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Remote Lpn Utilization Review Jobs in Boston, MA

Massgeneralbrigham

LPN, Home Care

Newton, MA · Remote

$31.50 - $43.64/hr

Why LPNs Choose Home Care More autonomy - manage your day and patient visits with real independence ... Remote Type Hybrid Work Location 70 Everett Avenue Pay Range $31.50 - $43.64/Hourly Grade 5 At Mass ...

Massgeneralbrigham

LPN, Home Care

Chelsea, MA · Remote

$31.50 - $43.64/hr

Why LPNs Choose Home Care More autonomy - manage your day and patient visits with real independence ... Remote Type Hybrid Work Location 70 Everett Avenue Pay Range $31.50 - $43.64/Hourly Grade 5 At Mass ...

UnitedHealth Group

Clinical Claim Review RN

Boston, MA · Remote

This position is Remote in Massachusetts. You will have the flexibility to work remotely* as you ... Nurse licensure (RN or LPN) with a current, active, and unrestricted license in Massachusetts * 2 ...

Varsity Tutors

NCLEX-PN Tutor

Lynn, MA · 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 ...

Varsity Tutors

NCLEX-PN Tutor

Somerville, MA · 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 ...

Varsity Tutors

NCLEX-PN Tutor

Lowell, MA · 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 ...

Varsity Tutors

NCLEX-PN Tutor

Waltham, MA · 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 ...

Varsity Tutors

NCLEX-PN Tutor

Quincy, MA · 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 ...

Varsity Tutors

NCLEX-PN Tutor

Newton, MA · 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 ...

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Remote Lpn Utilization Review information

See Boston, MA salary details

$23

$45

$74

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

As of Sep 7, 2026, the average hourly pay for remote lpn utilization review in Boston, MA is $45.94, according to ZipRecruiter salary data. Most workers in this role earn between $36.30 and $52.74 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.

What are popular job titles related to Remote Lpn Utilization Review jobs in Boston, MA?

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

What job categories do people searching Remote Lpn Utilization Review jobs in Boston, MA look for?

The top searched job categories for Remote Lpn Utilization Review jobs in Boston, MA are:

What cities near Boston, MA are hiring for Remote Lpn Utilization Review jobs?

Cities near Boston, MA 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 Boston, MA as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 100% Remote job distribution, with an average salary of $95,545 per year, or $45.9 per hour.

LPN UM Reviewer

East Boston Neighborhood Health Center

Boston, MA • On-site, Remote

$48/hr

Full-time

Medical

Posted 5 days ago

Job description

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!
As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.
Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly - every role at NeighborHealth is vital. Together, we're advancing medicine and delivering the best care experience for our patients and community!
Interested in this position? Apply online and create a personal candidate account!
Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.
To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.
Time Type:
Full time
Department:
Senior Care Options (SCO)
All Locations:
10 Gove Street - Taylor Building
Position Summary:
The LPN UM Reviewer supports the Utilization Management team by reviewing authorization requests, monitoring medical necessity criteria, coordinating care with providers, and ensuring compliance with health plan and regulatory requirements.
Key Responsibilities
  • Review prior authorization requests for medical services, medications, DME, home health, and other healthcare services.
  • Apply established clinical guidelines and medical necessity criteria when evaluating requests.
  • Gather and review clinical documentation from providers and facilities.
  • Communicate with providers, care managers, and interdisciplinary team members regarding authorization decisions and required documentation.
  • Escalate complex cases or requests that require RN or Medical Director review.
  • Document determinations and activities accurately in utilization management systems.
  • Monitor authorization turnaround times and regulatory compliance requirements.
  • Support appeals, reconsiderations, and grievance processes as assigned.
  • Participate in quality improvement and audit activities.

Qualifications
  • Current, unrestricted LPN license.
  • Experience in managed care, utilization management, case management, prior authorization, or clinical review preferred.
  • Knowledge of medical terminology, healthcare regulations, and clinical documentation.
  • Strong organizational, communication, and computer skills.
  • Ability to work independently and manage multiple priorities.

Preferred Experience
  • Experience with Medicare, Medicaid, SCO, One Care, or managed care programs.
  • Familiarity with InterQual, MCG, or other medical necessity criteria tools.
  • Experience using EMRs and authorization management systems.

Salary: Starting at $33/hr up to $48/hr based on experience
EEO & Accommodation Statement:
NeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to HRrecruit@NeighborHealth.com or call 617-568-4480 to let us know the nature of your request
Federal Trade Commission Statement:
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or "apps." Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
E-Verify Program Participation Statement:
NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.

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