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

Provide 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 all calls and assignments.

You will work with pharmacists, other clinical colleagues, healthcare professionals and members.

Follow all 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...