Job Description

Job Description

Job Description

A national healthcare organization is hiring remote LPNs/LVNs to support a Specialty Medication Prior Authorization (PA) program. In this role, you’ll help process PA requests, communicate authorization status, and support members and provider offices using established clinical criteria and workflows.

Openings: 5
Work setting: Fully remote (work-from-home)

Target start date: November 16, 2026

Schedule / Training

• Full-time: 40 hours/week
• Training is approximately 5 weeks
• Training hours: Monday–Friday, 8:00 AM–4:30 PM CST (during training)
• After training: Monday–Friday, 8:00 AM–5:00 PM CST
• Team preference: candidates located in Mountain or Pacific time zones (shifts can run later in Eastern time)

What You’ll Do

• Process and communicate specialty medication prior authorizations (PA) based on established criteria and procedures
• Handle inbound calls and provide phone support to provider offices, pharmacies, and members
• Manage fax/electronic authorization processing, case documentation, and follow-ups
• Maintain accurate documentation and data entry across multiple systems
• Refer cases not meeting criteria to the Pharmacist/MD team
• Support PA team operations with urgency, prioritization, and strong teamwork

Required Qualifications

• Active, unrestricted LPN/LVN license (any U.S. state/territory/Commonwealth or Washington, D.C.)
• • RN licenses are not accepted for this LPN/LVN-only role
• 1+ year prior clinical experience
• Strong communication skills (verbal/written) and attention to detail
• Comfortable working on the phone and computer for extended periods
• High School Diploma or GED (verifiable)

Job Tags

Similar Jobs