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Remote Lpn Utilization Review Jobs in Rosedale, MD

Comfort Home Care LLC

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Registered Nurse Home Care (PRN)

Columbia, MD · Remote

... to the Licensed Practical Nurse, Medication Technicians, Certified Nursing Assistants and ... reviewing the Medication Administration Records (MARs), at least monthly. * Maintaining nursing ...

Comfort Home Care LLC

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Registered Nurse Home Care (PRN)

Columbia, MD · Remote

... to the Licensed Practical Nurse, Medication Technicians, Certified Nursing Assistants and ... reviewing the Medication Administration Records (MARs), at least monthly. * Maintaining nursing ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Utilizing experience and skills in both care management and utilization management, the Clinical ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

... State Licensure RN- Registered Nurse in MD, VA or * Washington, DC Experience: 5 years clinically related experience working in an acute care setting, and/or Utilization Review. Preferred ...

J29 Inc.

Physician Auditor

Millersville, MD · On-site +1

$189K - $238K/yr

Remote Type: Part-Time *This position is contingent upon the successful award of the associated ... review, utilization review, or appeals * Familiarity with CMS/QIO processes preferred. * Licensed ...

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All JobsLpn Utilization Review JobsRemote Lpn Utilization Review JobsRemote Lpn Utilization Review Jobs in Rosedale, MD

Remote Lpn Utilization Review information

See Rosedale, MD salary details

$20

$40

$66

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

As of Jul 13, 2026, the average hourly pay for remote lpn utilization review in Rosedale, MD is $40.55, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.59 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.
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Remote Lpn Utilization Review jobs near you
UM Specialist (RN) - Remote / Telecommute

UM Specialist (RN) - Remote / Telecommute

CYNET SYSTEMS

Baltimore, MD • Remote

$46 - $51/hr

Contractor

Posted 21 days ago

Job description

Job Overview:

Pay Range: $46.76hr - $51.76hr

Requirement/Must Have:

  • 5+ years Clinical nursing experience.
  • 2+ years Care Management.
  • Bachelor's Degree in Nursing.
  • In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Responsibilities:

  • Determines medical necessity and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM, Medicare Guidelines, Federal Employee Program and Policy Guidelines, Medical Policy, and other accepted medical/pharmaceutical references.
  • Conducts research and analysis of pertinent diseases, treatments and emerging technologies, including high cost/high dollar services to support decisions and recommendations made to the medical directors.
  • Makes appropriate referrals and contacts as appropriate. Offers assistance to members and providers for alternative settings for care.

Nice to Have:

  • Working knowledge of managed care and health delivery systems.
  • Thorough knowledge of clinical guidelines, medical policies and accreditation and regulatory standards.
  • Working knowledge of IT and Medical Management systems, familiarity with web-based software application environment.

Skills:

  • Effective written and interpersonal communication skills to engage with members, healthcare professionals, and internal colleagues.
  • Strong assessment skills with the ability to make rapid connection with Member telephonically.
  • Ability to work effectively with large amounts of confidential member data and PHI.
  • Ability to prioritize workload during heavy workload periods.
  • Ability to multitask, prioritize and maintain a dynamic personal organization system that allows for flexibility.
  • Proficient in the use of web-based technology and Microsoft Office applications such as Word, Excel and PowerPoint.
  • Excellent analytical and problem-solving skills to judge appropriateness of member services and treatments on a case by case basis.

Qualification And Education:

  • RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire.
  • LPN - Licensed Practical Nurse - State Licensure.
  • CNS-Clinical Nurse Specialist Preferred.

Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading staffing and recruiting powerhouse. Proudly recognized as a nationally and locally certified diversity firm, Cynet delivers agile, scalable talent solutions across industries. With an active footprint in all 50 U.S. states and Canada, we support thousands of consultants through our expansive, high-performing recruitment engine operating across North America and Asia—ensuring speed, quality, and consistency in every hire.
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About Cynet Systems

Sourced by ZipRecruiter

Cynet Systems Inc is a staffing and recruiting corporation nestled in Ashburn, VA, USA. Established in 2010, the company operates within the Information Technology and Services sector, specializing in providing effective workforce solutions to different business needs, including IT consulting, direct hire, and contract staffing services. Through the years, Cynet Systems has built an impressive portfolio, going beyond borders and expanding its operations internationally in Canada and India. Rooted in its core values of teamwork, leadership, and commitment, Cynet Systems helps businesses unlock their full potential by providing versatile and competent professionals that perfectly align with their needs. Fueled by their unwavering mission to deliver top-tier talent to businesses worldwide, Cynet Systems garnered various recognitions including SIA's fastest-growing staffing firms and Best Place to Work in Virginia for 2019.

Industry

It services

Company size

501 - 1,000 Employees

Headquarters location

Sterling, VA, US

Year founded

2010

Social media

Twitter

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