Licensed Vocational Nurse

Integrated Resources, Inc ( IRI ); California (MO); Remote; USD 55,000 - 85,000; Full time

Job summary

A leading healthcare provider is seeking a Licensed Vocational Nurse (LPN) to support their Specialty Medical Prior Authorization Department. The role involves processing medication authorization requests and requires an active LPN license and clinical experience. This remote position offers flexibility in work hours with a supportive team environment.

Qualifications

• Active, unrestricted LPN/LVN license in state of residence.
• 2+ years clinical LPN/LVN experience.
• 1+ year experience using Microsoft Teams and Office applications.

Responsibilities

• Process specialty medication prior authorization requests.
• Collaborate with physician offices and pharmacy operations.
• Review criteria-based prior authorizations per policy.

Skills

Problem-Solving

Interpersonal Skills

Communication

Education

Graduated from an accredited school of Practical or Vocational Nursing

Tools

Microsoft Teams

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

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Contract- 6 months

8 AM–8 PM CST

• As a Remote LPN/LVN Prior Authorization Nurse, you will support the Healthcare Specialty Medical Prior Authorization Department by processing and communicating specialty medication prior authorization (PA) requests.
• You’ll collaborate with physician offices, customer service, admissions, and pharmacy operations to ensure timely and accurate case handling and communications.
  
  

Job Title: Licensed Practical Nurse

Location Remote

Contract- 6 months

Shift- Available to work Monday–Friday, Sunday–Thursday, or Tuesday–Saturday between 8 AM–8 PM CST

Position Summary:

• As a Remote LPN/LVN Prior Authorization Nurse, you will support the Healthcare Specialty Medical Prior Authorization Department by processing and communicating specialty medication prior authorization (PA) requests.
• You’ll collaborate with physician offices, customer service, admissions, and pharmacy operations to ensure timely and accurate case handling and communications.
  
  

Responsibilities:

• Review criteria-based prior authorizations per policy and procedure
• Provide after-hours on-call nurse support for urgent PA requests
• Support internal PA and member services departments
• Refer cases outside of clinical guidelines to Pharmacist/MD teams
• Manage multiple priorities with urgency and professionalism
• Document all activity accurately in computer systems
• Work Environment Requirements:
• Must be able to work in a HIPAA-compliant, distraction-free home office
• Must use secure private internet with at least 25 Mbps download / 3 Mbps upload
• Must provide a screenshot of internet speed with resume
• Must include active license number on resume
  
  

Training Schedule:

• Initial Training (5–7 weeks): Monday–Friday, 8:00 AM–4:30 PM CST
• Post-Training (6 weeks): Monday–Friday, 8:00 AM–5:00 PM CST
• Ongoing Shifts: 8-hour shifts including one weekend day per week
  
  

Required Qualifications:

• Active, unrestricted LPN/LVN license in state of residence
• 2+ years clinical LPN/LVN experience
• 1+ year using Microsoft Teams, Word, Excel, and Outlook
  
  

Preferred Qualifications:

• 1+ year experience in prior authorization
• Experience using Novologix
• Strong interpersonal and problem-solving skills
• Team-oriented with excellent oral and written communication
  
  

Education Requirements:

Graduate of an accredited school of Practical or Vocational Nursing, approved by the appropriate state agency or NLNAC

Must hold a full, active, and unrestricted LPN/LVN license in the U.S. or its territories

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  IT Services and IT Consulting

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