Adecco is currently assisting a National Pharmaceutical client, recruiting for a Licensed Practical Nurse to work REMOTE .

Must have prior authorization experience

The anticipated wage for this position is between $27 and $28.09 Hourly wage may depend upon experience, education, geographic location and other factors.

Schedule: Training: Mon - Fri, 8:00 AM - 4:30 PM CST August 5 to 30th. Potential candidates need to be available during this time. Permanent Shift Range: Sun - Sat, 8:00 AM - 6:00 PM CST

Provide processing and communication of Specialty medication prior authorization (PA) referrals reviewed by the Case Review Unit (CRU) for the Specialty Guideline Management Programs for the Pharmacy and Medical benefits. Review complex clinical criteria-based prior authorizations in accordance with CVS policies and procedures.

• Refer prior authorization cases not meeting clinical criteria for upper-level review when appropriate.

• Must possess excellent communication skills, both written and verbal.

• Shift priorities while exhibiting a high level of urgency and responsiveness with all calls, prior authorization requests, and ADHOC assignments.

• Follow all prior authorization procedures to meet business quality standards and ensuring the operational unit is complying with regulatory requirements and accreditation standards.

• Participates in quality assurance activities on ongoing bases, including but not limited to reviewing work instructions and job aids regularly.

• Collaborate with representatives on the prior authorization team, pharmacists, clinical colleagues, healthcare professionals, clients, leaders, and team members.

• Complete other prior authorization assignments as delegated by the leadership team.

Candidates must meet the following requirements to be considered:

• Hold and maintain an active LPN/LVN license in the state of practice

• MUST HAVE prior authorization experience in an MDO or a clinical setting.

• Must have 3 to 5 years prior related work experience as an LPN/LVN in a medical office, PBM or clinical setting

• Experience using MS Office, other Windows-based computer applications, and phone use

Work from home requirements:

• Workspace is dedicated to business during working hours and is not accessible by others who may be present in the household; telephone conversations cannot be overheard, and documents/computer screens cannot be viewed by others.

• You are required to provide your high speed internet speeds.

• Minimal home broadband connectivity speed of 25 mb download and 3 mb upload speed. Speed for home internet can be confirmed by going to www.speedtest.net .

• Smartphones are required. The VPN token will need to be downloaded to the user's smartphone.

• That the assignment could be changed to an in office assignment.

Click on apply now for instant consideration!

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Pay Details: $27.00 to $28.09 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

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The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.