Utilization Review Nurse Job at Hobbie Personnel Services, Boston, MA

UmdIeFV3LytUUDlqREtTUU1wT2FCUCtOdmc9PQ==
  • Hobbie Personnel Services
  • Boston, MA

Job Description

Position Overview

We’re proud to be working with one of Pennsylvania’s most trusted pediatric home care providers—serving families for over 50 years ! They’re now looking for a compassionate, detail-oriented Licensed Practical Nurse (LPN) to join their Utilization Management team.

In this fully remote role, you'll help ensure children across the state receive the medically appropriate care they deserve—all from the comfort of your home. If you have a passion for pediatric care and a sharp eye for healthcare compliance, this one’s for you.

What You’ll Be Doing

  • Conduct utilization reviews for pediatric Shift Care services
  • Assess medical necessity using established clinical guidelines
  • Work closely with RNs, providers, and families to coordinate and optimize care
  • Communicate service decisions and authorizations with providers and patient families
  • Maintain accurate and compliant documentation in Medicaid and health plan systems
  • Navigate Microsoft Word, Excel , and other electronic healthcare platforms like a pro

What We’re Looking For

  • An active, unrestricted LPN license in the state of Pennsylvania
  • 3–5 years of experience in pediatrics, utilization management, or home care
  • Bonus points for knowledge of Medicaid or health plan processes
  • Strong communication skills and a knack for clear, empathetic conversation
  • Comfortable working with electronic medical records and software tools

Why You’ll Love It

  • Be part of a mission-driven team that’s been serving PA families for over 5 decades
  • Work remotely —no commute, more work-life balance
  • Competitive pay and a full benefits package
  • The opportunity to make a meaningful impact in children’s lives every single day

💡 If you’re ready to bring your nursing expertise to a team that values compassion, collaboration, and quality care—apply now!

Job Tags

Remote job, Shift work,

Similar Jobs

Honeywell

Senior Advanced Manufacturing Engineering Manager Job at Honeywell

 ...engineering activities, including process design, work instructions, assembly cell layout, and routings management Support site...  ...Develop teams and site engineering skills to facilitate automated electronics assembly processes Guide the site implementation of... 

OSI Engineering

Cellular Field Test Engineer (5GNR/LTE protocols) in Cupertino, CA Job at OSI Engineering

 ...Field Design Engineer (5G/4G/LTE) - Product Field Testing of Smartphones/Devices Responsibilities: You will be driven to local and non-local in short notice to test Cellular connectivity of nex-gen smartphones and devices (4 days in the field, 1 day in the lab... 

STIIIZY

Finance Manager Job at STIIIZY

 ...Job Summary: We're looking for an experienced Finance Manager to assist the Finance team with daily functions that will support many facets of the company. The ideal candidate will be highly attentive to details, trustworthy, team-oriented, and willing to flex into a... 

A-V Services, Inc.

Data Analyst Job at A-V Services, Inc.

 ...Inc., a leading AV company with multiple fortune 100 contracts within the financial, pharmaceutical and computing industry, seeks a Data Analyst. Must have great customer service with emphasis supporting the corporate work sector. A Data Analyst for AV Services, Inc. will... 

Vaco by Highspring

Purchasing Assistant - ASAP Job at Vaco by Highspring

 ...their buying needs Maintaining and vetting strong vendor relationships - you're part buyer, part detective Collaborating with cross-functional teams and staying calm under pressure Working magic in MS Office Suite and Workday's procurement functions &##12...