NCLEX-PN Tutor
Eugene, OR · Remote
$18 - $40/hr
Adapts instruction using NCLEX-PN specific practice question banks, content review focused on practical nursing priorities, and clinical scenario practice to support LPN and LVN program graduates ...
Eugene, OR · Remote
$18 - $40/hr
Adapts instruction using NCLEX-PN specific practice question banks, content review focused on practical nursing priorities, and clinical scenario practice to support LPN and LVN program graduates ...
Eugene, OR · Remote
$18 - $40/hr
Adapts instruction using NCLEX-PN specific practice question banks, content review focused on practical nursing priorities, and clinical scenario practice to support LPN and LVN program graduates ...
OR · Remote
$18 - $40/hr
Adapts instruction using NCLEX-PN specific practice question banks, content review focused on practical nursing priorities, and clinical scenario practice to support LPN and LVN program graduates ...
OR · Remote
$18 - $40/hr
Adapts instruction using NCLEX-PN specific practice question banks, content review focused on practical nursing priorities, and clinical scenario practice to support LPN and LVN program graduates ...
OR · Remote
Assists the Manager in the coordination and preparation of the HEDIS medical record review which ... N/LVN/LPN HEDIS knowledge Ability to read and understand medical records Independent and able to ...
OR · Remote
Assists the Manager in the coordination and preparation of the HEDIS medical record review which ... N/LVN/LPN HEDIS knowledge Ability to read and understand medical records Independent and able to ...
OR · On-site +1
$236K - $449K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... License/Certifications: * Active Board certification in a medical specialty recognized by the ...
OR · On-site +1
$236K - $449K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... License/Certifications: * Active Board certification in a medical specialty recognized by the ...
Portland, OR · On-site +1
$90/hr
Our Care Coordination team manages Higher Level of Care requests for your clients, and our Quality Team of licensed clinicians leads peer reviews, develops practice guidelines, and provides clinical ...
Portland, OR · On-site +1
$90/hr
Our Care Coordination team manages Higher Level of Care requests for your clients, and our Quality Team of licensed clinicians leads peer reviews, develops practice guidelines, and provides clinical ...
OR · Remote
This is a fully remote position. Preferred candidates possess telehealth/remote patient support ... g., LPN/LVN, RN , NP, PA, SLP, OT/COTA, PT/PTA, PharmD, Registered Dietitian ). * 2+ years of ...
OR · Remote
This is a fully remote position. Preferred candidates possess telehealth/remote patient support ... g., LPN/LVN, RN , NP, PA, SLP, OT/COTA, PT/PTA, PharmD, Registered Dietitian ). * 2+ years of ...
This is a fully remote position. Preferred candidates are able to work in Mountain or Pacific Time ... g., LPN/LVN, RN, NP, PA, SLP, OT/COTA, PT/PTA, PharmD, Registered Dietitian). * 2+ years of ...
This is a fully remote position. Preferred candidates are able to work in Mountain or Pacific Time ... g., LPN/LVN, RN, NP, PA, SLP, OT/COTA, PT/PTA, PharmD, Registered Dietitian). * 2+ years of ...
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master ...
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master ...
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master ...
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master ...
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master ...
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master ...
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master ...
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master ...
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master ...
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas ... Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master ...
OR · On-site +1
$75K - $135K/yr
NOTE: REMOTE RN candidates may reside in any state but a current and active RN license from the ... Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization ...
OR · On-site +1
$75K - $135K/yr
NOTE: REMOTE RN candidates may reside in any state but a current and active RN license from the ... Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization ...
Grants Pass, OR · Remote
Why Nurses Choose Riverside Remote work from home 7-On / 7-Off schedule providing exceptional work ... and LPNs with clinical questions and complex patient situations Provide real-time guidance ...
Grants Pass, OR · Remote
Why Nurses Choose Riverside Remote work from home 7-On / 7-Off schedule providing exceptional work ... and LPNs with clinical questions and complex patient situations Provide real-time guidance ...
Grants Pass, OR · Remote
Why Nurses Choose Riverside ✔ Remote work from home ✔ 7-On / 7-Off schedule providing ... and LPNs with clinical questions and complex patient situations Provide real-time guidance ...
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Grants Pass, OR · Remote
Why Nurses Choose Riverside ✔ Remote work from home ✔ 7-On / 7-Off schedule providing ... and LPNs with clinical questions and complex patient situations Provide real-time guidance ...
OR · Remote
$55K - $67K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... An independent license is preferred, but we're happy to work with associate-level clinicians who ...
OR · Remote
$55K - $67K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... An independent license is preferred, but we're happy to work with associate-level clinicians who ...
Eugene, OR · On-site +1
$80K/yr
... are utilization. Together with our health plan partners, we are changing the way our society ... Active RN license through a Nurse Licensure Compact (NLC) state and willingness to obtain licensure ...
Eugene, OR · On-site +1
$80K/yr
... are utilization. Together with our health plan partners, we are changing the way our society ... Active RN license through a Nurse Licensure Compact (NLC) state and willingness to obtain licensure ...
OR · On-site +1
$120K - $130K/yr
Conduct targeted audits of clinical documentation, utilization review practices, and workflows to ... Independent clinical licensure (e.g., LMHC, LCSW, LPC, RN) strongly preferred * 5-7+ years of ...
OR · On-site +1
$120K - $130K/yr
Conduct targeted audits of clinical documentation, utilization review practices, and workflows to ... Independent clinical licensure (e.g., LMHC, LCSW, LPC, RN) strongly preferred * 5-7+ years of ...
OR · On-site +1
$120K - $130K/yr
Conduct targeted audits of clinical documentation, utilization review practices, and workflows to ... Independent clinical licensure (e.g., LMHC, LCSW, LPC, RN) strongly preferred * 5-7+ years of ...
OR · On-site +1
$120K - $130K/yr
Conduct targeted audits of clinical documentation, utilization review practices, and workflows to ... Independent clinical licensure (e.g., LMHC, LCSW, LPC, RN) strongly preferred * 5-7+ years of ...
$18 - $22/hr
This individual is responsible to ensure the referrals are set up in the Utilization Review/Case ... X Solve practical problems; variety of variables with limited standardization; interpret ...
$18 - $22/hr
This individual is responsible to ensure the referrals are set up in the Utilization Review/Case ... X Solve practical problems; variety of variables with limited standardization; interpret ...
$22.62 - $27.19
2% of jobs
$27.19 - $31.77
9% of jobs
$34.90 is the 25th percentile. Wages below this are outliers.
$31.77 - $36.34
21% of jobs
The median wage is $40.05 / hr.
$36.34 - $40.92
23% of jobs
$40.92 - $45.49
13% of jobs
$49.05 is the 75th percentile. Wages above this are outliers.
$45.49 - $50.07
10% of jobs
$50.07 - $54.64
8% of jobs
$54.64 - $59.22
5% of jobs
$59.22 - $63.79
5% of jobs
$63.79 - $68.37
2% of jobs
$68.37 - $72.94
2% of jobs
$22
$44
$72
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.
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.
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.

5.7
Based on 16 frontline employees who took The Breakroom Quiz
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Sourced by ZipRecruiter
Education
501 - 1,000 Employees
St. Louis, MO, US
2007