Back to Search Result
Previous Job Next Job

LanceSoft, Inc. – Prior Authorization LPN/LVN

Email Job

Job Detail

  • Job ID 2956

Job Description

Job Description:

Job Title: Licensed Vocational Nurse/Licensed Pratitional Nurse

Location: Fully remote (never coming onsite)

Duration: 6+ Months

Description:

** This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and provide license number.

Duties:

  • Responsibilities include answering inbound phone calls, processing cases and electronic authorizations, loading authorizations, and making follow-up phone calls utilizing appropriate courteous and professional behavior based upon established standards.
  • Maintaining complete and accurate, documentation of all necessary information is necessary and will involve computer system data entry, data management, and reporting.
  • Review criteria-based prior authorizations following policy and procedure.
  • Provide on-call after hours nurse availability for urgent PA requests.
  • Provide internal nurse support to the PA team and member services department .
  • Refer cases not meeting clinical criteria to the Pharmacist and MD team(s).
  • Shift priorities while exhibiting a high level of urgency with all calls and assignments.
  • Excellent verbal and written skills.
  • You will work with pharmacists, other clinical colleagues, healthcare professionals and members.
  • Follow all prior authorization procedures to guarantee an accurate process on each prior authorization.
  • Train and mentor representatives on the PA team.
  • Complete other PA assignments as delegated by the PA leadership team.

Experience:

  • Minimum of one-year related work experience to include working with an electronic medical record in a high call volume environment.

Education:

The Licensed Practical Nurse is a graduate of a school of Practical or Vocational Nursing, approved by the State Agency and/or accredited by the National League for Nursing (Accrediting Commission (NLNAC)) at the time the program was completed by the applicant. The LPN/LVN must have a full, active and unrestricted license as a Licensed Practical or Vocational Nurse in a State, Territory or Commonwealth of the United States or District of Columbia.

Related Jobs

 
Required 'Candidate' login to applying this job. Click here to logout And try again
 
 
 

Apply for this Job

  • Drop a resume file or click to upload.
    To upload file size is (Max 5Mb) and allowed file types are (.doc, .docx, .pdf)
    or
    Upload Resume
  • Upload Cover Letter

    To upload file size is (Max 1Mb) and allowed file types are (.doc, .docx, .pdf)

  • By clicking checkbox, you agree to our Terms and Conditions and Privacy Policy

 

Answers

 

Job Alerts

 

Account Activation

Before you can login, you must activate your account with the code sent to your email address. If you did not receive this email, please check your junk/spam folder. Click here to resend the activation email. If you entered an incorrect email address, you will need to re-register with the correct email address.