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Remote Lpn Utilization Review Jobs (NOW HIRING)

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... Registered Nurse (RN) with a valid, current, unrestricted license in the state of operations. * 3 ...

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

As of Jun 8, 2026, the average hourly pay for remote lpn utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

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.

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.

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Remote Lpn Utilization Review jobs near you
Infographic showing various Remote Lpn Utilization Review job openings in the United States as of May 2026, with employment types broken down into 84% Full Time, and 16% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
RN / Utilization Review Nurse in Sacramento, CA

RN / Utilization Review Nurse in Sacramento, CA

Canon Recruiting Group

Sacramento, CA • On-site, Remote

$35 - $45/hr

Other

Medical, Retirement

Posted 25 days ago

Job description

Position: RN / Utilization Review Nurse
Location: Sacramento, CA (ON-SITE)
Employment Type: Potential contract to hire
Pay Range: $35.00 – $45.00/hour (Paid Weekly)
Schedule: Monday – Friday, Standard Business Hours

Position Summary

We are seeking an experienced Utilization Review Nurse to support a potential contract to hire assignment in a healthcare review environment. This role is responsible for reviewing medical records, treatment requests, and clinical documentation to support timely, accurate, and compliant care decisions in accordance with established guidelines and regulatory standards. Training will be provided.

Key Responsibilities

  • Review medical records and treatment requests for completeness and guideline compliance.
  • Evaluate diagnoses, treatment plans, and clinical documentation using established care guidelines and best practices.
  • Collaborate with internal teams, providers, and physician reviewers to support case review processes.
  • Assist with coordination of peer reviews and communication of review determinations.
  • Maintain accurate documentation and ensure cases are processed within required timelines.
  • Support case management activities and identify cases requiring additional review or follow-up.
  • Communicate effectively with clients, providers, and team members regarding case status and documentation needs.
  • Assist with administrative and reporting tasks related to utilization review activities.

Required Qualifications

  • Active Licensed Vocational Nurse (LVN) license.
  • Minimum 3 years of clinical experience.
  • Strong knowledge of medical terminology and clinical documentation.
  • Experience in utilization review, managed care, or workers’ compensation preferred.
  • Familiarity with healthcare regulations and evidence-based clinical guidelines.
  • Strong organizational, analytical, and communication skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Comfortable working independently in a remote or office-based setting.

Working Conditions:

  • May on occasion be exposed to loud sounds and distracting noise levels, such as from office equipment.
  • The ability to lift up to 30lbs.
  • Use of computers and technology.

Here at Canon Recruiting, People are our priority, and we are committed to Include Diversity in every segment of who we are. It is only through our Diversity; we are made a stronger organization and increase our ability to provide top tier candidates that our clients have come to know Canon for. We have an inclusive environment all employees are celebrated for their unique differences. The different perspectives and experiences of our workforce give us the competitive advantage that is essential for success in an ever-changing market. By promoting inclusion with the same enthusiasm, we devote to quality and competency and using the experience from a diverse assortment of backgrounds and experiences, Canon can improve the services and value we deliver to clients, employees, and customers.

At Canon, Diversification and Inclusiveness are much more than a corporate ambition; they are a critical component in our daily corporate life. Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

The pay range for this position is listed above. Base pay information is based on market location. We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans. For individuals with disabilities who would like to request an accommodation, please email hr@canonrecruiting.com

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