California Licensed Vocational Nurse

To support a high-volume prior authorization process, the full-time California Licensed Vocational Nurse will review and process authorization requests, apply clinical criteria, and manage communications in a remote environment. Key responsibilities • Review and process complex prior authorization requests while maintaining productivity and service standards • Navigate multiple systems and communication platforms to support accurate determinations • Communicate professionally with pharmacists, providers, and team members to ensure quality and compliance Required qualifications • Active, unrestricted LPN/LVN license in good standing • Minimum 2 years of prior authorization experience in a PBM, specialty medical office, or clinical setting • Experience using CoverMyMeds or similar electronic authorization platforms • High School Diploma or equivalent • Strong computer proficiency with Microsoft Outlook, Excel, and related applications