LPN Remote Part-Time Positions

HealthCare Strategies, Inc. • US,

29d • Remote

About The Position

HealthCare Strategies is seeking an experienced Licensed Practical Nurse (LPN) to join our remote Utilization Management team. This is a flexible, part-time opportunity to work from home while applying clinical expertise in a fast-paced, collaborative environment. This fully remote position is scheduled for 20–25 hours per week, Monday through Friday, during daytime business hours. The company has over 40 years of experience in healthcare management and offers a supportive and collaborative clinical team.

Requirements

• Active, unrestricted Compact Licensed Practical Nurse (LPN) license.
• Minimum of one (1) year of recent direct patient care experience in a hospital or acute care setting.
• Strong clinical assessment and critical thinking skills.
• Excellent verbal and written communication skills.
• Strong organizational and time management abilities.
• Ability to work independently in a remote environment.
• Basic computer skills, including Microsoft Outlook and data entry.
• Dedicated home office or quiet workspace.
• Reliable high-speed internet with minimum speeds of 25 Mbps download and 25 Mbps upload.

Nice To Haves

• Previous Utilization Management, Prior Authorization, Case Management, or Managed Care experience.
• Experience working with electronic health records (EHR) or healthcare information systems.

Responsibilities

• Receive and review requests for medical services and obtain the clinical information necessary to complete an initial medical necessity review.
• Apply approved evidence-based clinical criteria to support initial review determinations.
• Refer cases that do not meet established clinical criteria to supervisory staff or physician reviewers for further review.
• Identify members who may benefit from our Case Management or HealthReach services and generate timely referrals.
• Accurately document all clinical reviews, communications, and member information in the electronic medical management system.
• Prepare and transmit authorizations and other communications within required timeframes.
• Answer incoming telephone calls, triage requests, retrieve voicemail and email messages, and provide exceptional customer service to providers and members.
• Explain benefit plan requirements and HealthCare Strategies' role in the review process.
• Interpret Summary Plan Descriptions, including plan benefits, exclusions, and limitations.
• Maintain confidentiality of protected health information and comply with HIPAA and company policies.

Benefits

• Fully remote position
• Part-time schedule (20–25 hours/week)
• Monday through Friday – no weekends or holidays
• Flexible schedule Monday-Friday; 10a-5:30p range
• Supportive and collaborative clinical team
• Opportunity to make a meaningful impact on patient care

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: No Education Listed