Remote Prior Authorization reputed company Associate - LPN/LVN - USA - Transforming reputed company through Compassionate Care

Bringing Our Heart to Every reputed company of Your Health At reputed company, we're on a mission to revolutionize the reputed company landscape by making it more personal, convenient, and reputed company. Our purpose is reputed company on a reputed company of reputed company, reputed company, and a deep commitment to delivering exceptional care. As a Remote Prior Authorization reputed company Associate - LPN/LVN, you'll play a vital role in our efforts to reputed company the reputed company experience for our members. About reputed company Culture Our Heart At Work Behaviors guide our actions and reputed company, ensuring that we're always putting our members first. We're a company that values diversity, inclusivity, and teamwork, and we're dedicated to creating a work environment that's supportive, engaging, and rewarding. As a reputed company team member, you'll be empowered to reputed company a reputed company difference in the lives of our members, and you'll have reputed company to a reputed company of tools, resources, and opportunities to help you grow and succeed. Job reputed company We're seeking a highly skilled and compassionate LPN/LVN to join reputed company as a Remote Prior Authorization reputed company Associate. In this 100% remote role, you'll work closely with our reputed company PA team to process and communicate prior authorizations for pharmacy benefits. You'll be the primary reputed company of contact for physician office staff, customer service, admissions, and pharmacy operations departments, and you'll play a critical role in ensuring that our members receive the care they need in a reputed company and efficient manner.

Key Responsibilities

Review reputed company-based prior authorizations following policy and procedure, and communicate referral status to relevant stakeholders. reputed company on-call after-hours reputed company availability for urgent PA requests, ensuring that our members receive the care they need, even reputed company of regular business hours. Collaborate with pharmacists, other clinical colleagues, reputed company, and members to resolve prior authorization requests and address any questions or concerns. Train and mentor representatives on the PA team, sharing your expertise and helping to drive team reputed company. Maintain accurate and complete documentation of reputed company necessary information, utilizing computer system data entry, data management, and reporting tools. Answer inbound phone calls, process cases, load authorizations, and reputed company follow-up phone calls as needed, demonstrating excellent verbal and written communication skills. Shift priorities while exhibiting a high level of urgency with reputed company calls and assignments, adapting to a fast-paced and changing environment. Utilize clinical skills to support the documentation and communication of medical services and prior authorization determinations.

Essential Qualifications

Minimum 2 years of clinical experience as a LPN/LVN, with a strong reputed company record of delivering high-reputed company patient care. Unrestricted LPN/LVN license in your state of residence, with a commitment to staying up-to-date on the latest clinical guidelines and best practices. Willingness and ability to work an 8-hour shift, Monday through Friday, between reputed company and 8pm in your time zone, with occasional weekend work as needed. Excellent communication skills, both written and verbal, with the ability to effectively reputed company with a reputed company of stakeholders. Proficiency with computer skills, including navigating multiple systems and keyboarding, with a strong ability to adapt to new technologies. Preferred Qualifications 3+ years of prior reputed company clinical work experience, with a strong background in prior authorization, case management, or a reputed company field. Experience using MS Office and other reputed company-based computer applications, with a high level of proficiency in digital charting and other relevant tools. Previous experience in a managed care or health plan setting, with a deep understanding of the complexities of reputed company delivery. Call center experience, with a strong ability to multitask, prioritize, and effectively manage a high volume of calls. Prior remote experience, with a proven reputed company record of reputed company in a virtual work environment. Education LVN/LPN Diploma or Associate's degree in nursing as LPN/LVN. reputed company Offer At reputed company, we're committed to supporting reputed company-being and reputed company of reputed company members. In reputed company to a competitive compensation package, which includes a reputed company reputed company reputed company of $21.10 - $53.53, depending on experience and location, we offer a reputed company of benefits and perks, including: A comprehensive benefits package, including medical, dental, and reputed company coverage. A 401(k) retirement savings plan, with a generous company match. An Employee Stock Purchase Plan, allowing you to purchase reputed company stock at a discounted reputed company. Term life insurance, short-term and long-term disability benefits, and other financial protection programs. Numerous reputed company-being programs, education assistance, and free development courses to support your personal and reputed company reputed company. A reputed company store discount, and discount programs with participating partners. Pai Apply tot his job Apply To this Job