Licensed Vocational Nurse/Licensed Practical Nurse

Job Title: "Licensed Vocational Nurse"
Location: Remote
Duration: Contract on w2 with possible extension

Description:
Position Summary
We are seeking experienced LPN/LVN candidates with prior authorization experience in a specialty medical office (MDO), PBM, or clinical setting. This role requires the ability to work in a high-volume, metrics-driven environment while maintaining strong clinical judgment, accuracy, and efficiency.
Successful candidates are self-directed, resourceful, and adaptable, with the ability to quickly interpret clinical information, navigate multiple systems simultaneously, and maintain productivity while managing competing priorities. This is a fully remote role requiring a high level of accountability, focus, and independence throughout the entire shift

Duties:
• Manage inbound and outbound calls while maintaining productivity, quality, and service level expectations
• Review and process complex prior authorization and appeals requests using clinical criteria and supporting documentation
• Navigate multiple systems, tools, and communication platforms simultaneously with speed and accuracy
• Review chart notes, claims history, and prior authorization history to make accurate determinations
• Submit complete and accurate documentation to support determinations and avoid unnecessary delays
• Identify cases requiring escalation and refer appropriately
• Demonstrate critical thinking and problem-solving when information is unclear or incomplete
• Apply internal workflows, job aids, and policies correctly and consistently
• Adapt quickly to changing priorities, processes, and clinical criteria
• Communicate clearly and professionally with team members, pharmacists, providers, and leadership
• Ask questions and seek clarification when needed to ensure accuracy
• Maintain attention to detail while processing high volumes of work efficiently
• Participate in quality assurance activities and apply feedback for continuous improvement
• Perform work in a sedentary, desk-based environment requiring prolonged sitting, typing, and screen time
• Maintain consistent attendance, productivity, and adherence to scheduled work hours

Top Skills:
• Active unrestricted LPN/LVN license
• Minimum 6 months[s] [/s]prior authorization experience
• Prior appeals experience is preferred
• PBM, specialty pharmacy, payer, or medical office (MDO) experience

Managed Staffing connects qualified professionals with leading employers across healthcare, technology, engineering, and other industries. We provide dedicated recruiter support and career opportunities with established organizations.