Prior Authorization Nurse Associate LPN/LVN
Hiring: Prior Authorization Nurse Associate LPN/LVN. Remote. US-based candidates only.
Remote Prior Authorization Nurse Associate LPN/LVN. full time. Open to candidates in Remote. Apply now.
About the Role
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health hands-on history. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Summary:
This position is a 100% remote, work from home in the USA opportunity and will not be patient facing. The Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) will provide processing and communication of Commercial Prior Authorizations (PA) reviewed by the Commercial PA team for Pharmacy perks. This is a high production role with required metrics.
Position Summary:
The Licensed Practical Nurse (LPN) will provide processing and communication of Commercial Prior Authorizations (PA) reviewed by the Commercial PA team for Pharmacy benefits. Reporting to the Pharmacy Operations Manager, working with physician office staff and customer service, admissions. Pharmacy operations departments to communicate referral status. You'll also oversee fax processing and providing telephone call assistance for prescriber office staff, pharmacies and members based on program criteria. Responsibilities include answering inbound phone calls, processing cases, loading authorizations, and making follow-up phone calls. Maintaining complete and accurate, documentation of all necessary information is necessary and will involve computer system data entry, data management, and reporting.
Duties:
Key Responsibilities
- Performs other related projects and duties as assigned, including attending training sessions and development meetings.
- 3+ years prior related clinical work experience
- Able to multitask, prioritize, and effectively adapt to a fast-paced changing environment
- Call center experience
- Prior authorization background
- Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve calls with a one call solution.
- Shift priorities while exhibiting a high level of urgency with all calls and assignments.
- Excellent communication skills, both written and verbal
- Position requires proficiency with computer skills which include navigating multiple systems and keyboarding
- Track record using MS Office and other Windows-based computer applications and phone use.
- Multi-tasking background
- High production experience
Skills & Tools Mentioned
- Communication
- Customer service
- Leadership
Frequently Asked Questions
Is this Prior Authorization Nurse Associate LPN/LVN role remote?
Yes — 100% remote. Work from anywhere in Remote.
Employment type for this Prior Authorization Nurse Associate LPN/LVN job?
full time. Ideal for remote professionals.
What skills are needed for this Prior Authorization Nurse Associate LPN/LVN role?
Key skills include Communication, Customer service, Leadership. These are core to succeeding in this role.
How to apply?
Click Apply Now above. Rolling interviews.
Submit your application today — this won't stay open long.