A-Line Staffing is now hiring a Licensed Vocational Nurse (LPN/LVN) – Prior Authorization/Appeals (Remote)! Licensed Vocational Nurse Highlights Pay: $26.00 per hour Schedule: Monday–Friday (40 hrs/week)Training: M–F 8:00am–4:30pm CT Permanent schedule: Shifts M–F between 8:00am–7:00pm CT Location: Fully Remote (Work From Home) — anywhere in the U.S. (Excluding MT, VT, AK, HI, ND, SD, and NM) Employment Type: W2 Temporary Responsibilities Process and communicate Commercial Prior Authorizations (PA) and Appeals for pharmacy benefits Manage inbound/outbound calls while meeting productivity/quality/service level expectations Review complex requests using clinical criteria and supporting documentation (chart notes, claims history, PA history) Complete accurate documentation, data entry, and follow-up to avoid delays Escalate cases that do not meet criteria to the appropriate clinical/pharmacist/MD team(s) Navigate multiple systems/tools simultaneously with speed and accuracy Support team operations (including training/mentoring as needed) Requirements Active, unrestricted LPN/LVN license (must be licensed in the state you reside) Prior authorization experience required2+ years recent PA experience in a PBM, medical office (MDO), or clinical setting) Appeals experience preferred Experience with CoverMyMeds (or similar platform) preferred/expected High School Diploma or GED required Able to work a sedentary desk-based role (prolonged sitting/typing/screen time) Reliable, predictable attendance Work From Home / Tech Requirements (Must Have) Dedicated, HIPAA-compliant workspace away from distractions Wired internet: minimum 25 Mbps download / 3 Mbps upload Must be able to hardwire PC into modem/router Prescreen Questions (Need answers included with resume) Do you have a separate workspace with no interruptions (HIPAA compliant)? Do you have any conflicts with the training schedule or time off planned during the assignment? Do you have wired internet meeting 25/3 Mbps minimum? Are you able to sit and focus with no interruptions for the entire shift? Benefits Available Benefits are available to full-time employees after 90 days of employment. A 401(k) with company match is available for full-time employees after 1 year of service on our eligibility dates. Apply / Contact If you are interested in this Licensed Vocational Nurse (Remote PA/Appeals) position, APPLY, or contact kvaughn@alinestaffing.com.
...Watchpoint Logistics Class C Truck Drivers work collaboratively as part of the Cartage team and have a direct impact on the overall success of Watchpoint. They are responsible for the safe operation of company vehicles while working with our clients to facilitate pick-...
...Cabinet MakerSummary: Responsible for cabinet and display fixture assembly. Responsible for cutting of cabinet and fixture parts, parts edge banding, and machining of cabinet parts. Involved with laminating fabrication, layout and programming, and the installation of millwork...
...Full-time Description The Catholic Diocese of Jefferson City has a full-time opening for a Sr. Admin Assistant. This position reports to the Vicar General, Vicar for Priests and the CFO. A successful candidate is either a practicing Catholic in good standing...
...Job Description & Requirements Emergency Medicine Physician StartDate: ASAP Pay Rate: $266.75 - $288.75 This facility is seeking an Emergency Medicine Physician locums tenens support as they look to fill a current need. Details & requirements for this...
...Job Description Job Description Entry Level / Apprentice Electrician Opportunities in the Sterling Heights, MI. Area. An advanced international company in the Sterling Heights, MI. area is seeking several Entry Level/Junior Electricians for long-term positions...