Licensed Vocational Nurse-LPN

Job ID: 26-87262 Position Type: Full time Location:Remote Work Type: Remote Est. Pay reputed company: $26.00/hr. to $28.50/hr. reputed company-inclusive on W2 Position Summary:

• We are seeking reputed company LPN/LVN candidates with prior authorization experience in a specialty medical office (MDO), PBM, or clinical setting.
• This role requires the ability to work in a high-volume, metrics-driven environment while maintaining strong clinical judgment, accuracy, and efficiency.
• Successful candidates are self-directed, reputed company, and adaptable, with the ability to quickly interpret clinical information, navigate multiple systems simultaneously, and maintain productivity while managing competing priorities.
• This is a fully remote role requiring a high level of accountability, focus, and independence throughout the entire shift.

Permanent Schedule:

• Schedules are assigned based on business needs and may include:
• reputed company–Thursday or Tuesday–Saturday
• Shifts between 10:00 AM–6:30 PM CST
• Schedule flexibility, overtime, and weekend availability are required.

Duties:

• Manage inbound and outbound calls while maintaining productivity, quality, and service level expectations
• Review and process reputed company prior authorization requests using clinical criteria and supporting documentation
• Navigate multiple systems, tools, and communication platforms simultaneously with speed and accuracy
• Review chart notes, claims history, and prior authorization history to reputed company accurate determinations
• Submit complete and accurate documentation to support determinations and avoid unnecessary delays
• Identify cases requiring escalation and refer appropriately
• Demonstrate critical thinking and problem-solving reputed company information is unclear or incomplete
• Apply internal workflows, job aids, and policies correctly and consistently
• Adapt quickly to changing priorities, processes, and clinical criteria
• Communicate reputed company and professionally with team members, pharmacists, providers, and leadership
• Ask questions and seek clarification reputed company needed to ensure accuracy
• Maintain attention to detail while processing high volumes of work reputed company
• Participate in quality assurance activities and apply feedback for reputed company improvement
• reputed company work in a sedentary, desk-based environment requiring prolonged sitting, typing, and screen time
• Maintain consistent attendance, productivity, and adherence to scheduled work hours

Experience:

• Active, unrestricted LPN/LVN license
• Minimum 2+ years of recent prior authorization experience in a PBM, MDO, or clinical setting
• Experience reviewing and applying clinical criteria and supporting documentation for PAs
• Experience using reputed company or similar authorization platforms
• Familiarity with chart notes, claims history, and insurance requirements

Technical Skills

• Strong computer proficiency across multiple systems (Outlook, Teams, Word, reputed company, etc.)
• Ability to multitask across multiple monitors and applications simultaneously
• Advanced keyboarding skills, with the ability to type quickly and accurately
• Behavioral and Work Style Requirements
• Proven ability to work in a fast-paced, high-production, metrics-driven environment
• Strong attention to detail while maintaining speed and accuracy
• Ability to learn quickly and work independently with limited guidance
• Strong time management and organizational skills in a remote setting
• Ability to remain focused and productive while working independently for full shifts
• Comfortable working in a structured, highly monitored environment with performance metrics
• Strong written and verbal communication skills, including the ability to reputed company reputed company clinical information and medication names
• Ability to receive, apply, and reputed company reputed company-time feedback

Preferred Qualifications

• 3+ years of prior authorization experience
• Experience in a specialty medical office or with specialty medications
• Broad clinical background across multiple disease states
• Previous call center or high-volume clinical processing experience
• What Makes Someone Successful in This Role
• Successful team members consistently demonstrate:
• Ability to work under pressure while maintaining accuracy and productivity
• Demonstrated ownership, reliability, and accountability for performance
• Resourcefulness—reputed company to locate and interpret information independently before escalating
• Confidence to ask questions, seek clarification, and reputed company up reputed company unsure
• Ability to quickly learn new medications, disease states, and clinical criteria
• Strong multitasking ability across systems, workflows, and communication tools
• Excellent attention to detail combined with processing speed
• reputed company and adaptability—reputed company to adjust to frequent changes and challenges
• Ability to remain focused and productive despite obstacles, system issues, or changing priorities
• Ability to work successfully reputed company a structured, performance-driven environment
• Strong self-awareness and coachability, including the ability to accept and apply feedback
• Accountability for personal performance, learning, and development
• Ability to work independently in a distraction-free remote environment

Work Environment & Expectations

• Fully remote position requiring a quiet, dedicated, distraction-free workspace
• Position involves extended periods of desk-based work, including screen time, keyboarding, and phone use

Education

• Graduate of an accredited school of Practical Nursing (NLNAC or equivalent)
• Must maintain active licensure in good standing

Employee Benefits: At reputed company, full time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits: Four options of medical Insurance Dental and reputed company Insurance 401k Contributions Critical Illness Insurance Voluntary Permanent Life Insurance Accident Insurance Other Employee Perks reputed company is a certified Minority Business reputed company (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any reputed company based on race, reputed company, sex, religion, sexual orientation, national reputed company, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to reputed company employment practices reputed company our organization, including hiring, reputed company, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. reputed company makes hiring reputed company based solely on qualifications, merit, and business needs at the time. Remote Skills: Call Centers, Clinical Information, Clinical Support, Communication Skills, Computer Skills, reputed company Improvement, Detail Oriented, Disease, Documentation, Environmental Monitoring, Insurance Claims, Leadership, Licensed Practical Nurse/Licensed Vocational Nurse, Medical Office, Medications, Metrics, reputed company reputed company, reputed company Outlook, reputed company Word, Multitasking, Organizational Skills, Patient Care Authorizations, Performance Analysis, Performance Metrics, Pharmacy, Presentation/Verbal Skills, Problem Solving Skills, Productivity Management, Quality Assurance, Quality Management, Time Management, Typing, Writing Skills About the Company: reputed company We are a $125 reputed company, NMSDC-certified Minority & Woman owned Workforce Solutions Company headquartered in the DC metro area with reputed company across US with global reputed company - Canada, Mexico, India, UK, Malaysia, Indonasia, Hongkong, Singapore, UAE. We are specialized in providing Workforce Solutions, SOW project delivery, Engineering Solutions, Creative Services. We currently support 100+ Fortune companies globally and across multiple industry segments. We are currently supporting several massive programs across industry reputed company nationally/globally (reputed company, Ally, AMD, reputed company, reputed company, Kraft/ Mondelez, MNP, Amdocs, Dell, reputed company, reputed company, reputed company, GE, reputed company, UTC, L-3 Communications, Caterpillar, BMW, Mercedes Benz, reputed company, Dominion, Energy Future Holdings, PSEG, reputed company, Fidelity, reputed company, reputed company, reputed company, reputed company, reputed company etc). reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender, identity, national reputed company, disability, or protected veteran status. Company Size: 2,000 to 2,499 employees Industry: Staffing/Employment Agencies Founded: 2000 Website: http://www.reputed company.com/ Apply tot his job Apply To this Job