Licensed Practical Nurse - Dermatology

Prior Authorization Specialist

This is a full-time Prior Authorization Specialist position. Job specific competencies include completing each prior authorization and patient assistance reference encounter in an efficient, standardized and accurate manner. Demonstrates professionalism and provides exemplary customer service with each encounter for both internal and external customers. Demonstrates exceptional organizational skills. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting JCMG's corporate integrity efforts by acting in an ethical and appropriate manner. Assist with medication refills within clinic guidelines. Provides nursing care to patients in the clinic following the Missouri Licensed Practical Nurse Practice Act, scope of practice. Provides appropriate safety and infection control measures. Performs routine clerical activities required for efficient operation of the ambulatory clinic. Assures the efficient and effective functioning of clinic processes.

Knowledge/skills/abilities include knowledge of managed care contracts/plans, medical terminology, excellent organizational skills, written and oral communication and customer service, strong teamwork and collaborative skills, ability to multi-task and work independently as this is a fully remote position, attention to detail, and must have knowledge of office equipment and computers.

JCMG core competencies include striving for continuous quality improvement, participating in educational experiences designed to maintain and/or improve professional competence, maintaining high work ethic standards, and providing quality customer service to staff, patients and visitors at all times.

Minimum qualifications include a high school diploma or GED, graduate from an approved Licensed Practical Nurse School of Nursing, 1 year in an acute care setting; prefer an additional 1 year in ambulatory care, minimum of 1 year experience in managed care or medical office environment, and computer experience required.

Work environment includes working in heated and air-conditioned area; may be exposed to infectious material and contagious conditions; frequently exposed to patient body fluids, including blood and contaminated sharps; potential for exposure to hazardous disinfecting chemicals and radiation; must follow universal precautions and utilize personal protective equipment.

Benefits include health insurance & employer paid short- and long-term disability, generous PTO policy, beginning at 148-hours annually, 56 hours paid Holiday Leave, employer Retirement Plan (401K) with employer match, tuition reimbursement and other professional advancements, including a Medical Assistant training program.