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Prior Authorization LPN - LVN - Remote Eligible

Provide processing and communication of Commercial Prior Authorizations for Pharmacy benefits.
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

- This position is fully remote and does not involve direct patient interaction. - The LPN/LVN will be responsible for processing and communicating Commercial Prior Authorizations for pharmacy benefits. - Responsibilities include answering inbound calls, processing cases, and maintaining accurate documentation. - The role requires collaboration with physician office staff, customer service, and pharmacy operations departments. - The candidate will also provide on-call after-hours support for urgent prior authorization requests.

âš¡ Requirements

- The ideal candidate will have a minimum of 2 years of clinical experience as a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). - Candidates must possess an unrestricted nursing license in their state of residence. - Strong communication skills, both verbal and written, are essential for effective interaction with healthcare professionals and patients. - The ability to multitask and prioritize in a fast-paced environment is crucial for success in this role. - Experience in managed care or health plan settings, as well as call center experience, is preferred.
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Prior Authorization LPN - LVN - Remote Eligible
Remote
Vocational Nurse
About CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.