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Pharmacist Clinical Pharmacist Advisor Medicare Lancesoft

Pharmacist Clinical Pharmacist Advisor Medicare
Please note: Actual location may vary., RI
Remote
  • $53

This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of Medicare Part B requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience. Position Summary: As a Clinical Pharmacist Advisor, Medicare B Operations, you will support Medicare Part B members, prescribers, and providers by processing coverage-related requests for injectable and infused medications covered under their medical benefits.

30+ days ago

Clinical Pharmacist Specialist - Pediatric Emergency Medicine RIH Rhode Island Hospital

Clinical Pharmacist Specialist - Pediatric Emergency Medicine
Rhode Island

Collaborates with multidisciplinary care givers to monitor, assess, recommend changes to and optimize medication use in areas of therapeutic specialization, with consideration of the aging processes and human developmental stages (neonate, child, adolescent, adult, geriatric).Serves as a subject matter expert and real-time go to resource in area of specialty. Conducts pharmacy practice research, clinical research and data-related research in alignment with Brown University Health, mission, goals, and priorities; authors research based original abstracts, scientific, and scholarly papers and submits for publication and/or presentation in accordance with departmental policies and procedures.

30+ days ago

Clinical Pharmacist Specialist - General Pediatrics RIH Rhode Island Hospital

Clinical Pharmacist Specialist - General Pediatrics
Rhode Island

Collaborates with multidisciplinary care givers to monitor, assess, recommend changes to and optimize medication use in areas of therapeutic specialization, with consideration of the aging processes and human developmental stages (neonate, child, adolescent, adult, geriatric).Serves as a subject matter expert and real-time go to resource in area of specialty. Conducts pharmacy practice research, clinical research and data-related research in alignment with Brown University Health, mission, goals, and priorities; authors research based original abstracts, scientific, and scholarly papers and submits for publication and/or presentation in accordance with departmental policies and procedures.

30+ days ago

Clinical Utilization Management Pharmacist Point32Health

Clinical Utilization Management Pharmacist
Canton, Massachusetts

Key Responsibilities/Duties – what you will be doing (top five): Provides subject matter expertise for the integrated team and supports the member’s medication management needs Provides clinical pharmacy services and support to members and providers. • Performs case reviews in automated prior authorization (Auto PA) tools and guides the case through the entire process to either approval or denial to ensure all coverage determinations and notices are consistent with applicable regulatory and accreditation requirements and turnaround times.

30+ days ago

Clinical Pharmacist - Oncology Sterile Compounding RIH Rhode Island Hospital

Clinical Pharmacist - Oncology Sterile Compounding
Rhode Island

Performs sterile compounding and maintains compliance with regulatory boards and regulations related to compounding of sterile pharmaceuticals [i.e., Rhode Island Department of Health, Rhode Island Board of Pharmacy Rules and Regulations, United States Pharmacopoeia (USP) Chapter Pharmaceutical Compounding – Sterile Preparations, USP Hazardous Drugs, National Institute for Occupational Safety and Health (NIOSH), and The Joint Commission (TJC) Medication Management chapter]. Collaborates with and serves as a liaison and resource for members of the interdisciplinary team who manage care for oncology, hematology, and other patients at Rhode Island Hospital, Hasbro Children’s Hospital, and affiliate clinics (i.e. Brown University Health Cancer Institute (BUHCI), Tomorrow Fund Clinic and Brown University Health Infusion Centers).

30+ days ago

Clinical Pharmacist - Inpatient TMH The Miriam Hospital

Clinical Pharmacist - Inpatient
Rhode Island

Obtains full licensure prior to expiration of 90-day temporary pharmacist license, then possesses and maintains current unrestricted licensure as licensed pharmacist in the State of Rhode Island.115953735Must possess and maintain current American Heart Association Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) Certifications within 120 days of hire to fulfill emergency code blue response responsibilities as assigned. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE:Bachelor of Science in Pharmacy or Doctor of Pharmacy degree from an accredited college of pharmacy.107302252Prior to start date, possesses current unrestricted licensure as a licensed pharmacist or as a licensed 90-day temporary pharmacist in the State of Rhode Island.

