California Licensed Vocational Nurse

Job Summary

To support a high-volume prior authorization process, the full-time California Licensed Vocational Nurse will review and process authorization requests, apply clinical criteria, and manage communications in a remote environment.

Key responsibilities

• Review and process complex prior authorization requests while maintaining productivity and service standards
• Navigate multiple systems and communication platforms to support accurate determinations
• Communicate professionally with pharmacists, providers, and team members to ensure quality and compliance

Required qualifications

• Active, unrestricted LPN/LVN license in good standing
• Minimum 2 years of prior authorization experience in a PBM, specialty medical office, or clinical setting
• Experience using CoverMyMeds or similar electronic authorization platforms
• High School Diploma or equivalent
• Strong computer proficiency with Microsoft Outlook, Excel, and related applications