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No Experience Lpn Utilization Review Jobs (NOW HIRING)

CorVel Corporation

$85 - $110/hr

RN is required unless local state regulations permit LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and retrospective utilization review experience preferred

New

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

... LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and ... utilization review experience preferred * Experience in the clinical areas of OR, ICU, CCU, ER and ...

SPEROS

$77 - $118/hr

Licensure Certification Needed: Yes Minimum Licensure: Registered Nurse (RN) Minimum Licensure ... We seek candidates whose skills, and personal and professional experience, have prepared them to ...

New

Montefiore Nyack

$99 - $121/hr

... utilization, performing continued stay reviews and assists with managing length of stay of patients ... U or ER experience preferred Preferred Membership in a professional organization preferred.

New

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

As of Sep 4, 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

Utilization Review Specialist (LPCC, LSW, LCDC III or RN)

MARYHAVEN, INC.

Columbus, OH • On-site

$58K - $62K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Job description

 
 
 
 

Utilization Review Specialist Job Description

Unique opportunity to join Maryhaven, Central Ohio’s largest and most comprehensive behavioral services provider specializing in addiction recovery. We are looking for skilled, talented, and compassionate people to join our team! Maryhaven was founded on the principles of Diversity, Equity, and Inclusion in 1953, opening our doors to serve an overlooked segment of our population, women in need of substance abuse recovery services. We remain driven by our value of excellence in quality care for all and fostering a culture that embraces dignity of all. The Utilization Review Specialist coordinates the design, development, implementation, and monitoring of the organization’s Benefits and utilization review functions. The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management. The Manager of Utilization review participates in department development and unit performance improvement. 

Utilization Review Specialist Benefits

  • Knowledge and skills at a level normally acquired through the completion of a Bachelor's Degree in human service or behavioral health with two (2) years experience in the field of chemical dependency, or adolescent treatment or equivalent experience and training in behavioral health field.
  • Knowledge of Electronic Health Records. 
  • Must have LPCC, LSW,  LCDC III or RN.   

Utilization Review Specialist Requirements

  • Salary commensurate with experience
  • Medical, Vision, & Dental
  • Paid time off
  • 11 paid holidays
  • 403 (b) Retirement savings plan
  • Continuing education and tuition reimbursement options 
  • A well-funded and managed non-profit organization driven not by the bottom line, but by helping its customers
  • Equal Employment Opportunity (EEO)