Licensed Practical Nurse - Prior Authorization

CVS Health

5d • $22 - $49 • Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The LPN is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The LPN will make the determination if a complex request should be transferred to a pharmacist for assistance. Additionally, the LPN is responsible for maintaining complete, timely, and accurate documentation of all approvals and denials. In order to be successful in this role you will need proficiency pronouncing drug names and diagnosis and recognizing medical terminology. As well as navigating multiple software systems to document conversations and outcomes, which require keyboarding skills. This position requires schedule flexibility including rotations through nights, weekend and holiday coverage.

Requirements

• 1+ years' experience working prior authorization requests
• Must be able to work from home
• Have high speed internet

Nice To Haves

• Previous experience in pharmacy or healthcare industry.
• Associate's or Bachelor's Degree.
• Licensed practical nurse

Responsibilities

• The LPN is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base.
• The LPN will make the determination if a complex request should be transferred to a pharmacist for assistance.
• The LPN is responsible for maintaining complete, timely, and accurate documentation of all approvals and denials.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED