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Prior Authorization - LPN - LVN - Remote - Remote Eligible
Review and validate complex clinical criteria-based prior authorizations for healthcare services.
Remote
Mid-Level
1 week ago
CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.
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✨ About The Role
- The position involves the collection of clinical and medical data for prior authorization assessments.
- Candidates will conduct reviews of cases based on health plan criteria and document the required data.
- Timely communication of case decisions to relevant parties is a key responsibility.
- The role includes participation in quality assurance activities and collaboration with various healthcare professionals.
- New hires will be expected to work a weekend shift as part of their permanent schedule rotation.
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.
About CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.