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No Experience Lpn Utilization Review Jobs (NOW HIRING)

Phenom People

RN Utilization Review PRN

Paris, KY · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

PRN, RN - Utilization Review Making Communities Healthier with Comprehensive Care... You can get to ... Handle With Care Licenses: RN in the state of Kentucky Equal opportunity and affirmative action ...

Slate Healthcare

RN - Utilization Review

Tuba City, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Overview As a Utilization Review Nurse, you will play a vital role in ensuring that patients receive appropriate care by verifying medical necessity and monitoring the ongoing need for services. You ...

Slate Healthcare

RN - Utilization Review

Fort Myers, FL · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Overview In this role, you will manage utilization review processes, ensuring quality patient care while optimizing resource use. Your responsibilities include assessing patient eligibility ...

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How much do no experience lpn utilization review jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for no experience 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.

What are the key skills and qualifications needed to thrive as a no experience LPN utilization review?

To thrive as a No Experience LPN Utilization Review nurse, you need a current LPN license, foundational knowledge of nursing practices, and a basic understanding of healthcare documentation. Familiarity with utilization review software, electronic medical records (EMRs), and insurance guidelines is typically required, though some on-the-job training may be provided. Strong attention to detail, critical thinking, and effective written and verbal communication skills help set candidates apart. These skills are vital for accurately assessing medical records, ensuring appropriate care, and maintaining compliance with healthcare regulations.

What are some common challenges faced by new LPNs in utilization review, and how can they be addressed?

New LPNs in Utilization Review often find it challenging to transition from hands-on patient care to an administrative, analytical role. Learning to interpret medical records, apply insurance guidelines, and use specialized software can feel overwhelming at first. Seeking mentorship from experienced team members, participating in on-the-job training, and utilizing available resources can help ease the transition. Consistent communication with both clinical and non-clinical staff also supports effective decision-making and fosters collaboration.

What is a no experience LPN utilization review?

A No Experience LPN Utilization Review position is a job for Licensed Practical Nurses (LPNs) who have little to no prior experience in utilization review. In this role, LPNs help assess the medical necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. These positions often involve reviewing patient records, collaborating with healthcare providers, and ensuring compliance with insurance and regulatory guidelines. Employers may provide on-the-job training for entry-level candidates interested in transitioning from bedside care to administrative or case management roles. This is a good way for LPNs to move into non-clinical nursing careers.

Can a no experience Lpn utilization review become a utilization review nurse?

A no experience LPN in utilization review can potentially become a utilization review nurse by gaining additional education, such as a registered nurse (RN) license, and relevant experience. Many employers prefer RNs for utilization review roles due to their broader clinical knowledge and licensure requirements. Transitioning often involves obtaining RN licensure and developing skills in case management and medical record review.

What is the difference between No Experience Lpn Utilization Review vs No Experience Lpn Case Management?

AspectNo Experience Lpn Utilization ReviewNo Experience Lpn Case Management
CertificationsLicensed Practical Nurse (LPN)Licensed Practical Nurse (LPN)
Work EnvironmentInsurance companies, healthcare facilities, utilization review departmentsHealthcare facilities, insurance companies, patient coordination teams
Job FocusReviewing medical necessity and insurance claimsCoordinating patient care and discharge planning
Common UsageUtilization review and insurance companiesPatient advocacy and care coordination

Both roles typically require an LPN license and involve healthcare settings, but No Experience Lpn Utilization Review focuses on assessing insurance claims and medical necessity, while No Experience Lpn Case Management emphasizes coordinating patient care and discharge planning. Understanding these differences helps job seekers target the right position based on their skills and interests.

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No Experience Lpn Utilization Review jobs near you

Utilization Review Specialist

Desert Parkway Behavioral Healthcare Hospital

Las Vegas, NV

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Job description

We are looking for a detailed-oriented Utilization Review (UR) Specialist to help us maximize patient care quality and ensure seamless insurance operations.

The UR Specialist evaluates patient medical records to ensure treatments meet clinical necessity and regulatory standards. You will serve as the primary bridge between our medical staff and insurance providers, facilitating timely care approvals and minimizing claim denials.

Other responsibilities include retrieving discharge documents on a daily basis from charts, faxing when applicable, and retrieving authorizations.

KEY RESPONSIBILITIES:

  • Evaluate outpatient charts against established clinical criteria.
  • Submit and track insurance authorization requests.
  • Draft and submit clinical appeals for denied services.
  • Communicate directly with insurance medical directors and case managers.
  • Advise physicians and clinical staff on documentation requirements.
  • Monitor utilization trends, denial rates, and approval timelines.
  • Ensure adherence to Medicare, Medicaid, and private payer guidelines.
  • Hours are Monday - Friday from 8:00am - 4:30pm

Requirements

  • Active State of Nevada Licensed Practical Nurse (LPN) license required
  • Minimum two (2) years of clinical experience, with 1+ years in utilization review or case management required
  • Knowledge of Nevada Payors required
  • Previous experience working in behavioral healthcare strongly preferred
  • Strong Microsoft word and excel skills required
  • Maintains confidentiality of patients at all times

Benefits

Eligible for benefits 1st of the month following one month of employment.

Desert Parkway offers competitive benefits to include:

  • Health insurance
  • Vision insurance
  • Dental insurance
  • 401K Retirement Plan
  • Healthcare spending account
  • Dependent care spending account
  • PTO Plan with holiday premium pay
  • 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)

Apply