[Hiring] Licensed Vocational Nurse-LPN @Lancesoft Inc.

Role Description 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. Permanent Schedule: • Schedules are assigned based on business needs and may include: • Sunday-Thursday or Tuesday-Saturday • Shifts between 10:00 AM-6:30 PM CST • Schedule flexibility, overtime, and weekend availability are required. Duties • Manage inbound and outbound calls while maintaining productivity, quality, and service level expectations • Review and process complex prior authorization 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 Qualifications • Active, unrestricted LPN/LVN license • Minimum 2+ years of recent prior authorization experience in a PBM, MDO, or clinical setting • Experience reviewing and applying clinical criteria and supporting documentation for PAs • Experience using CoverMyMeds or similar authorization platforms • Familiarity with chart notes, claims history, and insurance requirements Technical Skills • Strong computer proficiency across multiple systems (Outlook, Teams, Word, Excel, etc.) • Ability to multitask across multiple monitors and applications simultaneously • Advanced keyboarding skills, with the ability to type quickly and accurately Behavioral and Work Style Requirements • Proven ability to work in a fast-paced, high-production, metrics-driven environment • Strong attention to detail while maintaining speed and accuracy • Ability to learn quickly and work independently with limited guidance • Strong time management and organizational skills in a remote setting • Ability to remain focused and productive while working independently for full shifts • Comfortable working in a structured, highly monitored environment with performance metrics • Strong written and verbal communication skills, including the ability to clearly articulate clinical information and medication names • Ability to receive, apply, and act on real-time feedback Preferred Qualifications • 3+ years of prior authorization experience • Experience in a specialty medical office or with specialty medications • Broad clinical background across multiple disease states • Previous call center or high-volume clinical processing experience What Makes Someone Successful in This Role • Ability to work under pressure while maintaining accuracy and productivity • Demonstrated ownership, reliability, and accountability for performance • Resourcefulness - able to locate and interpret information independently before escalating • Confidence to ask questions, seek clarification, and speak up when unsure • Ability to quickly learn new medications, disease states, and clinical criteria • Strong multitasking ability across systems, workflows, and communication tools • Excellent attention to detail combined with processing speed • Resilience and adaptability - able to adjust to frequent changes and challenges • Ability to remain focused and productive despite obstacles, system issues, or changing priorities • Ability to work successfully within a structured, performance-driven environment • Strong self-awareness and coachability, including the ability to accept and apply feedback • Accountability for personal performance, learning, and development • Ability to work independently in a distraction-free remote environment Work Environment & Expectations • Fully remote position requiring a quiet, dedicated, distraction-free workspace • Position involves extended periods of desk-based work, including screen time, keyboarding, and phone use Education • Graduate of an accredited school of Practical Nursing (NLNAC or equivalent) • Must maintain active licensure in good standing Benefits • Four options of medical Insurance • Dental and Vision Insurance • 401k Contributions • Critical Illness Insurance • Voluntary Permanent Life Insurance • Accident Insurance