ZipRecruiter

Log In

2

Remote Lpn Utilization Review Jobs in Raleigh, NC

Varsity Tutors

NCLEX-PN Tutor

Raleigh, NC · 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

Durham, NC · 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

Chapel Hill, NC · 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 ...

DataAnnotation

LPN - AI Trainer

Raleigh, NC · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

LPN - AI Trainer

Durham, NC · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

LPN - AI Trainer

Cary, NC · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

next page

Showing results 1-20

All JobsRemote Lpn Utilization Review JobsRemote Lpn Utilization Review Jobs in Raleigh, NC

Remote Lpn Utilization Review information

See Raleigh, NC salary details

$20

$41

$67

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

As of Jul 2, 2026, the average hourly pay for remote lpn utilization review in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 per hour, depending on experience, location, and employer.

Can an LPN make $50 an hour?

Remote LPN utilization review positions typically pay between $20 and $35 per hour, depending on experience and employer. Earning $50 an hour is uncommon for LPN roles, as they generally have lower salary ranges compared to RNs or specialized healthcare professionals. Higher wages may be available with additional certifications or in specialized or supervisory roles.

What kind of remote jobs can LPNs do?

Remote LPNs can work in roles such as utilization review nurses, telehealth nursing, case management, and patient education. These positions typically require strong communication skills, clinical knowledge, and sometimes certification in case management or telehealth tools, allowing them to perform assessments, coordinate care, and review patient records remotely.

What does a typical day look like for a Remote LPN Utilization Review nurse?

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 job?

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.

How do I get into utilization review nursing?

To become a remote LPN in utilization review, you typically need to have an active Licensed Practical Nurse (LPN) license, relevant clinical experience, and knowledge of medical coding and insurance processes. Many employers also require familiarity with electronic health records (EHR) systems and strong communication skills. Certification in case management or utilization review can enhance job prospects and may be preferred by employers.

What are the key skills and qualifications needed to thrive in the Remote Lpn Utilization Review position, and why are they important?

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 an LPN be a utilization review nurse?

Yes, Licensed Practical Nurses (LPNs) can work as utilization review nurses, typically assisting with case assessments, documentation, and supporting clinical review processes. However, some employers may require additional certifications or experience in case management or utilization review to qualify for the role.
What are popular job titles related to Remote Lpn Utilization Review jobs in Raleigh, NC? For Remote Lpn Utilization Review jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Lpn Utilization Review jobs in Raleigh, NC look for? The top searched job categories for Remote Lpn Utilization Review jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Lpn Utilization Review jobs? Cities near Raleigh, NC with the most Remote Lpn Utilization Review job openings:
Remote Lpn Utilization Review jobs near you

Drug Utilization Review Pharmacist

Pharmacy Careers

Raleigh, NC • On-site, Remote

Other

Medical

Posted 11 days ago

Job description

Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications
A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for pharmacists who enjoy analyzing medication use, applying clinical guidelines, and collaborating with providers to promote safe, cost-effective care.
Key Responsibilities

  • Conduct prospective, concurrent, and retrospective drug utilization reviews.
  • Evaluate prescribing patterns against clinical guidelines and formulary criteria.
  • Identify potential drug interactions, duplications, and inappropriate therapy.
  • Prepare recommendations for prescribers to optimize therapy and reduce risk.
  • Document reviews and ensure compliance with state, federal, and health plan requirements.
  • Contribute to quality improvement initiatives and pharmacy program development.


What You'll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Managed care, PBM, or health plan experience preferred - but hospital and retail pharmacists with strong clinical skills are encouraged to apply.
  • Skills: Analytical mindset, detail-oriented, and excellent written and verbal communication.


Why This Role?

  • Impact: Shape prescribing decisions that affect thousands of patients.
  • Growth: Build expertise in managed care and population health pharmacy.
  • Flexibility: Many DUR roles offer hybrid or fully remote schedules.
  • Rewards: Competitive salary, benefits, and career advancement opportunities.


About Us
We are a confidential healthcare partner providing managed care pharmacy services nationwide. Our DUR pharmacists play a key role in ensuring that medications are used safely, appropriately, and cost-effectively across diverse patient populations.
Apply Today
Advance your career in managed care pharmacy - apply now for our Drug Utilization Review Pharmacist opening and help lead the way in improving medication safety and outcomes.

Apply