Texas Licensed Practical Nurse

Job Summary

To support a high-volume clinical environment, the remote contract Texas Licensed Practical Nurse will manage prior authorization requests, navigate multiple systems, and maintain productivity while ensuring accurate clinical determinations.

Key Responsibilities

• Manage inbound and outbound calls while meeting productivity and service level expectations
• Review and process complex prior authorization requests using clinical criteria and documentation
• Communicate effectively with team members and healthcare providers regarding clinical information

Required Qualifications

• Active, unrestricted LPN/LVN license
• Minimum 2+ years of recent prior authorization experience in a PBM, MDO, or clinical setting
• Experience using CoverMyMeds or similar authorization platforms
• Strong computer proficiency across multiple systems including Outlook, Teams, Word, and Excel
• Ability to multitask across multiple monitors and applications simultaneously