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No Experience Lpn Utilization Review Jobs (NOW HIRING)

Acrisure, LLC

$55 - $90/hr

## Utilization Review NurseApplyremote type: Hybridlocations: 1301 6th Ave W - BRADENTON, FLposted on ... This position is ideal for an experienced LPN with a strong clinical background who enjoys applying ...

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Voyage Health

Travel RN Utilization Review

Torrance, CA · On-site

$1.8K - $1.9K/wk

ASAP Contract Length: 13-week Position: RN Utilization Review (Travel/Contract) We're hiring experienced RN Utilization Review for a 13-week contract in Torrance, California -- earn up to ($1816 ...

HAN Staff

RN - Utilization Review

Fort Myers, FL · On-site

$2.1K/wk

Utilization Review Registered Nurse (RN) * Shift: Day * 13 Week Contracts and more available ... DragonFly experience is required * An active, current (FL) state license Apply for this job now or ...

UHS

Utilization Review Nurse (RN)

Augusta, GA · On-site

Education and Experience: * Registered Nurse (RN) preferred or License Professional Nurse (LPN) * ... During the recruitment process, no recruiter or employee will request financial or personal ...

KTI Health

Be Seen First

Registered Nurse Utilization Review - Remote

Torrance, CA · Remote

$2.1K - $2.2K/wk

Active California RN license required * Utilization Review / Case Management experience preferred * Must be available for the assigned PST schedule * Strong clinical documentation and review skills ...

UHS

Utilization Review Clinician

Augusta, GA · On-site

Must have 2 years of experience in a psychiatric health care setting, delivery of care to ... Nurses with a current GA or Multistate license encouraged to apply. (LPN, RN) Certifications ...

Pride Health

Utilization Review Nurse

Queens, NY · On-site

$2.8K/wk

New York State RN License & Primary Source Verification. AHA BLS. 1+ year of non-acute utilization review experience Skills: * Strong clinical assessment, analytical, and critical thinking skills ...

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

As of Sep 3, 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 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.

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 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

RN UR (REGISTERED NURSE UTILIZATION REVIEW) - HOME HEALTH

South Central Regional Medical Center

Laurel, MS • On-site

Full-time

Posted 7 days ago

South Central Regional Medical Center rating

5.3

Company rating: 5.3 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

964th of 1,065 rated hospitals

Job description

RN – Utilization Review (RN UR)Job Title:

Registered Nurse – Utilization Review (RN UR)

Department:

Home Health

Full Time/PRN:

Full Time

Job Summary

Performs utilization review activities; coordinates with clinical teams, payers, and external agencies; ensures timely reviews and documentation in compliance with policy and HIPAA.

Minimum Qualifications

• RN/LPN or RHIT/RHIA trained/eligible OR non‑credentialed with UR experience and basic ICD‑10/InterQual knowledge.

Preferred Qualifications

• Prior UR experience and authorization process proficiency.

Essential Duties & Responsibilities

• Review cases per procedures/timelines; request additional info as needed.

• Communicate effectively; prioritize workload; follow up on incompletes.

• Operate office equipment and maintain confidentiality.

Physical Requirements

• Prolonged periods of sitting and computer work.

• Occasional standing, walking, bending, and reaching.

• Lift up to 25 lbs occasionally (files/supplies).

• Adequate vision, hearing, and speech to perform job duties and communicate effectively.

All candidates must be able to perform the essential functions of this position. The American with Disabilities Act (ADA) requires that reasonable accommodations be made for qualified individuals to help perform the essential functions of the position.

South Central Regional Medical Center is an equal opportunity employer and does not discriminate based on race, color, religion, sex, gender, national origin, age, disability, or genetic information.


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