Utilization Review Licensed Practical Nurses (LPNs) and Licensed Vocational Nurses (LVNs) play a vital role in healthcare by ensuring that patients receive appropriate and cost-effective care. Their primary responsibility is to review medical records, treatment plans and insurance claims to assess the necessity and efficiency of healthcare services. By carefully evaluating healthcare utilization, they help control costs, improve

Utilization Review LPNs/LVNs are responsible for evaluating healthcare utilization to ensure that patients receive medically necessary and cost-effective care. Their duties include reviewing medical records, treatment plans and insurance claims to verify the appropriateness of services. They work closely with healthcare providers to gather additional information and clarify discrepancies.

These professionals also play a role in educating patients about insurance coverage,

Becoming a Utilization Review LPN/LVN offers several advantages. It provides an opportunity to work in a non-clinical setting, which may be less physically demanding than direct patient care. This role contributes to cost-containment efforts in healthcare and promotes the efficient use of resources. It also offers a competitive salary and the potential for career advancement into roles such as utilization