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Remote Lpn Utilization Review Jobs in Rochester, NY

Varsity Tutors

NCLEX-PN Tutor

Rochester, NY · Remote

$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 ...

Athena

LCSW Clinical Supervisor - Remote

Rochester, NY · Remote

$60 - $65/hr

While this is a remote position, candidates must reside in or be willing to relocate to one of the ... Engage in the Utilization Review process for assigned cases every month * Respond to clinical ...

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Remote Lpn Utilization Review information

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$41

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

As of Sep 11, 2026, the average hourly pay for remote lpn utilization review in Rochester, NY is $41.72, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 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 the most commonly searched types of Lpn Utilization Review jobs in Rochester, NY?

The most popular types of Lpn Utilization Review jobs in Rochester, NY are:

What are popular job titles related to Remote Lpn Utilization Review jobs in Rochester, NY?

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

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

The top searched job categories for Remote Lpn Utilization Review jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Remote Lpn Utilization Review jobs?

Cities near Rochester, NY 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 Rochester, NY as of September 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, and 4% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $86,774 per year, or $41.7 per hour.

Remote - Licensed Practical Nurse (LPN) - NY Licensure - Day Shift

Rochester, NY • Remote

CareHarmony
Fitness and Sports Centers • 51 - 200 employees
Learn more about CareHarmonyexternal

$28/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 21 days ago

CareHarmony rating

4.0

Company rating: 4.0 out of 10

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!

Requirements

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 New York License (LPN)
  • Technical aptitude - Microsoft Office Suite
  • Excellent written and verbal communication skills

Plusses:

  • Epic Experience
  • Bilingual
  • Any additional state licensures (LPN)

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 $22/hr ($21/hr + $1/hr NY license bump) with the ability to earn up to $28/hr based on production
  • Quarterly bonus program
  • Opportunities to pick up OT to increase earnings

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