- Elevance Health (Columbus, OH)
- ** Pharmacist Clinical - Prior Authorization ( Pharmacist Clinical )** _Location: Virtual with the ideal candidate living within 50 miles of one of our ... Elevance Health PulsePoint locations._ The ** Pharmacist Clinical ** is responsible for managing the...other pharmacists on areas such as dosage conversion and clinical support for therapeutic interventions. + Makes prior… more
- CVS Health (Des Moines, IA)
- …care more personal, convenient and affordable. **Position Summary** As a clinical pharmacist , you will review Prior Authorizations , verify proven and/or ... prior authorization reviews. The primary function of the clinical pharmacist is to review PA requests,...3+ Years in Pharmacy Benefit Management 1+ Years in Clinical Prior Authorizations Experience with… more
- CVS Health (Jefferson City, MO)
- …of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Tech I will also assist with other duties as needed to ... status and results (seniors, pharmacists, appeals, etc). 10% Identify and elevate clinical inquiries to the pharmacist team as appropriate. 5% Other… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …As a member of a multidisciplinary health care team, the ambulatory clinical pharmacist provides distributive, clinical , consultative, and/or administrative ... pharmaceutical services. The clinical pharmacist selects, dispenses, drugs, medicines, and other therapeutic agents. Essential Functions The essential functions… more
- CenterWell (Frankfort, KY)
- …of our caring community and help us put health first** The Senior Clinical Pharmacist monitors drug development pipeline, and medical literature, while providing ... and programs to mitigate cost trend and improve health outcomes. The Senior Clinical Pharmacist work assignments involve moderately complex to complex issues… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …the job. As a member of a multidisciplinary health care team, the clinical pharmacist provides clinical , consultative, research, and/or administrative ... + Assists with discharge medication coordination, which may include assistance with prior authorizations and provide discharge medication education to patients.… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …job. As a member of a multidisciplinary health care team, the advanced clinical pharmacist provides clinical , consultative, research, and/or administrative ... and transition when patients are admitted or discharged to/from the hospital + Obtains prior authorizations as needed for medications + May review and coordinate… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …the job. As a member of a multidisciplinary health care team, the clinical pharmacist provides consistent clinical , consultative, research, and/or ... May assist with discharge medication coordination, which may include assistance with prior authorizations and provide discharge medication education to patients.… more
- US Tech Solutions (May, OK)
- …denial management processes. (20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations , Tier Exceptions and ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more… more
- US Tech Solutions (AZ)
- …denial management processes. (20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations , Tier Exceptions and ... cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to...pharmacist availability could be required. (10%) **Experience:** + Pharmacist License of Current State + Prior … more
- Hackensack Meridian Health (Neptune, NJ)
- …healthcare and serve as a leader of positive change. The Transitions of Care Pharmacist is responsible for involvement in the clinical aspects of pharmaceutical ... Pharmacist will optimize medication therapy management to improve clinical , economic and humanistic outcomes. Activities will encompass participation in:… more
- US Tech Solutions (New York, NY)
- …medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved ... **Job Summary:** The clinical pharmacist is an operation based...criteria for prospective and concurrent reviews of cases. authorizations . **Responsibilities:** 1. Collaborates with the CRU Technician to… more
- Geisinger (Wilkes-Barre, PA)
- …the needs of the caller. Responsible for addressing medication related questions, issues, prior authorizations , as well as refill approvals. Perform a medication ... Pharmacist refill authorization protocol and the most recent clinical guidelines. + Pharmacists will use clinical ...judgement to determine if any additional information is required prior to refill authorization and take necessary actions to… more
- Providence (Spokane, WA)
- …are not limited to, direct patient care, population health initiatives, prior authorizations , and processing electronic refill requests. Providence caregivers ... of pharmacy or graduate of such college of pharmacy. + Upon hire: Washington Pharmacist License or + Upon hire: Washington Pharmacist Intern Registration **Why… more
- University of Miami (Miami, FL)
- …the effectiveness and safety of drug combination in patients + Assist with Prior Authorizations of medications and needed follow up Coordinate pharmaceutical ... The Department of Medicine - Pulmonary has an exciting opportunity for a Pharmacist . Incumbent will remain committed to implementing an outpatient clinical … more
- Mayo Clinic (Rochester, MN)
- …and quality management. Provides clinical advisory support regarding medication prior authorizations , develops programs to facilitate patient speed to ... Revenue Cycle Clinical Advisor is a medication prior authorization pharmacist responsible for utilizing pharmacy...leadership team, providers, clinic staff and pharmacies on the clinical aspects of prior authorizations .… more
- CVS Health (Austin, TX)
- …or Licensed Vocational Nurse (LVN) will provide processing and communication of Commercial Prior Authorizations (PA) reviewed by the Commercial PA team for ... data entry, data management, and reporting. - Review criteria-based prior authorizations following policy and procedure -...team and member services department Refer cases not meeting clinical criteria to the Pharmacist and MD… more
- UTMB Health (Galveston, TX)
- …UTMB Health System! We are expanding our specialty services and are seeking a Clinical Pharmacist experienced in Pediatrics / Neonatology. Take advantage of this ... an exciting future. **About the Position:** Our ideal candidate will be a clinical pharmacist with PGY1 and/or PGY2 residency training in Pediatrics/Neonatology… more
- US Tech Solutions (May, OK)
- …data entry, data management, and reporting. **Experience:** + * Review criteria-based prior authorizations following policy and procedure. + * Provide on-call ... include answering inbound phone calls, processing cases and electronic authorizations , loading authorizations , and making follow-up phone...services department . + * Refer cases not meeting clinical criteria to the Pharmacist and MD… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- **Overview** **Scope of Responsibilities:** Assist with the day-to-day operations of the Clinical Pharmacist and clinical department of ProAct. Works under ... clinical programs + Assist in the completion of prior authorization reviews as needed + Provide Help Desk...Provide Help Desk support, where appropriate, for questions regarding prior authorizations + Responsible for completing all… more