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Remote Lpn Utilization Review Jobs (NOW HIRING)

KTI Health

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Registered Nurse Utilization Review - Remote

Torrance, CA · Remote

$2.1K - $2.2K/wk

Remote Travel/Contract Contract: 13 weeks Start Date: September 21, 2026 Pay: $55/hour & $2200 ... Active California RN license required * Utilization Review / Case Management experience preferred

PharmD Live

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 ...

PharmD Live

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 ...

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

As of Sep 3, 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.

What is a remote LPN utilization review?

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.

What does a remote LPN utilization review do?

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 are the key skills and qualifications needed for a remote LPN utilization review?

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 a remote LPN become a utilization review nurse?

A remote LPN can transition to a utilization review nurse role, but typically requires additional training or certification in utilization review, case management, or healthcare administration. Experience in clinical assessment and familiarity with medical records and coding are also beneficial for this career progression.

What kind of remote jobs can a licensed practical nurse do?

A licensed practical nurse (LPN) can work remotely in roles such as telehealth nursing, patient case management, and utilization review. These positions typically require strong communication skills, clinical knowledge, and often involve reviewing medical records or coordinating care from a remote setting.
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Remote Lpn Utilization Review jobs near you
Infographic showing various Remote Lpn Utilization Review job openings in the United States as of August 2026, with employment types broken down into 5% As Needed, 85% Full Time, and 10% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Remote LPN Utilization Review Specialist

Mass Digital Health

Quincy, MA • Remote

$27 - $36.75/hr

Full-time

Medical, Dental, Retirement

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based on patient eligibility and contract requirements, requiring clinical expertise and knowledge of Medicaid guidelines. Candidates must have an active LPN license, at least one year of experience in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical, dental, and 401(k) plans.

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