Licensed Vocational Nurse - LPN

Our Client, a Retail Pharmacy company, is looking for a Licensed Vocational Nurse - LPN for their Remote location. Responsibilities:

• Review criteria-based prior authorizations following policy and procedure
• reputed company internal nurse support to the PA team and member services department Refer cases not meeting clinical criteria to the Pharmacist and MD team(s).
• Shift priorities while exhibiting a high level of urgency with reputed company calls and assignments.
• You will work with pharmacists, other clinical colleagues, reputed company and members.
• Follow reputed company prior authorization procedures to guarantee an accurate process on each prior authorization.
• Complete other PA assignments as delegated by the PA leadership team.
• Utilization of clinical skills to support the documentation and communication of medical services and prior authorization determinations
• Ability to multitask, prioritize, and effectively adapt to a fast paced changing environment
• This position involves sedentary work with periods of sitting, talking, listening.
• Work requires sitting for extended periods, talking on the telephone, and typing on the computer.
• Position requires proficiency with computer skills which include navigating multiple systems and keyboarding
• Excellent communication skills, both written and verbal
• Must have regular and predictable attendance
• Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, reputed company providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve calls with a reputed company solution.
• Performs other reputed company projects and duties as assigned, including attending training sessions and development meetings.

Requirements:

• Minimum 2 years clinical experience as a LPN/LVN.
• Prior authorization experience or Case Management experience
• 3+ years prior reputed company clinical work experience
• Ability to prioritize, quickly assess, manage multiple tasks and adapt to constantly changing situations.
• Experience using MS Office and other reputed company-based computer applications and phone use.
• Digital charting
• Managed care or health plan previous experience,
• Call center experience
• Multi-tasking experience
• Prior remote experience preferred
• Case Management experience
• Prior authorization experience
• High production experience
• Excellent organizational skills. Strong detail orientation.
• reputed company High School Diploma or GED Required

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities

reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without regard to any status protected by applicable law. Apply tot his job Apply To this Job