Authorization Nurse -- RN / LPN Telecommute

Date Posted: 07/20/2021

Equity Staffing is looking for an Authorization Nurse (LVN or RN) for a Telecommute Position. This position is with a Fortune 100 organization. Our client serves more than 85 million people and has a reputation for bold ideas. If you enjoy working with energetic people in a collaborative environment, we want to speak with you!

Applicants must live within driving distance to Ontario, a few in office meetings will be needed.

Position involved in functions such as pharmacy medication adherence management, patient telephonic outreach,, quality management, etc. which require advanced medical training i.e. RN, LPN, etc.

This is a combination telecommuting/on-site (Regional office) position

Contractors on this assignment will be working remote and will be expected to work in office 1-2 days per week, HM will discuss during interviews.

All candidates must be flexible regarding in office work, have reliable transportation and a valid driver’s license . Staff will work on Part D pharmacy 5 STAR measures and will manage medication adherence, refills due, 100 day conversion opportunities, communicate with patients, provider offices, pharmacies, etc. Home internet is required.

Please send candidates with telephonic, excel, patient education and chronic condition medication knowledge. Seeking an RN or LVN

Our goal is extraordinary performance that exceeds the expectations of the constituents, customers and members we serve.

In this position, you will work with the Nurse and pharmacy team to take our organization to 5 STAR performance.

The purposes of this role include, but are not limited to:
1. Health Plan specific outreach efforts and provider outreach
2. Medication adherence, refills due, conversion opportunities, mail order opportunities, additional duties as assigned.
3. Health plan meetings

The candidate must be technically savvy and must be able to work without distraction. This is a high production environment, and candidates must adhere to measured productivity requirements.

• Receives HP reports and organizes priorities to manage Part D measures: including medication adherence, refills due, conversion opportunities, patient education, high volume calls
• Integrates data collected from a variety of electronic and paper sources
• Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately.
• Attends conference calls as necessary to provide information relating to Part D measures and compliance
• Performs other duties as assigned

Required Qualifications:
• RN/LVN license
• Will consider a new grad.
• Solid knowledge of managed care requirements related to pharmacy measures
• Research and detail oriented, excellent proof reading skills
• Excellent time management and prioritization skills
• Strong communication skills
• Strong proficiency with Microsoft Office applications, including: Word, Excel, Adobe and PowerPoint
• Critical thinking skills
• Results-driven independent worker, and self-starter
• Experience working with HEDIS software (data entry, reporting) / Will consider a new grad.
• Experience in medical record review (vendor or health plan; onsite or fax/mail)
• Experience working in EMR systems

Training: 2-3 week training on Medication adherence, refill opportunities, statins, Part D measures, HP meetings and additional job functions will be discussed during interview.

Hours are Mon-Fri- 8-5 ( will consider a 9-5:30pm option)

Equity Staffing Group is one of the fastest growing Native American owned staffing companies in the United States. We are a certified Minority Business Enterprise (MBE) by the National Minority Supplier Development Council (NMSDC) and the Rocky Mountain Minority Supplier Development Council (RMMSDC).

Equity Staffing Group is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Equity Staffing Group will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

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"I was so impressed with the outstanding service that Equity Staffing provided in placing me in my current position.  I wasn’t sure I would be a good candidate for this position, but my recruiter and Equity’s Account Manager took the time to go over the job description and how my experience and skill set would fit in perfectly with this job assignment.  I am glad I took their advice, because I am now on contract with a great company working with a professional staff and learning how to support a management team in an industry I have never worked in before.” 

Lisa M.

Denver, CO

“I’ve been an IT contractor for 9 years, and in that time I’ve been exposed to numerous IT staffing firms and consulting agencies, big and small.  Equity impressed me immediately.  My recruiters quickly and efficiently connected me with a great tech company whose needs in both personality and tech proficiency matched my wheelhouse in addition to a healthy dose of career progressing tech challenges.  And a 12 minute drive from my house no less.  That’s huge for me.  They were willing to meet face to face before the client company interview which, in my experience, is critical to the staffing firm / contractor relationship.  Equity is organized, modern, and professional, and my recruiters were very pleasant to work with, responsive, and generous with their time.  I’m grateful for all they’ve done for me.”

Christopher S.

Minneapolis, MN

“Working as a consultant for Equity Staffing Group has been a wonderful experience.  My recruiter was a true professional throughout the entire process.  Equity separates itself from other staffing companies I have worked with in past because they provided wonderful customer service, they had benefits offerings,  the onboarding was easy and efficient but best of all they followed up with me prior to my assignment ending and found my next assignment shortly afterward.  I highly recommend the professionals at Equity Staffing Group!”

Tamika B.

Atlanta, GA