Remote Lpn Utilization Review Jobs (NOW HIRING)

Starting Point Nursing Services

Full Time Tele-Triage (Fully Remote) Licensed Practical Nurse Position:

*Must have compact state LPN licensure from the state in which you currently reside

*Remote Triage & Home Health LPN experience highly preferred

*Potential Start Date: 9/14/26

*New Available FULL TIME Schedule:

*Monday, Tuesday, Wednesday, Thursday 2p-10p CST (3p-11p EST) and Saturday 6a-2p CST (7a-3p EST)

This LPN provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care plans for persons served in the area of responsibility. The Tele-Triage LPN assesses health status, identifies problems and needs of person(s) served in their assigned caseload, develops nursing care plans in collaboration with operations LPN's. You will complete chart reviews and monthly host home reviews and perform On-Bound calling to assigned populations/locations. This LPN performs data analysis in multiple systems.

• Monitor assigned phone lines during service hours to ensure timely response for caller needs
• Triage all symptom-based calls and give recommendations according to the approved triage protocol
• Triage patients by assessing severity of symptoms and referral to appropriate setting or level of care
• Document in real time all care related recommendations and ensure local operations are notified of triage supports and outcomes
• Initiate contact with acute care setting to coordinate services for clients receiving care in the ED/Hospital and coordinate the discharge planning; Notify operations of triage recommendations
• Coordinate any medication orders with the assigned pharmacy and update MAR/QuickMar for appropriate administration
• Work assigned prior authorizations to ensure timely documentation and submit to assigned pharmacy for billing
• Complete/conduct assessment and reassessment of persons served as assigned
• Develop/update care plans and determine persons served needs and secure physicians orders as needed
• Communicate with beneficiaries primarily phone, text, online (web) chat, or email
• Ensure compliance with state/local/payer requirements through review of documentation
• Provide coaching and education related to the health and well-being of persons served
• Participate in performance improvement activities and maintain ongoing clinical knowledge through inteLPNal/exteLPNal training programs
• Document above actions in Nurse's Notes or Service Delivery Log
• Maintain time sheet log for weekly submission for productivity management to assigned supervisor
• Notify each practice, physician, and/or managed care client of all encounters with patients, parents, or managed care clients regardless of follow-up needs before office opening
• Notify designated leadership of operational conceLPNs
• Actively participate in applicable meetings and committees as requested (e.g., IDT, HRC, Safety/Quality committee, and annual person served directed/active treatment plan meetings)

• Degree/certification from an accredited school of Nursing
• At least one year of nursing experience
• Current licensure as a LPN (LPN) in the state of practice, which is current and remains in good standing. Must have an LPN compact license.
• Clinical experience in providing services and supports to individuals with intellectual and developmental disabilities, home health and Hospice patients or related disorders
• One-year of home health experience preferred

Starting Point Nursing Services, an affiliate of BrightSpring Health Services, is staffed 100% by a team of remote registered nurses trained to support the post-acute continuum with clinical advice and interventions. Our 24/7 On-Call and Triage team responds to physician practices, home health agencies, intellectual disability providers, and assisted living providers. Our services are tailored to our partners, including remote physical/chart assessments, predictive care modeling, clinical programming interventions for high-risk populations, emergent care coordination, and case management.

USD $21.00 / Hour