Remote LVN: Prior Authorization Nurse Associate

Lancesoft; Woonsocket (RI); Remote; USD 34,000 - 39,000; Full time

Job summary

Lancesoft is seeking a Licensed Vocational Nurse (LPN/LVN) for a fully remote, full-time role focused on processing and managing prior authorizations within Caremark Specialty Medical PA workflows. You will support physician offices, pharmacies, and members, ensuring timely PA decisions while maintaining HIPAA compliance.

The position requires an active LPN/LVN license in the United States, 1–3 years of related experience, and the ability to work in a HIPAA-compliant home workspace.

Qualifications

• Active LPN/LVN license in the United States.
• Experience with prior authorization in healthcare.
• Ability to maintain HIPAA-compliant workspace remotely.

Responsibilities

• Handle inbound calls and faxes for prior authorizations.
• Process cases and electronic authorizations; load and track authorizations.
• Coordinate with pharmacist, physician offices, and payers to resolve PA status.

Skills

Prior authorization

Nursing

HIPAA compliance

Education

LPN/LVN license

Nursing degree

Tools

Eligibility systems

PBM knowledge

Job description

Lancesoft is seeking a Licensed Vocational Nurse (LPN/LVN) for a fully remote, full-time role focused on processing and managing prior authorizations within Caremark Specialty Medical PA workflows. You will support physician offices, pharmacies, and members, ensuring timely PA decisions while maintaining HIPAA compliance.

The position requires an active LPN/LVN license in the United States, 1–3 years of related experience, and the ability to work in a HIPAA-compliant home workspace.