Current jobs related to Licensed Vocational Nurse - Woonsocket - VIVA USA Inc.
-
Licensed Vocational Nurse
4 weeks ago
Woonsocket, Rhode Island, United States Landmark Medical Center Full timePosition Overview At Landmark Medical Center, we uphold our commitment to excellence, empathy, and community engagement. As part of Prime Healthcare, we are seeking skilled professionals to enhance our esteemed healthcare team. Landmark Medical Center is a 214-bed acute care facility located in Woonsocket, RI. Our hospital has consistently received an 'A'...
-
Licensed Vocational Nurse
2 weeks ago
Woonsocket, Rhode Island, United States Prime Healthcare Full timeAbout the RoleWe are seeking a skilled Licensed Vocational Nurse to join our team at Prime Healthcare. As a member of our dedicated healthcare team, you will play a vital role in providing high-quality patient care and contributing to the success of our organization.ResponsibilitiesProvide direct and indirect patient care services, utilizing technical and...
-
Licensed Vocational Nurse
3 days ago
Woonsocket, Rhode Island, United States Prime Healthcare Full timeAbout the RoleWe are seeking a skilled Licensed Vocational Nurse to join our team at Landmark Medical Center, a 214-bed acute care hospital in Woonsocket, RI. As a member of Prime Healthcare, we are committed to delivering high-quality patient care and exceptional service.ResponsibilitiesProvide direct and indirect patient care services, utilizing technical...
-
Licensed Vocational Nurse
6 days ago
Woonsocket, Rhode Island, United States Prime Healthcare Full timeAbout the RoleWe are seeking a skilled Licensed Vocational Nurse to join our team at Landmark Medical Center, a 214-bed acute care hospital in Woonsocket, RI. As a member of Prime Healthcare, we are committed to delivering high-quality patient care and exceptional service.ResponsibilitiesProvide direct and indirect patient care services, utilizing technical...
-
Licensed Vocational Nurse
3 days ago
Woonsocket, Rhode Island, United States Prime Healthcare Full timeAbout UsAt Prime Healthcare, we are committed to delivering high-quality patient care and exceptional service. Our team of dedicated professionals is passionate about making a difference in the lives of our patients and their families.Job SummaryWe are seeking a skilled Licensed Vocational Nurse to join our team at Landmark Medical Center. As a member of our...
-
Licensed Vocational Nurse
4 days ago
Woonsocket, Rhode Island, United States Mission Regional Medical Center Full timeOverviewAt Mission Regional Medical Center, our dedicated team of professionals is committed to delivering exceptional patient care and upholding our core values of quality, compassion, and community. As a member of our award-winning team, we are actively seeking a skilled Licensed Vocational Nurse to join our Step Down Unit.About UsMission Regional Medical...
-
Licensed Vocational Nurse
6 days ago
Woonsocket, Rhode Island, United States Prime Healthcare Full timeAbout UsAt Prime Healthcare, we're committed to delivering exceptional patient care and fostering a culture of quality, compassion, and community. Our team of dedicated professionals is passionate about making a difference in the lives of our patients and their families.Job SummaryWe're seeking a skilled Licensed Vocational Nurse to join our team at Landmark...
-
Licensed Vocational Nurse
6 days ago
Woonsocket, Rhode Island, United States Prime Healthcare Full timeAbout the RoleWe are seeking a skilled Licensed Vocational Nurse to join our team at Landmark Medical Center, a 214-bed acute care hospital in Woonsocket, RI. As a member of Prime Healthcare, we are committed to delivering high-quality patient care and exceptional service.ResponsibilitiesProvide direct and indirect patient care services, utilizing technical...
-
Licensed Vocational Nurse
4 days ago
Woonsocket, Rhode Island, United States Prime Healthcare Full timeAbout the RoleWe are seeking a skilled Licensed Vocational Nurse to join our team at Landmark Medical Center, a 214-bed acute care hospital in Woonsocket, RI. As a member of Prime Healthcare, we are committed to delivering exceptional patient care and upholding our core values of quality, compassion, and community.ResponsibilitiesProvide direct and indirect...
-
Licensed Vocational Nurse
1 week ago
Woonsocket, Rhode Island, United States Landmark Medical Center Full timeAbout Landmark Medical CenterLandmark Medical Center is a 214-bed acute care hospital in Woonsocket, RI, committed to quality, compassion, and community. As a member of Prime Healthcare, we strive for excellence in patient care and safety.Job SummaryThe Licensed Vocational Nurse provides direct and indirect patient care services, requiring technical and...
-
Licensed Vocational Nurse
2 weeks ago
Woonsocket, Rhode Island, United States Landmark Medical Center Full timeAbout UsLandmark Medical Center is a leading healthcare provider in northern Rhode Island and southern Massachusetts, committed to delivering exceptional patient care and community service.Our MissionWe strive to provide a safe, compassionate, and high-quality environment for our patients, families, and staff. Our team of dedicated professionals is...
-
Licensed Practical Nurse
6 days ago
Woonsocket, Rhode Island, United States Prime Healthcare Full timeAbout the RoleWe are seeking a skilled Licensed Practical Nurse to join our team at Landmark Medical Center, a 214-bed acute care hospital in Woonsocket, RI. As a member of Prime Healthcare, we are committed to delivering high-quality patient care and exceptional service.ResponsibilitiesProvide direct and indirect patient care services, utilizing technical...
-
Licensed Practical Nurse
2 days ago
Woonsocket, Rhode Island, United States Landmark Medical Center Full timeAbout Landmark Medical CenterAt Landmark Medical Center, our dedicated team of professionals is committed to delivering exceptional patient care and service. As a member of Prime Healthcare, we strive to provide a positive and supportive work environment that fosters growth and development.Job SummaryWe are seeking a skilled Licensed Practical Nurse to join...
