... (LVN) * Technical aptitude - Microsoft Office Suite * Excellent written and verbal communication skills Plusses: * Epic Experience * Bilingual * Additional Single State licensures Remote ...
... (LVN) * Technical aptitude - Microsoft Office Suite * Excellent written and verbal communication skills Plusses: * Epic Experience * Bilingual * Additional Single State licensures Remote ...
... (LVN) * Technical aptitude - Microsoft Office Suite * Excellent written and verbal communication skills Plusses: * Epic Experience * Bilingual * Additional Single State licensures Remote ...
... (LVN) * Technical aptitude - Microsoft Office Suite * Excellent written and verbal communication skills Plusses: * Epic Experience * Bilingual * Additional Single State licensures Remote ...
Remote - Care Coordinator - LPN - LVN - $21/hr - Day Shift
Baton Rouge, LA · On-site +1
$28/hr
... (LVN) * Technical aptitude - Microsoft Office Suite * Excellent written and verbal communication skills Plusses: * Epic Experience * Bilingual * Additional Single State licensures Remote ...
Remote - Care Coordinator - LPN - LVN - $21/hr - Day Shift
Baton Rouge, LA · On-site +1
$28/hr
... (LVN) * Technical aptitude - Microsoft Office Suite * Excellent written and verbal communication skills Plusses: * Epic Experience * Bilingual * Additional Single State licensures Remote ...
... (LVN) * Technical aptitude - Microsoft Office Suite * Excellent written and verbal communication skills Plusses: * Epic Experience * Bilingual * Additional Single State licensures Remote ...
Quick apply
... (LVN) * Technical aptitude - Microsoft Office Suite * Excellent written and verbal communication skills Plusses: * Epic Experience * Bilingual * Additional Single State licensures Remote ...
NCLEX-PN Tutor
Baton Rouge, LA · 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 ...
NCLEX-PN Tutor
Baton Rouge, LA · 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 ...
Be Seen First
REMOTE- Prior Authorization Pharmacist
Baton Rouge, LA · Remote
$53/hr
Active pharmacist license in your state of residence required Key Responsibilities * Perform ... Review cases for prospective and concurrent utilization management. * Collaborate with pharmacy ...
New
Quick apply
Be Seen First
REMOTE- Prior Authorization Pharmacist
Baton Rouge, LA · Remote
$53/hr
Active pharmacist license in your state of residence required Key Responsibilities * Perform ... Review cases for prospective and concurrent utilization management. * Collaborate with pharmacy ...
New
RN Care Manager
New Roads, LA · Remote
$41.20 - $62.17/hr
Current Registered Nurse (RN) license in state of practice. * Bachelor of Science in Nursing (BSN ... Demonstrated experience in case management, utilization review, value-based care, and/or discharge ...
RN Care Manager
New Roads, LA · Remote
$41.20 - $62.17/hr
Current Registered Nurse (RN) license in state of practice. * Bachelor of Science in Nursing (BSN ... Demonstrated experience in case management, utilization review, value-based care, and/or discharge ...
RN Care Manager - PRN
New Roads, LA · Remote
$41.20 - $62.17/hr
Current Registered Nurse (RN) license in state of practice. * Bachelor of Science in Nursing (BSN ... Demonstrated experience in case management, utilization review, value-based care, and/or discharge ...
RN Care Manager - PRN
New Roads, LA · Remote
$41.20 - $62.17/hr
Current Registered Nurse (RN) license in state of practice. * Bachelor of Science in Nursing (BSN ... Demonstrated experience in case management, utilization review, value-based care, and/or discharge ...
... Nursing Services etc. based on contract requirements). * Uses discretion to approve/validate UR or ... Provides first level utilization review for all inpatient and outpatient services requiring ...
... Nursing Services etc. based on contract requirements). * Uses discretion to approve/validate UR or ... Provides first level utilization review for all inpatient and outpatient services requiring ...
... Nursing Services etc. based on contract requirements). * Uses discretion to approve/validate UR or ... Provides first level utilization review for all inpatient and outpatient services requiring ...
... Nursing Services etc. based on contract requirements). * Uses discretion to approve/validate UR or ... Provides first level utilization review for all inpatient and outpatient services requiring ...
Physician - Primary Care
Baton Rouge, LA · On-site +1
... * LPN Care Coordinators dedicated to closing care gaps on your behalf * Ochsner On-Call to reduce call burden * Remote messaging Nurses to reduce in basket messages sent through the portal
Physician - Primary Care
Baton Rouge, LA · On-site +1
... * LPN Care Coordinators dedicated to closing care gaps on your behalf * Ochsner On-Call to reduce call burden * Remote messaging Nurses to reduce in basket messages sent through the portal
... remote work location will be explored. PRIMARY PURPOSE OF THE ROLE :To process low level general ... utilization review. * Maintains professional client relationships. * Performs other duties as ...
... remote work location will be explored. PRIMARY PURPOSE OF THE ROLE :To process low level general ... utilization review. * Maintains professional client relationships. * Performs other duties as ...
