New3d ago
- Specialty: Utilization Review
- Job type: Full-time
- Salary: $75,000 – $95,000
- License states: Compact
Weekend shiftAppeals+2
Job details- Utilization Review
- Full-time
- $45,000 – $65,000
- License: Compact
- 1+ years
Job description
The Prior Authorization Nurse Associate LPN/LVN is responsible for reviewing prior authorization requests for medications and medical services. This role involves using clinical judgment to determine medical necessity based on established criteria. The position is 100% remote and requires an active LPN/LVN license. CVS Health offers competitive compensation and benefits.
Key responsibilities
- Review prior authorization requests for medications and medical services
- Apply clinical criteria to determine medical necessity
- Document decisions in the system
- Communicate with providers and members as needed
What you bring
- Active LPN/LVN license
- 1+ year clinical experience
- Knowledge of prior authorization processes
- Strong communication skills
Tags
100% RemoteLPN/LVNPrior AuthorizationCVS Health
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- Specialty: Utilization Review
- Job type: Full-time
- Salary: $70,000 – $100,000
- License states: Compact
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Appeals Nurse Consultant
CVS Health
- Specialty: Utilization Review
- Job type: Full-time
- Salary: $70,000 – $100,000
- License states: Compact
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