LVN/LPN Prior Authorization Nurse

LVN/LPN Prior Authorization Nurse (Case Management Analyst)

Set-up: 100% Remote.

Work and Training Schedule: Monday - Friday 8-5pm CST, will need to work every 6th weekend (both Saturday & Sunday - will have days off during the week)

Pay Range: Up to $27/hour

Tentative Start Date: 02/17/2025

Initial Assignment Length: 3-4 months contract with possibility for extension/conversion based on performance, attendance and business need.

Benefits: Paid weekly, health, dental + vision insurance available!

A global health insurance provider whose mission is to improve the health, well-being, and peace of mind of those the company serves. Become a part of this ever-growing, deeply caring, and collaborative healthcare industry leader today!

Overview:
• Delivers professional activities in the Case Management job family.
• Coordinates enrollee care needs across the continuum for assigned
• Interviews members and relatives to obtain social history relevant to medical problems and care planning.
• Assists members with environmental difficulties that interfere with obtaining maximum benefits from medical care.
• Serves as a liaison between primary care team, members, relatives and appropriate outside agencies.
• Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas.
• Provides standard professional advice and creates initial reports/analyses for review.
• May provide guidance, coaching, and direction to more junior members of the team in Case Management.
• members who are medically stable, but require primary psychosocial support and acute intermittent medical support.

3 Non-Negotiable Skills:
• Excellent computer skills
• Prior Authorization Experience
• Attention to detail

Must have:
• Must must a LPN or LVN. Current Non Restricted LPN or LVN License.

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