Lpn Remote Part-Time Positions

**[HealthCare Strategies](https://himalayas.app/companies/healthcare-strategies) is seeking an experienced Licensed Practical Nurse (LPN) to join our remote Utilization Management team.** If you're looking for a flexible, part-time opportunity to work from home while applying your clinical expertise in a fast-paced, collaborative environment, we'd love to hear from you. This fully remote position is scheduled for **20–25 hours per week**, Monday through Friday, during daytime business hours. There are **no weekends or holidays**. ### Why Join [HealthCare Strategies](https://himalayas.app/companies/healthcare-strategies)? * 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 * Established company with more than 40 years of experience in healthcare management ### Position Summary The Licensed Practical Nurse (LPN) facilitates requests for medical services for a variety of health benefit plans by performing telephonic clinical reviews, applying evidence-based clinical criteria, documenting reviews, and communicating with providers and members. The LPN identifies opportunities for case management referrals while ensuring timely, accurate, and professional customer service. ### Essential 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](https://himalayas.app/companies/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. ### Qualifications ### Required * 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. ### Preferred * Previous Utilization Management, Prior Authorization, Case Management, or Managed Care experience. * Experience working with electronic health records (EHR) or healthcare information systems. ### Technical Requirements * Dedicated home office or quiet workspace. * Reliable high-speed internet with minimum speeds of **25 Mbps download and 25 Mbps upload**. If you're a compassionate, detail-oriented nurse who enjoys combining clinical knowledge with excellent customer service, we encourage you to apply and become part of our growing team. Originally posted on [Himalayas](https://himalayas.app)