US Tech Solutions
Prior Authorization Licensed Practical Nurse
PayCompetitive
LocationRemote
Employment typeContract
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Job Description
- Req#: 24-04623
- ∙ 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.
Job Summary:
This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and provide license number.
Responsibilities:
Responsibilities include answering inbound phone calls, processing cases and electronic authorizations, loading authorizations, and making follow-up phone calls utilizing appropriate courteous and professional behavior based upon established standards. Maintaining complete and accurate, documentation of all necessary information is necessary and will involve computer system data entry, data management, and reporting.
Experience:
The Licensed Practical Nurse is a graduate of a school of Practical or Vocational Nursing, approved by the State Agency and/or accredited by the National League for Nursing (Accrediting Commission (NLNAC)) at the time the program was completed by the applicant.
Skills:
LPN, Prior auth
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.About the company
Our Talent Your Results - This is the premise behind US Tech Solutions. Our flexible engagement model offers right-fit talent on-demand - when, where and how you need it, so you can achieve your business objectives. We offer contingent, contract-to-hire or direct staffing services. At USTECH, we understand how critical talent is to every organization, as well as how the world of work and the workplace is changing. We offer the most effective means to help you acquire, manage and optimize talent. USTECH was founded in 2000 by Manoj Agarwal. Today, we are a global firm offering talent solutions to 150 customers including 20% of Fortune 500 across Financial Services, Healthcare, Life Sciences, Aerospace, Energy, Retail, Telecom, Technology, Manufacturing, and Engineering.