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Remote Lpn Utilization Review Jobs in Edison, NJ

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Remote Lpn Utilization Review information

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$22

$43

$71

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

As of Aug 18, 2026, the average hourly pay for remote lpn utilization review in Edison, NJ is $43.77, according to ZipRecruiter salary data. Most workers in this role earn between $34.62 and $50.29 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 Edison, NJ?

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

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

The top searched job categories for Remote Lpn Utilization Review jobs in Edison, NJ are:

What cities near Edison, NJ are hiring for Remote Lpn Utilization Review jobs?

Cities near Edison, NJ 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 Edison, NJ as of August 2026, with employment types broken down into 3% Internship, 3% As Needed, 74% Full Time, 6% Part Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $91,047 per year, or $43.8 per hour.

Licensed Practical Nurse (LPN) - Principal Care Management (PCM)

mAbs Rx

Passaic, NJ • On-site, Remote

$50K - $100K/yr

Part-time

Re-posted yesterday

Job description

Licensed Practical Nurse (LPN) - Principal Care Management (PCM)
Join Elaya Health - Improving Specialty Care in Nursing Homes
📍 Remote Position
🕒 Full Time / Part Time Available
💻 Work From Home
💰 Competitive Compensation
Elaya Health is a leading provider of endocrinology and specialty care services for nursing home residents. We partner closely with long term care facilities to improve outcomes for patients with chronic conditions, primarily diabetes and thyroid disease.
We are looking for a compassionate, organized, and detail oriented Licensed Practical Nurse (LPN) to join our growing team and assist with Principal Care Management (PCM) services remotely.
Responsibilities
• Review patient charts, medications, labs, and care plans
• Coordinate care with providers, nursing staff, pharmacies, and families when needed
• Document patient interactions accurately and thoroughly
• Identify changes in condition and escalate concerns appropriately
• Assist with chronic disease management and patient education
• Ensure PCM services are completed in compliance with CMS guidelines
Qualifications
• Active LPN license required
• Nursing home or long term care experience preferred
• Experience with chronic care management or PCM is a plus
• Strong communication and organizational skills
• Comfortable working independently in a remote environment
• EMR experience preferred
Why Join Us?
• Fully remote position
• Flexible scheduling options
• Supportive and collaborative team
• Opportunity for growth within a rapidly expanding healthcare company
• Meaningful work improving care for nursing home residents
To apply, please send your resume to [insert email].

Apply