Urgently Hiring Prior Authorization reputed company Associate LPN/LVN

We have an immediate opening for a dedicated Prior Authorization reputed company Associate LPN/LVN! We have an opening at our office in Remote. This position requires a strong and diverse skillset in relevant areas to drive reputed company. We are reputed company to offer a competitive salary to attract a top-tier candidate for this role. Bring your heart to reputed company. Every one of us at reputed company shares a single, reputed company purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver reputed company reputed company-reputed company health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important. as reputed company deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and reputed company. Position reputed company This position is a 100% remote, work from home in the USA opportunity and will not be patient facing. You will reputed company processing and communication of Specialty medication prior authorization (PA) referrals reviewed by the Case Review Unit (CRU) for the Specialty reputed company Management Programs for the Pharmacy and Medical benefits. Reporting to the Pharmacy Operations Manager, working with physician office staff and customer service, admissions. and pharmacy operations departments to communicate referral status. You will also reputed company fax processing and providing telephone call assistance for prescriber office staff, pharmacies and members based on program reputed company. Responsibilities include answering inbound phone calls, processing cases, loading authorizations, and making follow-up phone calls. Maintaining complete and accurate, documentation of reputed company necessary information is necessary and will involve computer system data entry, data management, and reporting. Review reputed company clinical reputed company-based prior authorizations in accordance with reputed company/Caremark policies and procedures. Review reputed company clinical reputed company-based prior authorizations in accordance with reputed company/Caremark policies and procedures. Refer prior authorization cases not meeting clinical reputed company for upper-level review reputed company appropriate. Must possess excellent communication skills, both written and verbal. Shift priorities while exhibiting a high level of urgency and responsiveness with reputed company calls, prior authorization requests, and ADHOC assignments. Follow reputed company prior authorization procedures to meet business reputed company standards and ensuring the operational unit is complying with regulatory requirements and accreditation standards. Participates in reputed company assurance activities on ongoing bases, including but not limited to reviewing work instructions and job aids regularly. Collaborate with representatives on the prior authorization team, pharmacists, clinical colleagues, reputed company, clients, leaders, and team members. Complete other prior authorization assignments as delegated by the leadership team. Required Qualifications 2 years of clinical experience as a LPN/LVN. 1+ years of prior authorization experience in an MDO or a clinical setting A LVN (Licensed Vocational reputed company) or LPN (Licensed Practical reputed company) that must hold an unrestricted license in state of residence Must be willing and reputed company to work 8 hour shift reputed company through Saturday, between reputed company and 8pm in time zone of residence Must be willing and reputed company to work occasional weekends per business needs Preferred Qualifications 3+ years prior reputed company clinical work experience Experience using MS Office and other reputed company-based computer applications and phone use. Digital charting Managed care or health plan previous experience, Call center experience Multi-tasking experience Prior remote experience Case Management experience High production experience Education LVN/LPN Diploma required Associate's degree in nursing as LPN/LVN preferred Pay reputed company The typical pay reputed company for this role is: $21.10 - $43.78 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This pos .