Hiring for Clinical Pharmacist - Prior Authorization Remote role LancesoftHiring for Clinical Pharmacist - Prior Authorization Remote rolePlease note: Actual location may vary., RIRemote$65.75The 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.
Pharmacist - RPh Operations Advisor - Specialty Medical Prior Authorization Aetna- #26-19877 US Tech Solutions, Inc.Pharmacist - RPh Operations Advisor - Specialty Medical Prior Authorization Aetna- #26-19877Please note: Actual location may vary., RI$53–$58 / hourCollaborates with the Technicians and Nurses to process authorization requests, including answering clinical questions, collecting appropriate clinical/medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements. About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
Pharmacist Prior Authorization # 26-19080 US Tech Solutions, Inc.Pharmacist Prior Authorization # 26-19080Please note: Actual location may vary., RIRemote$52–$57 / hourThe 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.
NewPharmacist -#26-21503 US Tech Solutions, Inc.Pharmacist -#26-21503Please note: Actual location may vary., RIRemote$53–$58 / hourThis role will work from our supported systems and take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations, internally support the Prior Auth team and member services department, as well as provide on-call after hours availability for urgent PA request as needed. Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed criteria within the designated service level agreements.
Pharmacist Clinical Pharmacist Advisor Medicare # 26-17629 US Tech Solutions, Inc.Pharmacist Clinical Pharmacist Advisor Medicare # 26-17629Please note: Actual location may vary., RI$52–$57 / hourThe Clinical Pharmacist Advisor – Medicare supports Medicare Part D members and healthcare providers by reviewing pharmacy benefit requests and ensuring timely, accurate, and compliant case processing. This role involves evaluating clinical information, documenting case decisions, conducting provider outreach when necessary, and ensuring compliance with Medicare guidelines and regulatory timelines.
Pharmacist In Charge SpecialtyRxPharmacist In ChargeMilford, Massachusetts$120,000–$150,000SpecialtyRx 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.
Pharmacist Clinical Pharmacist Advisor Medicare LancesoftPharmacist Clinical Pharmacist Advisor MedicarePlease note: Actual location may vary., RIRemote$53This 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.
High Paying Pharmacist Clinical Pharmacist Advisor Medicare Bulk Openings across US. LancesoftHigh Paying Pharmacist Clinical Pharmacist Advisor Medicare Bulk Openings across US.Please note: Actual location may vary., RI$53This 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. 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.
*Family Nurse Practitioner Virtual Care PM - MC Lancesoft*Family Nurse Practitioner Virtual Care PM - MCPlease note: Actual location may vary., RI$74.88You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. 1. Patient-Centered Quality and Safety Evaluate primary care, acute, chronically ill, and transitional care patients, in addition to providing healthcare education and counseling, and disposition planning for our patients ranging in age 18 months and above.
Clinical Pharmacist MRMC - 24 hr Mixed UMass Memorial HealthClinical Pharmacist MRMC - 24 hr MixedMilford, MassachusettsReview patient medication history, educate patients on drug therapy, establish desired outcomes, develop/modify therapeutic plans, determine alternatives for achieving outcomes, develop drug monitoring plans, monitor patient outcomes, document medication related issues in electronic health record, interpret laboratory data, review patient medication profiles, monitor pharmacokinetics of drug therapy, monitoring for potential adverse drug – drug, drug-lab, drug-disease state, and drug - food interactions. 3. Improves the effectiveness of pharmacotherapy for symptom management through patient-specific monitoring for drug therapy outcomes, recommending alternative drug products and dosage forms, minimizing duplicative and interacting medications, and educating staff, patients, and families about the most effective ways of using medications.
Clinical Pharmacist MRMC - 24 hr Mixed UMass Memorial Health Care IncClinical Pharmacist MRMC - 24 hr MixedMilford, MA$43.90–$79.02 / hourReview patient medication history, educate patients on drug therapy, establish desired outcomes, develop/modify therapeutic plans, determine alternatives for achieving outcomes, develop drug monitoring plans, monitor patient outcomes, document medication related issues in electronic health record, interpret laboratory data, review patient medication profiles, monitor pharmacokinetics of drug therapy, monitoring for potential adverse drug - drug, drug-lab, drug-disease state, and drug - food interactions. Improves the effectiveness of pharmacotherapy for symptom management through patient-specific monitoring for drug therapy outcomes, recommending alternative drug products and dosage forms, minimizing duplicative and interacting medications, and educating staff, patients, and families about the most effective ways of using medications.
Clinical Pharmacist (Per Diem) Care New England Health SystemClinical Pharmacist (Per Diem)Warwick, RICare 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. Thoroughly reviews and assesses patients' medication regimen in order to identify, resolve, and prevent medication-related problems and assist patients in getting the best outcomes from medications.
Pharmacist Encompass Health Rehabilitation Hospital of BraintreePharmacistBraintree, MAEncompass Health, the nation's leading provider of in-patient rehabilitation, welcomes committed and skilled pharmacists seeking meaningful careers close to home and heart. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
Pharmacist ICONMA, LLCPharmacistWesterly, RI$63–$78.75 / hourAdministrative Support: Step in for the Pharmacy Manager when running solo shifts or covering multiple district locations. Strong multi-tasking, focus, and customer service skills under high-volume conditions.
License Pharmacist SpecialtyRxLicense PharmacistMilford, Massachusetts$58–$60Specialty Rx is a Long-Term Care pharmacy providing pharmaceutical services to long-term care facilities and assisted living communities. Communicate with the facilities’ nursing staff, physicians, and other healthcare team members in regard to medication-related queries.
Clinical Utilization Management Pharmacist Point32HealthClinical Utilization Management PharmacistCanton, MassachusettsKey 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.
Clinical Pharmacist Specialist - Inpatient Hematology / Oncology RIH Rhode Island HospitalClinical Pharmacist Specialist - Inpatient Hematology / OncologyRhode IslandThe specialist is responsible for providing comprehensive pharmacotherapy management for patients with solid malignancies, including optimization of antineoplastic therapy, supportive care interventions (e.g., antiemetics, hematopoietic growth factors, tumor lysis syndrome prophylaxis, and bone-modifying agents), management of immune-related adverse events, and prevention and mitigation of chemotherapy-related toxicities. Working within a paired specialist model alongside the Inpatient Malignant Hematology Clinical Pharmacy Specialist, this position provides comprehensive oncology pharmacy coverage across the four primary inpatient hematology/oncology teams (two teaching and two non-teaching services) as well as the two inpatient consult services (Solid Oncology and Hematology).
Clinical Pharmacist Specialist - Pediatric Emergency Medicine Brown University HealthClinical Pharmacist Specialist - Pediatric Emergency MedicineProvidence, RI$110,302.40–$182,000 / yearCollaborates 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.
Clinical Pharmacist Specialist Brown University HealthClinical Pharmacist SpecialistProvidence, RI$110,302.40–$182,000 / yearCollaborates 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.
Clinical Pharmacist Specialist - Inpatient Hematology / Oncology Brown University HealthClinical Pharmacist Specialist - Inpatient Hematology / OncologyProvidence, RI$110,302.40–$182,000 / yearCollaborates 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.