Richmond, VA · Remote
$75K/yr
... utilization review * Facilitate timely and safe discharge planning * Serve as primary point of ... This is a Remote Position. * Competitive Salary * Medical, Dental, and Vision Insurance * 401K ...
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Richmond, VA · Remote
$75K/yr
... utilization review * Facilitate timely and safe discharge planning * Serve as primary point of ... This is a Remote Position. * Competitive Salary * Medical, Dental, and Vision Insurance * 401K ...
Alexandria, VA · Remote
$27.50 - $37.50/hr
We're looking for a Licensed Practical Nurse (LPN) focused on remote patient monitoring and ... A deep commitment to preventive care and reducing hospital readmissions/ER utilization. * Ability ...
Alexandria, VA · Remote
$27.50 - $37.50/hr
We're looking for a Licensed Practical Nurse (LPN) focused on remote patient monitoring and ... A deep commitment to preventive care and reducing hospital readmissions/ER utilization. * Ability ...
Salem, VA · Remote
$30 - $39/hr
Employee Referral Program Position Summary The Remote RN/LPN is responsible for supporting patients ... Review patient medical records, assess needs, and develop appropriate plans of care using sound ...
Salem, VA · Remote
$30 - $39/hr
Employee Referral Program Position Summary The Remote RN/LPN is responsible for supporting patients ... Review patient medical records, assess needs, and develop appropriate plans of care using sound ...
Orange, VA · On-site +1
$24.75 - $33.75/hr
... remote/home office for the LTSS Waiver population in Culpeper, Warrenton, Fauquier, Catlett ... Responsible for data entry and monitoring of reports to increase utilization of EPSDT services.
Orange, VA · On-site +1
$24.75 - $33.75/hr
... remote/home office for the LTSS Waiver population in Culpeper, Warrenton, Fauquier, Catlett ... Responsible for data entry and monitoring of reports to increase utilization of EPSDT services.
Chesapeake, VA · On-site +1
$48K - $88K/yr
Completes assignments in a timely manner with constructive utilization of remining time ... higher-level review. GS-6 (a) Completion of at least one (1) year of additional qualifying ...
Chesapeake, VA · On-site +1
$48K - $88K/yr
Completes assignments in a timely manner with constructive utilization of remining time ... higher-level review. GS-6 (a) Completion of at least one (1) year of additional qualifying ...
Richmond, VA · Remote
$25.50 - $34.75/hr
Prepare, review, and upload all pre-visit documentation into the EMR (Athena) * Review hospital ... Eligible for partial remote work upon successful completion of probation, based on performance and ...
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Richmond, VA · Remote
$25.50 - $34.75/hr
Prepare, review, and upload all pre-visit documentation into the EMR (Athena) * Review hospital ... Eligible for partial remote work upon successful completion of probation, based on performance and ...
... utilization review, or managed care experience; or any combination of education and experience ... Remote position; candidates must reside within 50 miles or 1-hour (each way) commute to, a relevant ...
... utilization review, or managed care experience; or any combination of education and experience ... Remote position; candidates must reside within 50 miles or 1-hour (each way) commute to, a relevant ...
Dublin, VA · On-site +1
$44K - $50K/yr
The LPN provides nursing supports and direct services designed to promote independence for individuals residing in the Fairview Home Assisted Living Facility. Works to ensure individuals health and ...
Dublin, VA · On-site +1
$44K - $50K/yr
The LPN provides nursing supports and direct services designed to promote independence for individuals residing in the Fairview Home Assisted Living Facility. Works to ensure individuals health and ...
Chesapeake, VA · On-site +1
$47K - $80K/yr
Total Rewards of a Allied Health Professional The Licensed Practical Nurse (LPN) reports to the ... Completes assignments in a timely manner with constructive utilization of remining time.
Chesapeake, VA · On-site +1
$47K - $80K/yr
Total Rewards of a Allied Health Professional The Licensed Practical Nurse (LPN) reports to the ... Completes assignments in a timely manner with constructive utilization of remining time.
Roanoke, VA · On-site +1
$25.50 - $33.75/hr
We're assembling a contracted team of experienced Remote Patient Monitoring LPNs to provide clinical services to our partner health system and patients. Empo Health's first product, the Empo ...
Roanoke, VA · On-site +1
$25.50 - $33.75/hr
We're assembling a contracted team of experienced Remote Patient Monitoring LPNs to provide clinical services to our partner health system and patients. Empo Health's first product, the Empo ...
Newport News, VA · On-site +1
$28.50 - $39/hr
The LPN may work in a variety of settings and roles within Riverside Medical Group providing hands-on clinical care to include manual vitals, medication review, injections and blood draw. The LPN ...
