Licensed Practical Nurse (LPN) Utilization Review Jobs

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Ass...
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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric healt...
1w ago
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JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the...
3w ago
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Anticipated End Date: 2024-09-21 Position Title: Licensed Utilization Review Ld (RN) Job Description: Simply Healthcare Plans, Inc. is a proud member of Elevance Health's family of brands. We are a lice...
2m ago
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive bene...
3m ago
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Current Saint Francis Employees - Please click HERE to login and apply. Full Time11:00p - 7:00a #ALDIND Fully Onsite Position Shift: Hours: Monday - Friday | 11:00pm - 7:00am Job Summary: The U...
3m ago
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LPN Utilization Review Jobs Overview

If you’re a licensed practical nurse (LPN) that loves working directly with patients but would prefer a more administrative position to traditional bedside care, you may want to become a utilization review (UR) nurse. Healthcare systems rely on UR nurses to ensure that medical services are being appropriately and efficiently delivered to patients of all ages.

IntelyCare has a range of LPN utilization review jobs — remote, full-time, part-time, contract, temporary, and per diem opportunities abound for qualified candidates. Begin your search for LPN UR jobs and other non-bedside nurse jobs right here.

Utilization Review Nurse Education and Skills

You must complete an approved LPN program and hold an unobstructed nursing license to work as a UR nurse. In addition to formal education, the following soft skills are essential for this role:

Critical thinking. To see to it that patients receive necessary, cost-effective care, you’ll be performing clinical reviews and examining numerical data, and comparing your findings to insurance providers' policies and guidelines.

Professionalism. This role requires frequent, direct interactions not only with patients, but also with insurance companies, physicians, nurses, and administrators at the director level and above.

Excellent documentation. You’ll be responsible for obtaining, documenting, and maintaining members’ clinical information using a variety of practice management software. Clarity, accuracy, and timeliness are critical to ensure patients receive treatment and practitioners receive payment.

Resume and Cover Letter for LPN Utilization Review Jobs

To stand out from other job seekers, tailor your LPN resume to each job ad. For example, if an employer says that the ideal UR LPN candidate will be able to “perform medical necessity and clinical reviews of authorization requests,” and you have relevant prior experience, use that phrase in your resume. This aligns your skills with the responsibilities of the job.

In your LPN cover letter, explain how you would bring value to the company. For example, describe how your attention to detail and organizational skills have served you well in previous jobs. This is your opportunity to show an employer what you can do for them, not the other way around. 

Interviewing for a Utilization Review LPN Job

Since LPN utilization review positions require you to interact with all levels of healthcare professionals, you want to be sure that you present yourself well during your job interview. One way to do that is to go over our nursing interview tips in advance and formulate strong answers to commonly asked questions.

Utilization Review LPN Salary

The average annual salary for licensed practical nurses in the United States is $60,790. Your pay can be affected by your location, level of education, years of experience, and employer. To learn more about LPN utilization review jobs’ salary estimates in your area, look at some of the current openings on IntelyCare.

Ready to Find LPN Utilization Review Jobs?

Check out the positions available right now. Want more options? Explore all the latest LPN jobs to find ones that fit you best.