LPN Remote Part-Time Positions

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 ? 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