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Adecco is currently assisting a National Pharmaceutical client, recruiting for a Nurse Associate, LPN. This role is remote. Scheduled to start in November. Apply Now!

The anticipated wage for this position is between $26 and $26.86 Hourly wage may depend upon experience, education, geographic location and other factors.

You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Caremark Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations Manager, you will work with physician office staff and customer service, admissions and pharmacy operations departments to communicate prior authorization status. You will also oversee fax processing and provide telephone call assistance for prescriber office staff, pharmacies and members based on program criteria.

Schedule: **Training schedule is approximately three weeks , Monday to Friday 8:00am - 4:30pm CST, then schedule will be assigned: Expected shifts to be 8 hours per day, Monday through Friday between 8AM CST and 12AM CST, with potential weekend requirements.

Responsibilities include answering inbound phone calls, processing cases, 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.

+ 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.

+ 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.

Candidates must meet the following requirements to be considered:

+ Active LPN/LVN license in the state of practice required.

+ 1-3 years' experience

+ Strong detail orientation with excellent verbal and written skills.

+ Ability to deal with a diverse customer base in a friendly and confident manner (internal and external customers).

+ Proficient with computer systems and Microsoft Office skills, including Access, Excel and Word.

+ Ability to navigate systems in Windows and web-based programs, and quickly learn new applications.

+ Ability to prioritize and manage multiple tasks. Demonstrated sense of urgency with assignments.

+ Excellent organization skills.

+ Demonstrated problem-solving ability.

+ Ability to maintain confidentiality.

+ Knowledge of claim eligibility processes.

+ Works well as a member of a team with strong interpersonal skills.

+ Seeks ways to collaborate and reach consensus with peers. Actively works to build strong working relationships.

+ Able to customize messages and deliver to broader audiences.

+ Background in creating and maintaining reports a plus.

Work from home requirements:

+ Workspace is dedicated to business during working hours and is not accessible by others who may be present in the household; telephone conversations cannot be overheard, and documents/computer screens cannot be viewed by others.

+ You are required to provide your high speed internet speeds.

+ Minimal home broadband connectivity speed of 25 mb download and 3 mb upload speed. Speed for home internet can be confirmed by going to **www.speedtest.net** .

+ Smartphones are required. The VPN token will need to be downloaded to the user’s smartphone.

Click on **_apply now_** for instant consideration!

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

**Pay Details:** $26.00 to $26.86 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://uat.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

+ The California Fair Chance Act

+ Los Angeles City Fair Chance Ordinance

+ Los Angeles County Fair Chance Ordinance for Employers

+ San Francisco Fair Chance Ordinance

**Massachusetts Candidates Only:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.