13 days ago

Clinical Pharmacist Specialist - Informatics RIH Rhode Island Hospital

Clinical Pharmacist Specialist - Informatics
Rhode Island

Under the supervision of the Clinical Informatics Pharmacy Coordinator, works closely with clinical pharmacy and Brown University Health Information Services (IS) team for clinical elements of medication builds in EPIC, with intra-departmental oncology and IS teams for clinical elements of medication builds in Beacon, and with ambulatory pharmacy, retail pharmacy, and IS teams for clinical elements of medication builds in Willow Ambulatory. In addition to position specific responsibilities of a Clinical Pharmacist, the Clinical Pharmacist Specialist, Informatics shall be responsible for the following across the Brown University Health system: Participates in the implementation and maintenance, within the scope of the pharmacy’s responsibilities, of EHR system enhancements to consistently promote medication safety for optimal patient care.

30+ days ago

Clinical Pharmacist Specialist - Discharge Medication Reconciliation TMH The Miriam Hospital

Clinical Pharmacist Specialist - Discharge Medication Reconciliation
Rhode Island

Collaborates with multidisciplinary care givers to monitor, assess, recommend changes to and optimize medication use in areas of therapeutic specialization, with consideration of the aging processes and human developmental stages (neonate, child, adolescent, adult, geriatric).Serves as a subject matter expert and real-time go to resource in area of specialty. Conducts pharmacy practice research, clinical research and data-related research in alignment with Brown University Health, mission, goals, and priorities; authors research based original abstracts, scientific, and scholarly papers and submits for publication and/or presentation in accordance with departmental policies and procedures.

9 days ago

Clinical Pharmacist, Inpatient RIH Rhode Island Hospital

Clinical Pharmacist, Inpatient
Rhode Island

Maintains appropriate documentation and records regarding drug purchasing, storage, preparation, and distribution as required by hospital procedures and/or applicable laws, rules and regulations.•Participates in continuous quality improvement activities and total quality management initiatives, including the adverse drug reaction, pharmacist clinical intervention, and medication incident reporting programs.•Maintains professional competence through participation in Pharmacy staff development and skills enhancement programs, ongoing independent study, education-related professional activities, and affiliations.•Performs all other duties as assigned MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE:•Bachelor of Science in pharmacy or Doctor of Pharmacy degree from an accredited college of pharmacy.•Maintains current unrestricted licensure as a licensed pharmacist in the State of Rhode Island.•Demonstrated knowledge and skills necessary to provide care to neonate, child, adolescent, adult and geriatric patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process. Monitors drugs and/or therapeutic classes targeted for review and implements corrective strategies to optimize drug use in compliance with established clinical pathways or guidelines.•Participates in education and training of healthcare practitioners, including pharmacy technicians and students, physicians, nurses, other care providers and patients/customers on matters relevant to medication use.•Provides accurate and comprehensive information about drugs including drug interactions, potential side effects or adverse reactions, incompatibilities and instructions for administration of medication, to physicians, nurses and other healthcare practitioners.

30+ days ago
Lancesoft logo

Hiring for Clinical Pharmacist - Prior Authorization Remote role Lancesoft

Hiring for Clinical Pharmacist - Prior Authorization Remote role
Please note: Actual location may vary., RI
Remote
  • $65.75

The Prior Authorization Pharmacist is responsible for reviewing and evaluating medication prior authorization requests to ensure appropriate, safe, and cost-effective therapy in accordance with clinical guidelines, regulatory requirements, and organizational policies. Evaluate patient-specific factors including diagnosis, laboratory results, prior therapy, dosing, contraindications, and comorbid conditions.

30+ days ago

Clinical Pharmacist PD - Inpatient NPT Newport Hospital

Clinical Pharmacist PD - Inpatient
Rhode Island

Must possess and maintain current American Heart Association Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) Certifications within 120 days of hire to fulfill emergency code blue response responsibilities as assignedEXPERIENCE:71809600 class=has-tooltipSuccessful completion of Post Graduate Year 1 (PGY-1) Residency from an accredited program and/or national Board Certification in Pharmacotherapy preferred. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE:Bachelor of Science in Pharmacy or Doctor of Pharmacy degree from an accredited college of pharmacy.107302252 class=has-tooltipPrior to start date, possesses current unrestricted licensure as a licensed pharmacist or as a licensed 90-day temporary pharmacist in the State of Rhode Island.

