Licensed Practical Nurse

Apidel Technologies; Princeton (IL); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading staffing and recruiting company is seeking a Licensed Practical Nurse for a fully remote role. This entry-level position involves reviewing clinical criteria for prior authorizations and collaborating with healthcare professionals. Ideal candidates will have a practical nursing school diploma and an active LPN license. Join a dynamic team and contribute to quality assurance in healthcare services.

Qualifications

• Active and unrestricted LPN/VN license in the U.S., District of Columbia, or U.S. territories.
• North Carolina licensure preferred.
• Entry-level position.

Responsibilities

• Review complex clinical criteria-based prior authorizations.
• Collaborate with healthcare professionals and clients.
• Participate in quality assurance activities.

Skills

Clinical skills

Problem-solving

Communication

Multitasking

Education

Graduate of an approved Practical or Vocational Nursing school

Job description

Join to apply for the Licensed Practical Nurse role at Apidel Technologies.

Position: Licensed Practical Nurse

Location: Fully remote (never coming onsite)

Duration: 6+ months (with possible extension)

Shift: Mon-Fri, 8am - 4:30pm EST

Duties

1. Review complex clinical criteria-based prior authorizations electronically and/or in written format in accordance with CVS/Caremark policies and procedures and health plan/employer criteria.
2. Refer cases not meeting clinical criteria for upper-level review when appropriate.
3. Follow all prior authorization procedures to meet quality standards and ensure compliance with regulatory requirements and accreditation standards.
4. Participate in quality assurance activities, including reviewing work instructions and job aids regularly.
5. Collaborate with team members, pharmacists, healthcare professionals, clients, and leaders.
6. Complete other assignments as delegated by leadership.
7. Utilize clinical and problem-solving skills for documentation, communication, and determinations related to medical services.
8. Multitask, prioritize, and adapt to a fast-paced environment.
9. This role involves sedentary work, extended sitting, talking on the phone, using multiple computer screens, and keyboarding.
10. Must have regular and predictable attendance.
11. Work overtime or weekends as required by the business.

Qualifications

• Graduate of an approved Practical or Vocational Nursing school.
• Active and unrestricted LPN/VN license in the U.S., District of Columbia, or U.S. territories.
• North Carolina licensure preferred.

Additional Information

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Health Care Provider
• Industries: Staffing and Recruiting