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Remote Lpn Utilization Review Jobs (NOW HIRING)

PharmD Live

Remote LPN/LVN - Nevada

Remote LPN/LVN - Nevada Work Arrangement: Fully Remote (Nevada LPN/LVN license required) Schedule ... Conduct virtual outreach with patients to review care plans and provide education * Monitor patient ...

InGenesis

LPN / Medical Reviewer / Remote

$26.25 - $35.75/hr

In this role, you will provide support and review of medical claims and utilization practices. This is a REMOTE opportunity for a LPN living in the state of South Carolina . Apply today and we'll ...

CEI

LPN/Medical Reviewer - Remote

Columbia, SC · Remote

$22.25 - $30.25/hr

... fully remote Must have an active LPN License. M-F 8-5 Pay 23/hr Description - * Performs medical ... Provides support and review of medical claims and utilization practices. * May provide any of the ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

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How much do remote lpn utilization review jobs pay per hour?

As of Jul 4, 2026, the average hourly pay for remote lpn utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

Can an LPN make $50 an hour?

Remote LPN utilization review positions typically pay between $20 and $35 per hour, depending on experience and employer. Earning $50 an hour is uncommon for LPN roles, as they generally have lower salary ranges compared to RNs or specialized healthcare professionals. Higher wages may be available with additional certifications or in specialized or supervisory roles.

What kind of remote jobs can LPNs do?

Remote LPNs can work in roles such as utilization review nurses, telehealth nursing, case management, and patient education. These positions typically require strong communication skills, clinical knowledge, and sometimes certification in case management or telehealth tools, allowing them to perform assessments, coordinate care, and review patient records remotely.

What does a typical day look like for a Remote LPN Utilization Review nurse?

A typical day for a Remote LPN Utilization Review nurse involves reviewing medical records, evaluating patient care for medical necessity and appropriate levels of service, and documenting findings in various systems. You’ll frequently collaborate with physicians, case managers, and other healthcare professionals via phone or email to clarify care plans or obtain additional clinical information. Many roles are structured to offer autonomous work within a supportive virtual team, and performance is often measured by accuracy, productivity, and adherence to deadlines. This position offers the opportunity to develop a deep understanding of healthcare delivery systems and can be a stepping stone to advanced roles in case management or quality assurance.

What is a Remote LPN Utilization Review job?

A Remote LPN Utilization Review job involves evaluating medical records and healthcare services to ensure they meet established guidelines for medical necessity, appropriateness, and cost-effectiveness. Licensed Practical Nurses (LPNs) in this role review patient cases, collaborate with healthcare providers, and apply clinical knowledge to determine coverage decisions. They typically work for insurance companies, hospitals, or healthcare organizations, ensuring compliance with policies and regulations. This job is performed remotely, allowing LPNs to work from home while using electronic health records and digital communication tools. Strong analytical skills, attention to detail, and knowledge of medical coding and insurance policies are important in this role.

How do I get into utilization review nursing?

To become a remote LPN in utilization review, you typically need to have an active Licensed Practical Nurse (LPN) license, relevant clinical experience, and knowledge of medical coding and insurance processes. Many employers also require familiarity with electronic health records (EHR) systems and strong communication skills. Certification in case management or utilization review can enhance job prospects and may be preferred by employers.

What are the key skills and qualifications needed to thrive in the Remote Lpn Utilization Review position, and why are they important?

To thrive as a Remote LPN Utilization Review nurse, you need a valid LPN license, strong clinical assessment abilities, and a solid understanding of medical terminology and healthcare protocols. Familiarity with utilization review software, electronic health records (EHR), and sometimes certification such as CPUR (Certified Professional in Utilization Review) is valuable. Excellent organizational skills, attention to detail, and effective written and verbal communication set standout candidates apart. These abilities are crucial for making accurate medical necessity determinations, collaborating remotely, and ensuring compliance with healthcare regulations.

Can an LPN be a utilization review nurse?

Yes, Licensed Practical Nurses (LPNs) can work as utilization review nurses, typically assisting with case assessments, documentation, and supporting clinical review processes. However, some employers may require additional certifications or experience in case management or utilization review to qualify for the role.
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Remote Lpn Utilization Review jobs near you
Registered Nurse-Utilization Review

Registered Nurse-Utilization Review

3B Healthcare, Inc.

Remote

Other

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Registered Nurse – Utilization Review (Remote)

Contract Length: 13 Weeks (Extension Possible) Facility: Providence Medical Center Location: 4101 Torrance Blvd, Torrance, CA 90503 Shift: Days – 5x8-Hour (08:00 AM – 04:30 PM) Schedule: 40 hours per week Weekend Requirement: Rotate every third weekend

Position Overview

This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).

Required Qualifications
  • Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable).
  • InterQual experience is mandatory; candidates without this will not be considered.
  • Proficient in Epic, with recent use within the last 6–12 months.
  • Experience working with HMOs, IPAs, and similar managed care organizations.
  • Strong knowledge of Medicare regulations and associated utilization management processes, including:
    • Condition Code 44 (CC44)
    • Advance Beneficiary Notices (ABNs)
    • Hospital-Issued Notices of Noncoverage (HINNs)
    • Medicare Coverage Status Notices (MCSNs)

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