Newport News, VA · On-site +1
$28.50 - $39/hr
The LPN may work in a variety of settings and roles within Riverside Medical Group providing hands-on clinical care to include manual vitals, medication review, injections and blood draw. The LPN ...
Chesapeake, VA · On-site +1
$48K - $81K/yr
Summary Licensed Practical/Vocational Nurse - Ambulatory Care (Chesapeake, VA) The Licensed ... Completed work [should need] only a general review by a registered nurse [(RN) or physician (MD/DO ...
Chesapeake, VA · On-site +1
$48K - $81K/yr
Summary Licensed Practical/Vocational Nurse - Ambulatory Care (Chesapeake, VA) The Licensed ... Completed work [should need] only a general review by a registered nurse [(RN) or physician (MD/DO ...
Martinsville, VA · Remote
$26.86 - $40.30/hr
The Licensed Practical Nurse in Home Health is responsible for providing quality patient care and performing technical skilled care in the patient's home. Primary Responsibilities: * Provides high ...
Martinsville, VA · Remote
$26.86 - $40.30/hr
The Licensed Practical Nurse in Home Health is responsible for providing quality patient care and performing technical skilled care in the patient's home. Primary Responsibilities: * Provides high ...
$22.10 - $34.11/hr
Current Licensed Practical Nurse (LPN)/License Vocational Nurse (LVN) in the state of practice OR ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
$22.10 - $34.11/hr
Current Licensed Practical Nurse (LPN)/License Vocational Nurse (LVN) in the state of practice OR ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
$22.10 - $34.11/hr
Current Licensed Practical Nurse (LPN)/License Vocational Nurse (LVN) in the state of practice OR ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
$22.10 - $34.11/hr
Current Licensed Practical Nurse (LPN)/License Vocational Nurse (LVN) in the state of practice OR ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
Richmond, VA · 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 ...
Richmond, VA · 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 ...
Charlottesville, VA · 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 ...
Charlottesville, VA · 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 ...
Virginia Beach, VA · 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 ...
Virginia Beach, VA · 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 ...
Norfolk, VA · 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 ...
Norfolk, VA · 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 ...
Leesburg, VA · 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 ...
Leesburg, VA · 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 ...
$21.21 - $25.50
2% of jobs
$25.50 - $29.79
9% of jobs
$32.73 is the 25th percentile. Wages below this are outliers.
$29.79 - $34.08
21% of jobs
The median wage is $37.55 / hr.
$34.08 - $38.37
23% of jobs
$38.37 - $42.66
13% of jobs
$46 is the 75th percentile. Wages above this are outliers.
$42.66 - $46.95
10% of jobs
$46.95 - $51.24
8% of jobs
$51.24 - $55.53
5% of jobs
$55.53 - $59.82
5% of jobs
$59.82 - $64.11
2% of jobs
$64.11 - $68.40
2% of jobs
$21
$41
$68
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.
$75K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 5 days ago
Case Manager
At Prestige Healthcare Services, we are committed to delivering exceptional care and support to our patients and their families. Our skilled facilities offer a range of short-term and long-term skilled rehabilitation services to meet the diverse needs of our patients. We are seeking a dedicated and compassionate Case Manager to join our team.
Responsibilities:
• Develop, implement, and monitor individualized care plans in collaboration with the interdisciplinary team (nursing, therapy, social services, dietary)
• Coordinate and communicate with insurance companies and managed care organizations to obtain authorizations and manage utilization review
• Facilitate timely and safe discharge planning
• Serve as primary point of contact for residents and families regarding care plans, insurance coverage, and discharge options
• Monitor length of stay and levels of care to ensure appropriate resource utilization
• Maintain accurate and timely documentation in the electronic health record (EHR) in compliance with state and federal regulations
• Ensure compliance with CMS, state survey, and facility policies related to case management and discharge planning
• Collaborate with admissions to review referrals and support smooth transitions into the facility
What We Offer:
This is a Remote Position.
Competitive Salary
Medical, Dental, and Vision Insurance
401K Retirement Plan
Paid Time Off (PTO) and Sick Time in accordance with VA Law
Employee Wellness Program
Flexible Spending Account
Employee Assistance Program
Daily Pay
Requirements
LPN in the state of Virginia
Experience in Case Management and/or Admissions in a long-term care setting.
If you are a motivated and compassionate healthcare professional looking for a new challenge, we encourage you to apply for this exciting opportunity.
To learn more about this role and how you can make a difference at Prestige Healthcare Services, please apply today!
Prestige Healthcare Services is an equal opportunity employer.
Sourced by ZipRecruiter
Sporting product manufacturing
51 - 200 Employees
San Diego, CA, US
1991
