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By | April 13, 2022

Job Responsibilities : LPN

Salary : $56000 per year

Company : CVS Health

Location : Remote US

Educational requirements : High School

  • 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.
  • Working Hours will be 9am-5:30pm CST
  • Weekend shifts and PM shifts preferable- latest shift end time 8pm CST
  • Utilization of clinical skills to support the documentation and communication of medical services and prior authorization determinations
  • Ability to multitask, prioritize, and effectively adapt to a fast paced changing environment
  • This position involves sedentary work with periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone, and typing on the computer.
  • Position requires proficiency with computer skills which include navigating multiple systems and keyboarding
  • Excellent communication skills, both written and verbal
  • Must have regular and predictable attendance
  • Colleague will be required to work business required overtime/extended work week when needed

Required Qualifications

  • Active LPN license in the state of practice.
  • Minimum one year experience
  • Experience using MS Office and other Windows-based computer applications and phone use.

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