Offer summary

Qualifications:

Active and unrestricted Licensed Practical/Vocational Nurse in state of residence., 2+ years of LPN/LVN clinical experience., Excellent verbal and written communication skills., 1+ years of experience using Microsoft Teams, including Word, Excel, and Outlook..

Key responsabilities:

Process and communicate specialty medication prior authorization requests.

Work with physician office staff and various departments to update prior authorization status.

Maintain accurate documentation and manage data entry for prior authorizations.

Provide on-call support for urgent requests and train PA team representatives.

Job description

Our Client, a Retail Pharmacy company, is looking for a Licensed Vocational Nurse – Prior Authorization to work remotely. LVNs located in MT or PT time zones are preferred.

Responsibilities:

You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Specialty Medical Prior Authorization department.
Reporting to the Pharmacy Operations Manager, you will work with physician office staff and customer service, admissions and pharmacy operations departments to communicate prior authorization status.
Oversee fax processing and provide telephone call assistance for prescriber office staff, pharmacies and members based on program criteria.
Responsibilities include answering inbound phone calls, processing cases, loading authorizations, and making follow-up phone calls. 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.
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.

Requirements:

Must have active, current and unrestricted Licensed Practical/Vocational Nurse in state of residence
2+ years of LPN/LVN clinical experience
Excellent verbal and written skills.
1+ years of experience using Microsoft Teams, including Word, Excel and Outlook

Why Should You Apply?

Health Benefits
Referral Program
Excellent growth and advancement opportunities

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.

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