Remote LPN NOA Letter Auditor | Utilization & Compliance

CVS Health; Kentucky; Hybrid; USD 30,000 - 66,000; Full time

Job summary

CVS Health is seeking a Remote Licensed Practical Nurse/License Vocational Nurse to prepare and audit notice of action letters for approved or denied services. You will review clinical criteria and collaborate with the utilization management team to ensure accurate, timely communications.

This full-time role requires 1 year outpatient experience and an active LPN/LVN license. Promotes quality care while working within a 7am-7:30pm EST window on a remote basis, with no travel.

Qualifications

• 1 year of outpatient clinical experience required.
• LPN/LVN with current unrestricted licensure required.
• Education: Licensed Practical/Vocational Nurse diploma or Associate Degree.
• This role is fully remote and requires reliable home-office setup.

Responsibilities

• Prepare and write notice of action letters to members and providers for approved or denied services.
• Audit letters for accuracy, timeliness, and standard compliance.
• Support utilization management through clinical documentation and guidelines interpretation.
• Collaborate with the utilization management team to ensure quality and efficiency.

Skills

Critical thinking

Analytical skills

Attention to detail

Grammar and proofreading

Prioritization

Education

LPN/LVN diploma or associate degree

Tools

Quadient

MedCompass

Job description

CVS Health is seeking a Remote Licensed Practical Nurse/License Vocational Nurse to prepare and audit notice of action letters for approved or denied services. You will review clinical criteria and collaborate with the utilization management team to ensure accurate, timely communications.

This full-time role requires 1 year outpatient experience and an active LPN/LVN license. Promotes quality care while working within a 7am-7:30pm EST window on a remote basis, with no travel.