Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes
A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at the right time.
Key Responsibilities
- Collaborate with physicians, nurses, and care coordinators to manage high-risk or complex patients.
- Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions.
- Support prior authorization and appeals processes when needed.
- Educate patients and caregivers on medication regimens and disease state management.
- Document case activities and outcomes in compliance with health plan and regulatory standards.
- Participate in quality improvement initiatives to reduce hospitalizations and improve health outcomes.
What You'll Bring
Education : Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.Licensure : Active and unrestricted pharmacist license in the U.S.Experience : Case management, MTM, or managed care experience preferred - retail and hospital pharmacists with strong patient counseling backgrounds are encouraged to apply.Skills : Strong communication, problem-solving, and care coordination skills.Why This Role?
Impact : Make a meaningful difference in patients' lives by ensuring safe and effective medication use.Growth : Develop expertise in case management and managed care pharmacy.Flexibility : Many organizations offer hybrid or fully remote work options.Rewards : Competitive pay, benefits, and career advancement opportunities.About Us
We are a confidential healthcare partner serving health plans and provider networks nationwide. Our case management pharmacists play a vital role in improving outcomes, reducing readmissions, and supporting patients across the continuum of care.
Apply Today
Apply now for our Case Management Pharmacist opportunity and join a team dedicated to patient-centered, coordinated care.