... remote work location will be explored. PRIMARY PURPOSE OF THE ROLE :To process low level general ... utilization review. * Maintains professional client relationships. * Performs other duties as ...
... remote work location will be explored. PRIMARY PURPOSE OF THE ROLE :To process low level general ... utilization review. * Maintains professional client relationships. * Performs other duties as ...
Clinical Admissions Therapist (Louisiana)
Baton Rouge, LA · Remote
$60K - $70K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... Independent licensure in a mental health field required Benefits Charlie Health is pleased to offer ...
Clinical Admissions Therapist (Louisiana)
Baton Rouge, LA · Remote
$60K - $70K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... Independent licensure in a mental health field required Benefits Charlie Health is pleased to offer ...
NCLEX Tutor
Baton Rouge, LA · Remote
$25 - $40/hr
... review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or licensed practical nurses.
NCLEX Tutor
Baton Rouge, LA · Remote
$25 - $40/hr
... review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or licensed practical nurses.
Licensed Professional Counselor - Remote
Baton Rouge, LA · Remote
$650/wk
Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ... license as a mental health counselor). Experience counseling adults, couples, and/or teens.
Quick apply
Licensed Professional Counselor - Remote
Baton Rouge, LA · Remote
$650/wk
Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ... license as a mental health counselor). Experience counseling adults, couples, and/or teens.
Compliance Manager
Baton Rouge, LA · On-site +1
$77K - $124K/yr
... NCQA), Utilization Review Accreditation Commission (URAC), federal regulations and state law ... License and Certifications - Required License and Certifications - Preferred Salary Range Salary ...
Compliance Manager
Baton Rouge, LA · On-site +1
$77K - $124K/yr
... NCQA), Utilization Review Accreditation Commission (URAC), federal regulations and state law ... License and Certifications - Required License and Certifications - Preferred Salary Range Salary ...
Licensed Psychiatric Nurse Practitioner (Remote)
Baton Rouge, LA · On-site +1
$169.80/hr
" Licensed Psychiatric Nurse Practitioner Wage: Up to $169.8/hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner? Whether you want to see ...
Licensed Psychiatric Nurse Practitioner (Remote)
Baton Rouge, LA · On-site +1
$169.80/hr
" Licensed Psychiatric Nurse Practitioner Wage: Up to $169.8/hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner? Whether you want to see ...
Remote Psychiatric Nurse Practitioner (PMHNP) - Louisiana
Baton Rouge, LA · Remote
$180K - $215K/yr
Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Licensing support with upfront coverage of costs * Technology package provided What we're looking ...
Quick apply
Remote Psychiatric Nurse Practitioner (PMHNP) - Louisiana
Baton Rouge, LA · Remote
$180K - $215K/yr
Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Licensing support with upfront coverage of costs * Technology package provided What we're looking ...
Licensed Clinical Social Worker - Remote
Baton Rouge, LA · Remote
$650/wk
Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ... license as a mental health counselor)
Quick apply
Licensed Clinical Social Worker - Remote
Baton Rouge, LA · Remote
$650/wk
Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ... license as a mental health counselor)
Remote Lpn Utilization Review information
See Baton Rouge, LA salary details
$20.54 - $24.70
2% of jobs
$24.70 - $28.85
9% of jobs
$31.70 is the 25th percentile. Wages below this are outliers.
$28.85 - $33.01
21% of jobs
The median wage is $36.37 / hr.
$33.01 - $37.16
23% of jobs
$37.16 - $41.32
13% of jobs
$44.55 is the 75th percentile. Wages above this are outliers.
$41.32 - $45.47
10% of jobs
$45.47 - $49.63
8% of jobs
$49.63 - $53.78
5% of jobs
$53.78 - $57.94
5% of jobs
$57.94 - $62.09
2% of jobs
$62.09 - $66.25
2% of jobs
$20
$40
$66
How much do remote lpn utilization review jobs pay per hour?
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 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 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.
- Utilization Review
- Remote Utilization Review Nurse Practitioner
- Lpn Utilization Review
- Cigna Utilization Review Remote
- Temporary Aetna Utilization Review Nurse
- Remote Occupational Therapy Utilization Review
- Full Time Cigna Utilization Review Nurse
- Remote Insurance Utilization Review
- Work From Home Utilization Review
- Full Time Remote Lpn Utilization Review

$28/hr
Full-time
Medical, Dental, Vision, Retirement, PTO
This job post has expired 1 day ago. Applications are no longer accepted.
CareHarmony rating
4.0
Based on 5 frontline employees who took The Breakroom Quiz
Job description
CareHarmony’s Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.
CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (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!
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 Compact/Multi-State license (LPN) (LVN)
- Technical aptitude – Microsoft Office Suite
- Excellent written and verbal communication skills
Plusses:
- Epic Experience
- Bilingual
- Additional Single State licensures
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
About CareHarmony
Sourced by ZipRecruiter
Industry
Fitness and sports centers
Company size
51 - 200 Employees
Headquarters location
Brentwood, TN, US
Year founded
2015