Remote Prior Authorization LPN

Remote, USA Full-time
A-Line Staffing is now hiring Remote Prior Authorization LPN/LVN – Remote position, please contact Marcia Hamilton at (586) 710-7979 or [email protected] Remote Prior Authorization LPN/LVN Location: Remote – USA (any state, fully remote) Start Date: November 10, 2025 Payrate: $26.00 an hour Seeking Licensed Practical/Vocational Nurses (LPN/LVN) with prior authorization experience in a clinical or MDO (Medical Doctor’s Office) setting to join our 100% remote prior authorization team. This is not a patient-facing role. You'll evaluate specialty medication prior authorization (PA) requests for both pharmacy and medical benefits. This includes phone support for prescribers and pharmacies, documentation, and case processing. Key Responsibilities • Process clinical prior authorization requests via electronic/fax/phone in accordance with CVS/Caremark policy. • Refer complex cases for pharmacist or higher-level review when criteria are not met. • Handle inbound/outbound calls regarding PA status and next steps. • Accurately document and manage information across multiple systems and screens. • Collaborate with clinical and non-clinical colleagues across pharmacy operations, admissions, and customer service. • Participate in ongoing quality improvement and training refreshers. • Maintain regular, reliable attendance and flexibility for business needs (including OT and weekends as required). Schedule & Training Info Training (Required): • Dates: November 10, 2025 – January 3, 2026 • Hours: Monday – Friday | 8:00 AM – 4:30 PM CST • No time off allowed during training; no more than 8 hours of missed time permitted. Permanent Schedule (Post-Training): • Days: Sunday – Saturday (5-day work week) • Hours: Shifts between 8:00 AM – 8:00 PM CST • Must work one weekend day (either Sunday–Thursday or Tuesday–Saturday schedule) Required Qualifications • Active, unencumbered LPN or LVN license in any U.S. state or territory. • 2+ years of recent experience processing prior authorizations in one or more of the following: • MDO (Medical Doctor’s Office) • PBM (Pharmacy Benefit Manager) • Skilled or specialty clinical setting • Strong multitasking skills using multiple computer systems (MS Office, web-based platforms, call center tools) • High school diploma or GED A-Line Staffing is now hiring Remote Prior Authorization LPN/LVN – Remote position, please contact Marcia Hamilton at (586) 710-7979 or [email protected] INDKS Job Type: Full-time Pay: $26.00 per hour Expected hours: 40 per week Benefits: • Health insurance Work Location: Remote Apply tot his job
Apply Now

Similar Jobs

Job Profile Name Pre-Access-Authorization Specialist I PRN

Remote, USA Full-time

Psychotherapist – Integrations – Berks County – Potential for full time with Remote option for additional hours in Bethlehem, PA in St. Luke’s University Health Network (job Id: 1671598482)

Remote, USA Full-time

[Hiring] Medical Coding Auditor @St. Luke's Hospital - MO

Remote, USA Full-time

Epic Beaker Analyst/Builder I - Remote Available in PA/NJ Job at St. Lukes University Health Network in Lehigh Valley

Remote, USA Full-time

Clinical Triage Specialist, RN - Access Center, Remote Position (Local to NJ/PA)

Remote, USA Full-time

VIRTUAL/ REMOTE: American Red Cross - Disaster Duty Officer (Long Beach and South Bay)

Remote, USA Full-time

Community Disaster Program Specialist

Remote, USA Full-time

Blood Collection Staff-Customer Service

Remote, USA Full-time

American Red Cross Test Engineer, Conversational AI (work from home) in Statewide, District Of Columbia

Remote, USA Full-time

American Red Cross Analyst II, Accounting * Work from home in Statewide, District Of Columbia

Remote, USA Full-time

Project Coordinator

Remote, USA Full-time

Experienced or Entry-Level Data Entry Specialist for Magical Entertainment Brand – Career Growth and Development Opportunities

Remote, USA Full-time

**Experienced Customer Support Associate – Remote Opportunity with Doordash**

Remote, USA Full-time

**Experienced Full Stack Data Entry Specialist – Remote Opportunity for Career Growth at arenaflex**

Remote, USA Full-time

Senior Software Engineer - Client Experience – USA Remote Jobs

Remote, USA Full-time

Remote BCBA - Part/Full time

Remote, USA Full-time

Experienced Data Entry Specialist for Innovative Technology Brand – Remote Work Opportunity with arenaflex

Remote, USA Full-time

**Experienced Part-Time Remote Data Entry Specialist – Contributing to arenaflex's Operational Excellence**

Remote, USA Full-time

Fall 2024 Archives Internship

Remote, USA Full-time

Administrative Assistant || Social Media Manager || Remote/Part-Time

Remote, USA Full-time
Back to Home