ZipRecruiter

Log In

2

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 ...

next page

Showing results 1-20

All JobsRemote Lpn Utilization Review Jobs

Remote Lpn Utilization Review information

See salary details

$21

$42

$68

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

As of Jul 5, 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.

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.
More about Remote Lpn Utilization Review jobs
What cities are hiring for Remote Lpn Utilization Review jobs? Cities with the most Remote Lpn Utilization Review job openings:
What are the most commonly searched types of Lpn Utilization Review jobs? The most popular types of Lpn Utilization Review jobs are:
What states have the most Remote Lpn Utilization Review jobs? States with the most job openings for Remote Lpn Utilization Review jobs include:
What job categories do people searching Remote Lpn Utilization Review jobs look for? The top searched job categories for Remote Lpn Utilization Review jobs are:
Remote Lpn Utilization Review jobs near you
Utilization Review Nurse

Utilization Review Nurse

Bracane Co

Plano, TX • Remote

Full-time

Posted 20 days ago

Job description

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties***

JOB DESCRIPTION:

RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.

JOB RESPONSIBILITIES:

  • This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness, and quality of medical/surgical services, and serving as liaison between providers and medical and network management divisions.
  • Collects clinical and non-clinical data.
  • Verifies eligibility.
  • Determines benefit levels in accordance to contract guidelines.
  • Provides information regarding utilization management requirements and operational procedures to members, providers, and facilities.

JOB QUALIFICATIONS (Required):

  • Registered Nurse (RN) with a valid, current, unrestricted license in the state of operations.
  • 3 years of clinical experience in a Physician's office, Hospital/Surgical setting, or Health Care Insurance Company.
  • Knowledge of medical terminology and procedures.
  • Verbal and written communication skills.

JOB QUALIFICATIONS (Preferred):

  • MCG or InterQual experience
  • Utilization management experience

LOCATION: REMOTE in Texas ( Richardson area ? Dallas/Collin Counties).

POSITION: 6-month assignment

Apply