Prior Authorization LVN/LPN

Job Summary

To support specialty medication prior authorizations, the fully remote Prior Authorization LVN/LPN will process requests, communicate with healthcare professionals, and provide member support while managing a workload of 40 hours per week.

Key responsibilities

• Review and process specialty medication prior authorization requests according to established policies
• Communicate with physician offices, pharmacies, and members regarding prior authorization decisions
• Maintain accurate documentation and assist with urgent after-hours prior authorization requests as needed

Required qualifications

• Active, unrestricted LPN or LVN license in any U.S. state, territory, or the District of Columbia
• Minimum of 1 year of prior clinical experience
• High school diploma or GED required
• Ability to work independently while maintaining productivity and dependability
• Comfortable working with computers, phone systems, and electronic documentation