeking a travel nurse RN Utilization Review for a travel nursing job in Rosedale, Maryland.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

About the Position
Specialty: RN – Utilization Review
Experience: 2+ years of experience in utilization review, case management, or acute care nursing
License: Active State or Compact RN License
Certifications: BLS – AHA; Certified Case Manager (CCM) preferred
Must-Have: Strong understanding of insurance guidelines, medical necessity criteria (e.g., InterQual or MCG), and discharge planning


Description: The Utilization Review RN is responsible for reviewing medical records to determine the appropriateness and medical necessity of hospital admissions and continued stays. The nurse collaborates with providers, insurance companies, and case managers to ensure compliance with coverage guidelines and supports optimal patient outcomes while managing healthcare costs.

Requirements

Required for Onboarding:

  • Active RN License
  • BLS

Prime Staffing Job ID #36524314. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Utilization Review,08:00:00-16:00:00

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.



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