-
Licensed Practical Nurse
2 weeks ago
Woonsocket, Rhode Island, United States Mission Regional Medical center Full timeJob Summary:At Mission Regional Medical Center, our dedicated team of healthcare professionals is committed to delivering exceptional patient care and exceeding our community's expectations. As a member of our award-winning team, you will have the opportunity to make a meaningful difference in the lives of our patients and their families.About the Role:The...
-
Licensed Practical Nurse
6 days ago
Woonsocket, Rhode Island, United States Prime Healthcare Full timeAbout the RoleWe are seeking a skilled Licensed Practical Nurse to join our team at Landmark Medical Center, a 214-bed acute care hospital in Woonsocket, RI. As a member of Prime Healthcare, we are committed to delivering high-quality patient care and exceptional service.ResponsibilitiesProvide direct and indirect patient care services, utilizing technical...
-
Licensed Practical Nurse
6 days ago
Woonsocket, Rhode Island, United States Landmark Medical Center Full timeAbout Landmark Medical CenterLandmark Medical Center is a 214-bed acute care hospital in Woonsocket, RI, committed to quality, compassion, and community. As a member of Prime Healthcare, we strive to provide exceptional patient care and service.Job SummaryWe are seeking a Licensed Practical Nurse/Licensed Psychiatric Technician to join our team. The...
-
Licensed Practical Nurse
1 day ago
Woonsocket, Rhode Island, United States Landmark Medical Center Full timeOverview:At Landmark Medical Center, our dedicated team of professionals is committed to delivering exceptional patient care and upholding our core values of quality, compassion, and community.We are actively seeking a skilled Licensed Practical Nurse to join our award-winning team at our 214-bed acute care hospital in Woonsocket, RI.As a member of Prime...
-
Licensed Practical Nurse
4 weeks ago
Woonsocket, Rhode Island, United States Landmark Medical Center Full timeOverview At Landmark Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. Landmark Medical Center is a 214-bed acute care facility located in Woonsocket, RI. The institution has been recognized with an "A" rating for patient safety by The Leapfrog Group and has earned numerous accolades...
-
Licensed Practical Nurse
4 weeks ago
Woonsocket, Rhode Island, United States Landmark Medical Center Full timeOverview At Landmark Medical Center, we pride ourselves on our unwavering commitment to quality, compassion, and community engagement. As part of Prime Healthcare, we are seeking dedicated professionals to enhance our award-winning team. Landmark Medical Center is a 214-bed acute care facility located in Woonsocket, RI. The hospital has consistently received...
-
Licensed Practical Nurse
3 weeks ago
Woonsocket, Rhode Island, United States Landmark Medical Center Full timeOverview At Landmark Medical Center, we pride ourselves on our unwavering commitment to quality, compassion, and community engagement. As a proud member of Prime Healthcare, we are seeking dedicated professionals to enhance our award-winning team. Landmark Medical Center is a 214-bed acute care facility located in Woonsocket, RI. Our hospital has...
Licensed Vocational Nurse
3 months ago
Description:
Provide processing and communication of Specialty medication prior authorization (PA) referrals reviewed by the Case Review Unit (CRU) for the Specialty Guideline Management Programs for the Pharmacy and Medical benefits. Reporting to the Pharmacy Operations Manager, working with physician office staff and customer service, admissions. and pharmacy operations departments to communicate referral status. You will also oversee fax processing and providing 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.
Duties
Review complex clinical criteria-based prior authorizations in accordance with client policies and procedures.
Refer prior authorization cases not meeting clinical criteria for upper-level review when appropriate.
Must possess excellent communication skills, both written and verbal.
Shift priorities while exhibiting a high level of urgency and responsiveness with all calls, prior authorization requests, and ADHOC assignments.
Follow all prior authorization procedures to meet business quality standards and ensuring the operational unit is complying with regulatory requirements and accreditation standards.
Participates in quality assurance activities on ongoing bases, including but not limited to reviewing work instructions and job aids regularly
Collaborate with representatives on the prior authorization team, pharmacists, clinical colleagues, healthcare professionals, clients, leaders, and team members.
Complete other prior authorization assignments as delegated by the leadership team.
Utilization of clinical and problem-solving skills to support the research of documentation, communication of medical services, and prior authorization determinations.
Ability to multitask, prioritize, and effectively adapt to a fast-paced changing environment.
This position involves sedentary work with extended periods of sitting, talking on the telephone, using multiple computer screens, and keyboarding.
Position requires proficiency with computer skills which include multitasking, navigating multiple systems, and keyboarding.
Must have regular and predictable attendance.
Colleague will be required to work business required overtime/ work weekends when business requires, making outreach, and processing prior authorization requests.
Experience
Hold and maintain an active LPN/LVN license in the state of practice.
Minimum 1 year experience reviewing and processing prior authorizations against health plan criteria for a determination in a clinical setting i.e. medical office or Pharmacy Benefits Manager (PBM)
Must have 3 to 5 years prior related work experience as an LPN/LVN in a medical office, PBM or clinical setting.
Experience using MS Office, other Windows-based computer applications, and phone use.
Education
The Licensed Practical Nurse is a graduate of a school of Practical or Vocational Nursing, approved by the client 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.
Note :
Training: Mon - Fri 8:00 AM - 4: 30 PM CST. Permanent Shift Range: Sun - Sat 8:00 AM - 6:00 PM CST
Fully remote (never coming onsite)
