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Lvn Utilization Review Jobs (NOW HIRING)

LSMA Management Inc

Denial LVN

San Bernardino, CA · On-site

$35 - $40/hr

JOB SUMMARY The Denial Review LVN supports the Utilization Management and Denial Compliance functions by assisting with the review, auditing, and correction of denial documentation to ensure ...

LSMA Management Inc

Denial LVN

San Bernardino, CA

$35 - $40/hr

Description JOB SUMMARY The Denial Review LVN supports the Utilization Management and Denial Compliance functions by assisting with the review, auditing, and correction of denial documentation to ...

Dane Street

PRN Utilization Review Nurse Reviewer

... for utilization review. * Apply clinical reasoning to determine the suitable evidence-based ... Holds an unrestricted LVN/RN license from an accredited vocational nursing program (for LVNs) or a ...

LSMA Management Inc

Denial LVN

San Bernardino, CA · On-site

$35 - $40/hr

JOB SUMMARY The Denial Review LVN supports the Utilization Management and Denial Compliance functions by assisting with the review, auditing, and correction of denial documentation to ensure ...

LSMA Management Inc

Denial LVN

San Bernardino, CA · On-site

$35 - $40/hr

JOB SUMMARY The Denial Review LVN supports the Utilization Management and Denial Compliance functions by assisting with the review, auditing, and correction of denial documentation to ensure ...

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Lvn Utilization Review information

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How much do lvn utilization review jobs pay per hour?

As of Aug 16, 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 is an LVN Utilization Review?

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?

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 August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $66,243 per year, or $31.8 per hour.

Registered Nurse - Utilization Review

Bestica Healthcare

Apple Valley, CA • On-site

Other

Re-posted 19 days ago

Job description

Registered Nurse - Utilization Review

Weekend Requirements - UR RN 4 weekend shifts (days) in a six-week period but can be more

Job Description

• Start date: ASAP

• Floating Expectation: No

• Ratios: 1:40

• Years of experience REQ: 3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group)

• First-timers accepted: Seasoned traveler is required Hardstop

• Weekend REQ: minimum of 4 shift w/in a 6-week period

• CA state license: Yes

• Pending License accepted: Yes, but must be licensed upon start date

• RTO Restrictions: No more than 7 days

Hospital Highlights

• Type of Facility: Acute Care Facility

• Scrub Color: Business Attire

About Company Bestica

We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation and synergy are encouraged to build our workplace into a community of like-minded, passionate people. Bestica is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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