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Remote Lpn Utilization Review Jobs in Tennessee (NOW HIRING)

PharmD Live

Spanish Speaking LPN - Tennessee

Nashville, TN · Remote

$24.75 - $33.75/hr

Fully Remote Schedule: Flexible - create your own hours Requirement: Must hold an active Tennessee ... This role emphasizes patient engagement, data review, and coordination of care to reduce ...

TeleMate Health

... , or Licensed Vocational Nurse (LVN) * Strong communication skills and a commitment to providing compassionate care. * Ability to work independently and manage time effectively in a remote ...

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Remote Lpn Utilization Review information

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.

What are the most commonly searched types of Lpn Utilization Review jobs in Tennessee?

The most popular types of Lpn Utilization Review jobs in Tennessee are:

What are popular job titles related to Remote Lpn Utilization Review jobs in Tennessee?

For Remote Lpn Utilization Review jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Remote Lpn Utilization Review jobs in Tennessee look for?

The top searched job categories for Remote Lpn Utilization Review jobs in Tennessee are:

What cities in Tennessee are hiring for Remote Lpn Utilization Review jobs?

Cities in Tennessee with the most Remote Lpn Utilization Review job openings:

Remote Lpn Utilization Review jobs near you
Infographic showing various Remote Lpn Utilization Review job openings in Tennessee as of August 2026, with employment types broken down into 85% Full Time, 10% Part Time, and 5% Contract. Highlights an 100% Remote job distribution.

Remote - Licensed Practical Nurse - LPN - LVN - $21/hr - Day Shift

CareHarmony

Brentwood, TN • Remote

$28/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 9 days ago

CareHarmony rating

4.0

Company rating: 4.0 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

CareHarmony's Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.

CareHarmony is seeking an experienced Licensed Practical Nurse to work 100% Remote - LPN Nurse (LPN) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient's healthcare journey.

You will have experience identifying resources and coordinating needs for chronic care management patients.

What's in it for you?

  • Fully remote position - Work from the comfort of your own home in cozy clothes without a commute. Score!
  • Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on average.
  • Career growth - Many of our team members move up in the company at a faster-than-average rate. We love to see our people succeed!

Requirements

Responsibilities:

  • Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical patient care.
  • Identify and coordinate community resources with patients that would benefit their care.
  • Provide patient education and health literacy on the management of chronic conditions.
  • Perform medication management, including identifying potential medication concerns, reconciliation, adherence, and coordinating refills.
  • Assist in ensuring timely delivery of services to your patients; Home Health, DME, Home Infusion, and other critical needs.
  • Resolve patients' questions and create an open dialogue to understand needs.
  • Assist/Manage referrals and appointment scheduling.

Additional Requirements:

  • Active Multi-State/Compact License (LPN) (NLC) (LVN)
  • Technical aptitude - Microsoft Office Suite
  • Excellent written and verbal communication skills

Plusses:

  • Epic Experience
  • Bilingual
  • Additional single state licensures (LPN)

Remote Requirements:

  • Must have active high-speed Wi-Fi
  • Must have a home office or HIPAA-compliant workspace

Physical Requirements:

  • This position is sedentary and will require sitting for long periods of time
  • This position will require the ability to speak clearly and listen attentively, often by telephone, for an extended period of time 
  • The position will require the ability to understand, process, and take thorough notes in real-time on telephone conversations 

Benefits:

  • Health Benefits (core medical, dental, vision)
  • Paid Holidays
  • Paid Time Off (PTO)
  • Sick Time Off (STO)
  • 401k with company match
  • Company laptop provided

Pay:

  • The position starts at $21/hr with the ability to earn up to $28/hr based on production
  • Quarterly bonus program
  • Opportunities to pick up OT to increase earnings

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