Remote Utilization Management LPN/LVN
Staff Augmentation
Minnetonka , Minnesota
Contract
Do you want to work for a company that Forbes named one of the Top 50 Most Innovative Companies? Are you looking to fast-track your career with one of LinkedIn's top companies in the U.S.? If so, keep reading!
Title of Job: Remote Utilization Management LPN/LVN
Location: REMOTE (anywhere in the US)
CSI Companies is hiring a Remote Utilization Management LPN/LVN for our Fortune 100 healthcare client in Minnetonka, MN. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area.
Job Summary
The Remote Utilization Management LPN/LVN is primarily responsible for ensuring timely and accurate review of authorizations, helping maintain compliance with regulatory and health plan requirements, and supporting overall workflow efficiency.
Pay: $18 - 20 an hour based on experience (overtime will be paid at 1.5 times the normal hourly pay rate).
Hours: Full Time - Monday-Friday 8am-5pm
Why this Opportunity?
Top ranked company in Fortune's World's Most Admired Companies 14 years in a row.
This healthcare client is ranked number one in key attributes of reputation:
Innovation
People management
Social responsibility
Quality of Management
Financial soundness
Long-term investment value
Quality of products
Services and global competitiveness
Status: Short Term Consultant. This is a short-term consulting opportunity offering the chance to gain experience with a Fortune 100 organization on high-impact initiatives. Strong performers may be considered for extensions or future opportunities based on business needs, as many roles within the organization begin on a consulting basis.
Effective Date / Tentative Start Date: Interviewing Immediately
Job Duties:
Evaluate and manage prior authorization requests, including referrals, follow up services, and scheduled procedures
Determine coverage decisions by applying medical necessity guidelines (such as InterQual) in alignment with plan benefits
Document clinical determinations clearly and promptly within EPIC
Serve as a point of contact for providers, delivering authorization decisions and requests for additional information via phone and written correspondence
Adhere to regulatory standards, internal policies, and audit requirements to ensure compliance
Assist with care coordination activities, including benefit explanations and redirection to appropriate services
Requirements
Current, unrestricted LVN/LPN licensure in Texas or a Compact State
Associate's degree or higher
At least two years of hands-on clinical nursing experience, ideally within utilization management or a managed care setting
Understanding of clinical workflows and medical terminology
A reliable high-speed internet connection (the faster the better!)
Ability to pass a background check and drug test
Private, quiet, and distraction-free workspace in a room with a closed-door
Highly Preferred
Large corporation experience
Health plan / managed care / healthcare industry experience
WHO SHOULD APPLY?
If you have experience in utilization management, utilization review, prior authorization, or InterQual Criteria, we would love for you to apply!
Apply to become part of the team that is not only changing people's lives for the better but changing the health care system for the next generations to come.
About Us
The CSI Companies is a recruiting firm established in 1994 that has been awarded Best of Staffing for 8 years in a row. We provide outstanding services to the world's leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration. Only those candidates identified for an interview will be contacted.
Benefits Offered:
Weekly pay
Medical, dental, and vision coverage
Voluntary Life and AD&D coverage
Paid Training
Opportunity for advancement upon performance and availability
and a recruiter will be in touch with you to schedule a phone screening!
Staff Augmentation
Minnetonka , Minnesota
Contract
Do you want to work for a company that Forbes named one of the Top 50 Most Innovative Companies? Are you looking to fast-track your career with one of LinkedIn's top companies in the U.S.? If so, keep reading!
Title of Job: Remote Utilization Management LPN/LVN
Location: REMOTE (anywhere in the US)
CSI Companies is hiring a Remote Utilization Management LPN/LVN for our Fortune 100 healthcare client in Minnetonka, MN. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area.
Job Summary
The Remote Utilization Management LPN/LVN is primarily responsible for ensuring timely and accurate review of authorizations, helping maintain compliance with regulatory and health plan requirements, and supporting overall workflow efficiency.
Pay: $18 - 20 an hour based on experience (overtime will be paid at 1.5 times the normal hourly pay rate).
Hours: Full Time - Monday-Friday 8am-5pm
Why this Opportunity?
Top ranked company in Fortune's World's Most Admired Companies 14 years in a row.
This healthcare client is ranked number one in key attributes of reputation:
Innovation
People management
Social responsibility
Quality of Management
Financial soundness
Long-term investment value
Quality of products
Services and global competitiveness
Status: Short Term Consultant. This is a short-term consulting opportunity offering the chance to gain experience with a Fortune 100 organization on high-impact initiatives. Strong performers may be considered for extensions or future opportunities based on business needs, as many roles within the organization begin on a consulting basis.
Effective Date / Tentative Start Date: Interviewing Immediately
Job Duties:
Evaluate and manage prior authorization requests, including referrals, follow up services, and scheduled procedures
Determine coverage decisions by applying medical necessity guidelines (such as InterQual) in alignment with plan benefits
Document clinical determinations clearly and promptly within EPIC
Serve as a point of contact for providers, delivering authorization decisions and requests for additional information via phone and written correspondence
Adhere to regulatory standards, internal policies, and audit requirements to ensure compliance
Assist with care coordination activities, including benefit explanations and redirection to appropriate services
Requirements
Current, unrestricted LVN/LPN licensure in Texas or a Compact State
Associate's degree or higher
At least two years of hands-on clinical nursing experience, ideally within utilization management or a managed care setting
Understanding of clinical workflows and medical terminology
A reliable high-speed internet connection (the faster the better!)
Ability to pass a background check and drug test
Private, quiet, and distraction-free workspace in a room with a closed-door
Highly Preferred
Large corporation experience
Health plan / managed care / healthcare industry experience
WHO SHOULD APPLY?
If you have experience in utilization management, utilization review, prior authorization, or InterQual Criteria, we would love for you to apply!
Apply to become part of the team that is not only changing people's lives for the better but changing the health care system for the next generations to come.
About Us
The CSI Companies is a recruiting firm established in 1994 that has been awarded Best of Staffing for 8 years in a row. We provide outstanding services to the world's leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration. Only those candidates identified for an interview will be contacted.
Benefits Offered:
Weekly pay
Medical, dental, and vision coverage
Voluntary Life and AD&D coverage
Paid Training
Opportunity for advancement upon performance and availability
and a recruiter will be in touch with you to schedule a phone screening!
Job ID: 521558120
Originally Posted on: 5/18/2026
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