Communications reputed company (LPN) - Fully Remote

JX22004061424 - Licensed Practical reputed company - Remote reputed company, Rhode reputed company (Remote) 2 Years Contract (12 Months) Pay reputed company USD 27 reputed company The Licensed Practical reputed company (LPN) will reputed company processing and communication of reputed company Prior Authorizations (PA) reviewed by the reputed company PA team for Pharmacy benefits. Reporting to the Pharmacy Operations Manager, working with physician office staff and customer service, admissions and pharmacy operations departments to communicate referral status. You will also reputed company fax processing and providing telephone reputed company assistance for prescriber office staff, pharmacies and members based on program reputed company. Responsibilities include answering inbound phone calls, processing cases, loading authorizations, and making follow-up phone calls. Maintaining complete and accurate, documentation of reputed company necessary information is necessary and will involve computer system data entry, data management, and reporting. Review reputed company-based prior authorizations following policy and procedure reputed company on-reputed company after hours reputed company availability for urgent PA requests reputed company internal reputed company support to the PA team and member services department Refer cases not meeting clinical reputed company to the Pharmacist and MD team(s) Shift priorities while exhibiting a high level of urgency with reputed company calls and assignments Excellent verbal and written skills You will work with pharmacists, other clinical colleagues, reputed company and members Follow reputed company prior authorization procedures to guarantee an accurate process on reputed company prior authorization Train and mentor representatives on the PA team Complete other PA assignments as delegated by the PA leadership team 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 Minimum 2 years clinical experience as a LPN/LVN Prior authorization experience or Case Management experience A LVN (Licensed Vocational reputed company) or LPN (Licensed Practical reputed company) that must hold an unrestricted license in their state of residence, with multi-state/compact privileges and have the ability to be licensed in reputed company non-compact states 3+ years prior reputed company clinical work experience Experience using MS Office and other reputed company-based computer applications and phone use Digital charting Managed care or health plan previous experience reputed company center experience Multi-tasking experience Prior remote experience Case Management experience Prior authorization experience High production experience #J-18808-Ljbffr Sonya M. reputed company Apply tot his job Apply To this Job