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Part Time Prior Authorization Jobs in Kentucky (NOW HIRING)

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Part Time Prior Authorization information

What is a part time prior authorization?

A Part Time Prior Authorization job involves reviewing and processing requests for medical procedures, medications, or services that require approval from an insurance provider before they are covered. Professionals in this role verify patient information, check insurance guidelines, and communicate with healthcare providers and insurance companies to ensure timely approvals. This position typically requires knowledge of medical terminology, insurance policies, and prior authorization procedures.

What does a part time prior authorization do?

In a Part Time Prior Authorization role, your daily duties generally include reviewing medical documentation, verifying insurance coverage, submitting authorization requests for procedures or medications, and following up with insurance companies for approvals. You’ll frequently interact with healthcare providers, office staff, and sometimes patients to gather necessary information or clarify details. Accurate record-keeping and timely communication are central to ensuring patients receive required treatments without unnecessary delays. Your work will often be independent, but collaboration with clinical and administrative teams is common, especially to resolve more complex cases.

What are the key skills and qualifications needed to thrive in the part time prior authorization position?

A Part Time Prior Authorization specialist needs strong attention to detail, a solid understanding of healthcare insurance processes, and familiarity with medical terminology, often supported by experience in a healthcare setting or relevant certification. Proficiency in prior authorization software, electronic health record (EHR) systems, and payer portals is typically required. Exceptional organizational skills, clear communication, and the ability to multitask are vital soft skills in this position. These competencies are important to ensure timely approvals, minimize claim denials, and provide efficient support to patients and care teams.

What are the most commonly searched types of Prior Authorization jobs in Kentucky?

The most popular types of Prior Authorization jobs in Kentucky are:

What are popular job titles related to Part Time Prior Authorization jobs in Kentucky?

For Part Time Prior Authorization jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Part Time Prior Authorization jobs in Kentucky look for?

The top searched job categories for Part Time Prior Authorization jobs in Kentucky are:

Part Time Prior Authorization jobs near you
Infographic showing various Part Time Prior Authorization job openings in Kentucky as of August 2026, with employment types broken down into 100% Part Time. Highlights an 89% In-person, and 11% Remote job distribution.

Tele-Triage Licensed Practical Nurse - LPN

BrightSpring Health Services

Louisville, KY • Remote

$20 - $21/hr

Part-time

Re-posted 20 days ago

BrightSpring Health Services rating

4.9

Company rating: 4.9 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

223rd of 246 rated social care providers

Job description

Overview

Part Time Tele-Triage (Fully Remote) Licensed Practical Nurse Position:

*Must have compact state LPN licensure from the state in which you currently reside

*Remote Triage & Home Health LPN experience highly preferred

*Potential Start Date:  9/28/26

New Available PART TIME Schedule:

*Friday, Saturday & Sunday, 2p-10p CST (3p-11p EST)

This LPN provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care plans for persons served in the area of responsibility. The Tele-Triage LPN assesses health status, identifies problems and needs of person(s) served in their assigned caseload, develops nursing care plans in collaboration with operations LPN’s. You will complete chart reviews and monthly host home reviews and perform On-Bound calling to assigned populations/locations. This LPN performs data analysis in multiple systems.


Responsibilities

  • Monitor assigned phone lines during service hours to ensure timely response for caller needs
  • Triage all symptom-based calls and give recommendations according to the approved triage protocol
  • Triage patients by assessing severity of symptoms and referral to appropriate setting or level of care
  • Document in real time all care related recommendations and ensure local operations are notified of triage supports and outcomes
  • Initiate contact with acute care setting to coordinate services for clients receiving care in the ED/Hospital and coordinate the discharge planning; Notify operations of triage recommendations
  • Coordinate any medication orders with the assigned pharmacy and update MAR/QuickMar for appropriate administration
  • Work assigned prior authorizations to ensure timely documentation and submit to assigned pharmacy for billing
  • Complete/conduct assessment and reassessment of persons served as assigned
  • Develop/update care plans and determine persons served needs and secure physicians orders as needed
  • Communicate with beneficiaries primarily phone, text, online (web) chat, or email
  • Ensure compliance with state/local/payer requirements through review of documentation
  • Provide coaching and education related to the health and well-being of persons served
  • Participate in performance improvement activities and maintain ongoing clinical knowledge through inteLPNal/exteLPNal training programs
  • Document above actions in Nurse’s Notes or Service Delivery Log
  • Maintain time sheet log for weekly submission for productivity management to assigned supervisor
  • Notify each practice, physician, and/or managed care client of all encounters with patients, parents, or managed care clients regardless of follow-up needs before office opening
  • Notify designated leadership of operational conceLPNs
  • Actively participate in applicable meetings and committees as requested (e.g., IDT, HRC, Safety/Quality committee, and annual person served directed/active treatment plan meetings)

Qualifications

  • Degree/certification from an accredited school of Nursing
  • At least one year of nursing experience
  • Current licensure as a LPN (LPN) in the state of practice, which is current and remains in good standing. Must have an LPN compact license.
  • Clinical experience in providing services and supports to individuals with intellectual and developmental disabilities, home health and Hospice patients or related disorders
  • One-year of home health experience preferred

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

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