US Tech Solutions
Licensed Vocational Nurse - LPN
This job is now closed
Job Description
- Req#: 25-46811
- The UM Nurse Associate I is responsible for reviewing and completing criteria-based prior authorizations in compliance with company policies and procedures. This role provides after-hours nurse availability for urgent prior authorization requests, supports the PA team and member services, and refers cases requiring clinical review to the Pharmacist or MD team.
- Answer inbound nurse queue calls promptly, including escalated calls.
- Serve as the final decision-maker for all prior authorization approvals.
- Refer cases not meeting clinical criteria to secondary review for final decision by a pharmacist.
- Work distributed case volumes and client exceptions.
- Maintain accurate, timely documentation of calls and clinical information obtained.
- Ensure proper processing, review, and maintenance of all PA paperwork.
- Participate in ongoing training and development sessions.
- Maintain and update desk reference materials.
- Train and mentor PA team representatives as needed.
- Execute other assignments as directed by the PA supervisor or manager.
- 1–3 years of related work experience (healthcare or call center preferred).
- Prior experience with utilization management or prior authorization processes preferred.
- Active, unrestricted LPN/LVN license (screenshot of license must be included at the top of the resume).
- High School Diploma or GED (required).
Duration: 06 months contract
Position Summary
Duties
Requirements
Experience
Licensure
Education
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
About the company
Our Talent Your Results - This is the premise behind US Tech Solutions. Our flexible engagement model offers right-fit talent on-demand - when, where and how you need it, so you can achieve your business objectives. We offer contingent, contract-to-hire or direct staffing services. At USTECH, we understand how critical talent is to every organization, as well as how the world of work and the workplace is changing. We offer the most effective means to help you acquire, manage and optimize talent. USTECH was founded in 2000 by Manoj Agarwal. Today, we are a global firm offering talent solutions to 150 customers including 20% of Fortune 500 across Financial Services, Healthcare, Life Sciences, Aerospace, Energy, Retail, Telecom, Technology, Manufacturing, and Engineering.
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
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