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Prior Authorization Nurse (LPN) - 100% Remote ID-9067

Job Description

A-Line Staffing Solutions is hiring several LPNs & LVNs with Prior Authorization or Utilization Review experience for a 100% REMOTE opportunity with a leading healthcare organization!

Licensed Practical Nurse (LPN/LVN) – can be located anywhere in USA

Job Highlights

Key Responsibilities

  • Process and communicate specialty medication prior authorization (PA) requests.
  • Coordinate with physician office staff, customer service teams, admissions, and pharmacy operations regarding PA status.
  • Manage fax processing and inbound phone inquiries from prescriber offices, pharmacies, and members.
  • Handle electronic authorizations, document case information accurately, and follow up as needed.
  • Review criteria-based prior authorizations in compliance with policies and procedures.
  • Perform other duties as assigned.

Job Requirements

  • Active, unrestricted LPN/LVN license in state of residence.
  • 2+ years of clinical experience as an LPN/LVN.
  • 1+ years of experience with Microsoft Teams, Word, Excel, and Outlook.
  • Prior Authorization experience in a managed care or healthcare setting.
  • Strong verbal and written communication skills.

Benefits Available

  • Health, dental, and vision insurance after 90 days.
  • 401(k) with company match after 1 year.
  • Career growth and professional development opportunities.
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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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