Licensed Vocational Nurse​/LPN

Licensed Vocational Nurse/LPN

Work from home in USA Work Type:
Remote

Full-Time Contract

$25.00/hour –$26.00/Hour on W2 (USD)

Training schedule is approximately 5 weeks starting 11/16/2025, Monday to Friday 8: 00am - 4: 30pm CST, Expected shifts to be 8 hours per day, which may also include one weekend day per week. Candidates in MT and PT time zones are preferred. Training is M-F 8am-4: 30pm CST for 5 weeks then M-F: 8am-5 pm CST.

For this assignment the team PREFERS candidate located in the MST or PST time zone;shifts typically end around 8 or 9pm EST so in those time zones usually work out better. This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties.

Must provide a screenshot of internet speeds with resume and provide license number.

• You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Aetna 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.
• Responsibilities include answering inbound phone calls, processing cases, loading authorizations, and making follow-up phone calls.
• Maintaining complete and accurate, documentation of all necessary information is necessary and will involve computer system data entry, data management, and reporting.

• 1+ years prior clinical work experience
• Excellent interpersonal skills
• Demonstrated problems solving ability and attention to detail
• Ability to work effectively in a team environment with great dependability
• Excellent oral and written communication skills
• Ability to quickly assess and adapt to constantly changing situations, phone and PC use
• Required to possess a high mental agility and alertness
• Ability to effectively communicate with pharmacists, other clinical colleagues, healthcare professionals and members
• Ability to effectively prioritize work while exhibiting a high level of urgency with all calls and assignments
• Ability to effectively train and mentor representatives on the PA team

• 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.
• Excellent verbal and written skills. 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.
• Complete other PA assignments as delegated by the PA leadership team.

The Licensed Practical Nurse is a graduate of a school of Practical or Vocational Nursing, approved by the State Agency and/or accredited by the National League for Nursing (Accrediting Commission (NLNAC)) at the time the program was completed by the applicant. The LPN/LVN must have a full, active and unrestricted license as a Licensed Practical or Vocational Nurse in a State, Territory or Commonwealth of the United States or District of Columbia.