Remote Prior Authorization LPN

A-Line Staffing is now hiring a Prior Authorization Licensed Practical Nurse. This will be full time / 40+ hours per week. If you are interested in this Prior Authorization Licensed Practical Nurse Opportunity, please contact Michelle at 586-422-1171 or [email protected] Prior Authorization Licensed Practical Nurse Hours • Must be ok working Monday through Friday with the shifts being anytime between the hours of 8am CST and 12AM CST, with potential weekend requirements. Prior Authorization Licensed Practical Nurse Compensation • The pay for this position is $26.00 an hour paid weekly • Benefits are available to full-time employees after 90 days of employment • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Prior Authorization Licensed Practical Nurse Responsibilities • Review complex clinical criteria-based prior authorizations (electronically and/or in written format) in accordance with agreed criteria. • Refer prior authorization cases not meeting clinical criteria for upper-level review when appropriate. • Must possess excellent communication skills, both written and verbal. • Shift priorities while exhibiting a high level of urgency and responsiveness with all calls, prior authorization requests, and ADHOC assignments. • Follow all prior authorization procedures to meet business quality standards and ensuring the operational unit is complying with regulatory requirements and accreditation standards. • Participates in quality assurance activities on ongoing basis, including but not limited to reviewing work instructions and job aids regularly. • Collaborate with representatives on the prior authorization team, pharmacists, clinical colleagues, healthcare professionals, clients, leaders, and team members. • Complete other prior authorization assignments as delegated by the leadership team. • Utilization of clinical and problem-solving skills to support the research of documentation, 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 extended periods of sitting, talking on the telephone, using multiple programs on multiple computer screens, and keyboarding. • Must have regular and predictable attendance. • Colleague will be required to work business required overtime/work weekends when business requires. Prior Authorization Licensed Practical Nurse Requirements • Licensed Practical Nurse • Experience in case management, HEDIS, remote work, prior authorizations, claims, etc., If you think Prior Authorization Licensed Practical Nurse Position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting! Apply tot his job