30+ days ago

Clinical Pharmacist - Ambulatory Care / COPD Population Health Program RI Primary Care

Clinical Pharmacist - Ambulatory Care / COPD Population Health Program
Rhode Island

This position will support a pharmacist-led COPD population health program focused on high-risk patients with chronic obstructive pulmonary disease (COPD), including transitions of care management, medication optimization, inhaler education, adherence support, and early exacerbation intervention. Akido Care’s fast-growing medical network is known for its ability to integrate innovative technology into the healthcare infrastructure, relieving the frustrations felt by everyone involved in care delivery, from medical providers and their staff, to the patients and their families.

30+ days ago

Ambulatory Clinical Pharmacist 40D Care New England Health System

Ambulatory Clinical Pharmacist 40D
Warwick, Rhode Island
  • Full time

About Us: Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.

28 days ago

Clinical Pharmacist: Signature Healthcare (On-site) Clearway Health

Clinical Pharmacist: Signature Healthcare (On-site)
Brockton, Massachusetts
  • $146,000–$182,000 / year

They are comprised of the award-winning Signature Healthcare Brockton Hospital, Signature Medical Group (SMG), a multi-specialty physician group of more than 150 physicians practicing in 15 ambulatory locations, and the Brockton Hospital School of Nursing. This position will be located on site at our client partner, Signature Healthcare, founded as Brockton Hospital in 1896, a not-for-profit, integrated healthcare system providing a wide range of services to patients of all ages throughout Southeastern Massachusetts.

30+ days ago

Clinical Pharmacist - Prior Authorization Apidel Technologies

Clinical Pharmacist - Prior Authorization
Woonsocket, RI
Remote
  • Contractor

The Prior Authorization Pharmacist is responsible for reviewing and evaluating medication prior authorization requests to ensure appropriate, safe, and cost-effective therapy in accordance with clinical guidelines, regulatory requirements, and organizational policies. Experience with clinical decision-making while applying evidence based clinical guidelines/criteria; utilizing formularies/preferred drug lists.

30+ days ago

Clinical Psychiatric Pharmacist - McLean Hospital Mass General Brigham

Clinical Psychiatric Pharmacist - McLean Hospital
Middleborough, Massachusetts

The team member ensures optimal clinical care in the acute and residential/partial psychiatric setting, which includes aspects of general medicine, through assessment of patient-specific factors and collaboration with other healthcare professionals. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.

30+ days ago

Remote Clinical Review Pharmacist Pharmacy Careers

Remote Clinical Review Pharmacist
Rhode Island
Remote

About Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.

20 days ago

Ambulatory Staff Pharmacist Per-Diem Care New England Health System

Ambulatory Staff Pharmacist Per-Diem
Warwick, Rhode Island
  • Per diem

About Us: Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Complies with state and federal drug laws as regulated by the state board of pharmacy, the drug enforcement administration, and local policies and procedures; maintaining records for controlled substances; removing outdated and damaged drugs from the pharmacy inventory; supervising the work results of support personnel; studying existing and new legislation; anticipating legislation; advising management on needed actions.

30+ days ago

Pharmacist Prior Authorization # 26-19080 US Tech Solutions, Inc.

Pharmacist Prior Authorization # 26-19080
Please note: Actual location may vary., RI
Remote
  • $52–$57 / hour

The role involves ensuring the accuracy of case setup and clinical review of Medicare appeals cases by thoroughly reviewing internal notes or fax requests for pertinent information, providing clear and concise documentation, and contacting providers when necessary to obtain clinical details for case decisions. You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines.

22 days ago

Pharmacist In Charge SpecialtyRx

Pharmacist In Charge
Milford, Massachusetts
  • $120,000–$150,000

SpecialtyRx is a Long-Term Care pharmacy providing pharmaceutical services to long term care facilities and assisted living communities. Communicate with facilities’ nursing staff, physicians and other healthcare team members regarding medication-related queries.

30+ days ago
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