Nurse Associate - LPN

CVS Health; Lansing (MI); Remote; USD 10,000 - 60,000; Full time

Job summary

CVS Health is seeking a Nurse Associate - LPN for a remote position. The LPN will handle Commercial Prior Authorizations and provide nursing support, ensuring efficient communication and documentation processes. Candidates must possess an unrestricted LPN license and relevant clinical experience. This role promotes flexibility, professionalism, and a supportive health care environment with competitive benefits.

Benefits

Affordable medical plan options

401(k) plan with matching contributions

No-cost wellness and financial programs

Paid time off and flexible work schedules

Tuition assistance

Qualifications

• Minimum 2 years clinical experience as a LPN/LVN.
• Must hold an unrestricted license in the state of residence.
• Able to work 8 hour shifts, Monday to Friday.

Responsibilities

• Process and communicate Commercial Prior Authorizations.
• Maintain documentation and perform data entry.
• Provide on-call after hours support for urgent requests.

Skills

Communication

Multitasking

Clinical Skills

Education

LVN/LPN Diploma

Associate's degree in nursing

Tools

MS Office

Windows-based applications

Job description

Join to apply for the Nurse Associate - LPN role at CVS Health

Join to apply for the Nurse Associate - LPN role at CVS Health

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

This position is a 100% remote, work from home in the USA opportunity and will not be patient facing.

The Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) will provide processing and communication of Commercial Prior Authorizations (PA) reviewed by the Commercial PA team for Pharmacy benefits. Reporting to the Pharmacy Operations Manager, working with physician office staff and customer service, admissions and pharmacy operations departments to communicate referral status. You will also oversee fax processing and providing telephone call assistance for prescriber office staff, pharmacies and members based on program criteria. Responsibilities include answering inbound phone calls, processing cases, loading authorizations, and making follow-up phone calls. Maintaining complete and accurate, documentation of all necessary information is necessary and will involve computer system data entry, data management, and reporting.

• Review criteria-based prior authorizations following policy and procedure
• Provide on-call after hours nurse availability for urgent PA requests
• Provide internal nurse support to the PA team and member services department Refer cases not meeting clinical criteria to the Pharmacist and MD team(s).
• Shift priorities while exhibiting a high level of urgency with all calls and assignments.
• Excellent verbal and written skills.
• You will work with pharmacists, other clinical colleagues, healthcare professionals and members.
• Follow all prior authorization procedures to guarantee an accurate process on each prior authorization.
• Train and mentor representatives on the PA team. Complete other PA assignments as delegated by the PA leadership team.
• Utilization of clinical skills to support the documentation and communication of medical services and prior authorization determinations
• Ability to multitask, prioritize, and effectively adapt to a fast paced changing environment
• This position involves sedentary work with periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone, and typing on the computer.
• Position requires proficiency with computer skills which include navigating multiple systems and keyboarding
• Excellent communication skills, both written and verbal
• Must have regular and predictable attendance
  
  

Required Qualifications

• Minimum 2 years clinical experience as a LPN/LVN.
• A LVN (Licensed Vocational Nurse) or LPN (Licensed Practical Nurse) that must hold an unrestricted license in state of residence
• Must be willing and able to work 8 hour shift Monday through Friday, between 8am and 8pm in time zone of residence
• Must be willing and able to work occasional weekends per business needs
  
  

Preferred Qualifications

• 3+ years prior related clinical work experience
• Experience using MS Office and other Windows-based computer applications and phone use.
• Digital charting
• Managed care or health plan previous experience,
• Call center experience
• Multi-tasking experience
• Prior remote experience
• Case Management experience
• Prior authorization experience
• High production experience
  
  

Education

LVN/LPN Diploma

Associate's degree in nursing as LPN/LVN

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The Typical Pay Range For This Role Is

$22.40 - $48.67

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great Benefits For Great People

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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.
  
  

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/02/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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