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Prior Authorization - LPN - LVN - Remote - Remote Eligible

Review and validate complex clinical criteria-based prior authorizations for healthcare services.
Remote
Junior
1 week ago
CVS Health

CVS Health

CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.

✨ About The Role

- The position involves the collection of clinical and medical data to perform assessments and reviews based on health plan criteria. - Responsibilities include conducting prospective, concurrent, and retrospective reviews of cases. - The role requires timely communication of case decisions to various stakeholders, including physicians and patients. - New hires will be expected to work a weekend shift as part of their permanent schedule rotation. - The job involves sedentary work with extended periods of sitting and using multiple computer screens.

âš¡ Requirements

- Candidates must have at least two years of prior authorization experience to be considered for this role. - Strong communication skills, both written and verbal, are essential for effective collaboration with healthcare professionals and internal departments. - The ideal candidate should be able to multitask and prioritize effectively in a fast-paced environment. - A background in clinical assessments and medical data documentation will be beneficial for success in this position. - The role requires a high level of urgency and responsiveness to prior authorization requests and calls.
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Prior Authorization - LPN - LVN - Remote - Remote Eligible
Remote
Vocational Nurse
About CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.