Utilization Review/Central Scheduling-LPN

Date Posted
June 16 2026

Butler County Health is currently seeking a full-time Licensed Practical Nurse (LPN) to join our team in the role of Utilization Review and Central Scheduling. The selected candidate will be responsible for conducting utilization reviews for acute, observation, and swing bed admissions. Duties include evaluating each admission for medical necessity and appropriateness using established utilization review guidelines. This role also involves communication with insurance providers, including Medicare and Medicaid, to obtain and coordinate admission authorizations. Other duties include obtaining prior authorizations and scheduling of outpatient procedures. The ideal candidate will demonstrate strong attention to detail, effective communication skills, and the ability to work collaboratively in a fast-paced healthcare environment. 

Closing Date: 06/30/2026

We value those who care for others by offering competitive pay, comprehensive benefits, tuition assistance, student loan forgiveness programs, sign-on bonuses, and meaningful opportunities to advance in your healthcare career.

EEO Employer/Vet/Disabled

ESSENTIAL DUTIES AND RESPONSIBILITIES including the following. Other duties may be assigned.

Understand and comply with the requirements of the Hospital’s Compliance Program, including, but not limited to the Code of Conduct, The Compliance Policy, all organization-wide policies for compliance and compliance plans affecting specific duties and responsibilities.

Participate in all education and training programs regarding compliance as required by Hospital policy and as requested by supervisor.

Consistently support the compliance Program through personal example; the provision of day-to-day instruction and correction to employees in regard to compliance-related issues; application of appropriate discipline as required for compliance violations; and ongoing monitoring of activities and work product in areas of responsibility with respect to compliance-related issues.

  • The primary function is to provide utilization review for acute, observation and swingbed admissions.
  • Screen each admission to determine medical necessity and appropriateness of admission using approved guidelines for utilization review.
  • Communicate with insurance companies, Medicare and Medicaid regarding admission authorization.
  • Request continued-stay reviews when needed.
  • Prepare utilization review reports for the Hospital Board of Directors, Medical Staff and other committees as designated. 
  • Authorize services for ER patients as needed.
  • Provide the following services for the outpatient population: Obtain prior authorization for surgical and other  procedures, schedule procedures and appointments for Outpatient Specialty Clinics, Surgery, Lab, Radiology, Cardiopulmonary, Physical Therapy, Occupational Therapy, Speech Therapy, and Diabetic Education and Nutrition and other outpatient services. 
  • Use the electronic medical record for tasks such as entering orders, capturing charges, collecting and documenting patient data and documenting utilization review outcomes,
  • Complete general office duties for the Outpatient Department in a professional manner.  Duties include but not limited to answering the phone, calling patients, typing, copying, faxing, filling out forms, etc. 
  • Provide cares for patients as directed by nursing staff, such as personal cares, education and assistance to and from the clinic areas.
  • Maintain confidentiality of work-related information and PHI, and promotes confidentiality throughout the facility.
  • Inform and ensure patients and families understand their rights and works to maintain those rights.
  • Maintain a quality working relationship with the medical providers, post-acute care agencies and community resource agencies.
  • Participates in the review and development of departmental policies and procedures regarding utilization review.
  • Maintain LPN licensure.
  • Maintain BLS licensure and other licensures as needed.
  • Comply with departmental and hospital policies and procedures.
  • Operate within departmental budget.
  • Maintain a safe environment.
  • Has ability to get to and from out-of-town seminars, and stays current with new insurance, Medicare and Medicaid guidelines.
  • Serve on committees as assigned.
  • Wear proper PPE when indicated.
  • Has ability to use computer programs such as Microsoft word, excel, and power point.
  • Other Duties as assigned. 
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