Rhode Island Licensed Vocational Nurse
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Job Summary
To support a remote healthcare team, the full-time Rhode Island Licensed Vocational Nurse will manage inbound and outbound calls, process prior authorization requests, and navigate multiple systems while ensuring quality and service level expectations.
Key responsibilities
- Review and process complex prior authorization requests using clinical criteria and supporting documentation
- Submit complete and accurate documentation to support determinations and avoid unnecessary delays
- Identify cases requiring escalation and refer appropriately
Required qualifications
- Active, unrestricted LPN/LVN license
- Graduate of an accredited school of Practical or Vocational Nursing
- Must maintain active licensure in good standing
Complete Job Description
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