LPN/LVN Prior Authorization Nurse

To support a growing healthcare team, the full-time LPN/LVN Prior Authorization Nurse will review and process complex prior authorization requests, manage inbound and outbound calls, and maintain productivity in a remote environment. Key responsibilities Review and process complex prior authorization requests while maintaining accuracy and quality Manage inbound and outbound communications with team members, pharmacists, providers, and leadership Navigate multiple systems and apply clinical criteria and workflows to ensure compliance and efficiency Required qualifications Active, unrestricted LPN/LVN license in the state of residence 2+ years of prior authorization experience in a PBM, MDO, or clinical setting Experience with CoverMyMeds or similar prior authorization platforms Strong computer proficiency and ability to multitask across multiple systems High School Diploma or equivalent education