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Remote Lpn Utilization Review Jobs (NOW HIRING)

CareHarmony LLC

$28/hr

CareHarmony's Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value ... Fully remote position - Work from the comfort of your own home in cozy clothes without a commute.

CareHarmony LLC

$28/hr

CareHarmony's Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value ... Fully remote position - Work from the comfort of your own home in cozy clothes without a commute.

CareHarmony LLC

$28/hr

CareHarmony is seeking an experienced Licensed Practical Nurse to work 100% Remote - LPN Nurse (LPN) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced ...

CareHarmony LLC

$28/hr

CareHarmony is seeking an experienced Licensed Practical Nurse to work 100% Remote - LPN Nurse (LPN) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced ...

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

As of Aug 14, 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 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 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 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.

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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 August 2026, with employment types broken down into 76% Full Time, 10% Part Time, 3% Temporary, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Tele-Triage Licensed Practical Nurse - LPN

Starting Point Nursing Services

Chicago, IL • Remote

$21/hr

Part-time

Posted 29 days ago

Job description

Our Company

Starting Point Nursing Services

Overview

Part 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:  8/10/26

New Available PART TIME Schedules:

*Monday, Friday, Saturday & Sunday, 10p-5a CST (11p-6p EST)

*Wednesday, Saturday & Sunday, 10p-6a CST (11p-7a EST)

*Friday, Saturday & Sunday, 2p-10p CST (3p-11p EST)

*Friday, 4p-8p CST (5p-9p EST) and Saturday & Sunday 8a-4p CST (9a-5p 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.

Responsibilities
  • 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)
Qualifications
  • 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
About our Line of BusinessStarting 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. For more information, please visit www.startingpointnursing.com. Follow us on LinkedIn.Salary RangeUSD $21.00 / HourEmployment Type: PART_TIME

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