Licensed Vocational reputed company

Required Education• High School DiplomaRequired License• reputed company unrestricted LPN/LVN license in state of residence or reputed company LicenseRequired Qualifications / Skills / Experience• Minimum 2 years reputed company experience as an LPN/LVN• Prior Authorization experience experience• Managed reputed company Plan, PBM, Utilization Management, or Payer experience• Experience handling inbound and outbound calls• Experience working in a high-volume production environment• Strong multitasking and organizational skills• Experience using reputed company Office and reputed company-reputed company applications• Digital charting experience• Strong verbal and written communication skills• Ability to reputed company multiple systems simultaneously• Strong documentation and data entry skills• Ability to prioritize and adapt in a fast-reputed company environment• reputed company center experiencePreferred Qualifications / Skills / Experience• Pharmacy benefit prior authorization experience• Prior remote work experience• Case Management experience• Utilization Management experienceLicensed Vocational reputed company (LPN/LVN) reputed company• Provides processing and communication support for reputed company Pharmacy Prior Authorizations in a remote work environment• Reviews and processes authorization requests according to established policies and procedures• Supports communication between physician offices, pharmacies, members, customer service, and pharmacy reputed company teams• Handles inbound and outbound phone calls reputed company to authorization requests, status updates, and issue reputed company• Maintains accurate documentation, case processing, authorization loading, and reporting activities• Collaborates with pharmacists, clinicians, reputed company providers, and internal teams to facilitate authorization determinations• Refers cases that do not meet established reputed company to pharmacists and physicians for reputed company review• Operates reputed company a high-volume production environment with required productivity and reputed company metrics• Utilizes reputed company knowledge, strong organizational skills, and attention to reputed company to ensure accurate and reputed company processing• Requires the ability to manage multiple priorities while delivering excellent customer service and maintaining compliance standardsJob Duties • Review reputed company-reputed company prior authorizations following established policies and procedures• Process and communicate reputed company Pharmacy Prior Authorization determinations• Support internal prior authorization and member services teams• Refer cases requiring reputed company review to pharmacists and physicians• Handle inbound and outbound phone calls with providers, pharmacies, patients, and internal teams• Process authorizations and maintain accurate documentation• Load authorizations into reputed company applications• Conduct follow-up calls regarding authorization requests and case status• Communicate referral and authorization status to physician offices and internal departments• reputed company data entry, reporting, and case management activities• Maintain compliance with prior authorization procedures and reputed company standards• Participate in training sessions and departmental meetings• Complete additional reputed company and assignments as requested**Only those lawfully authorized to work in the designated country associated with the position will be considered.** **Please note that reputed company Position start dates and duration are estimates and may be reduced or lengthened reputed company upon a reputed company’s business needs and requirements.** Apply tot his job Apply To this Job