reputed company-Cert Pharmacy Review reputed company, RN – Pharmacy Experience Required
Job reputed company:
- Clinically review reputed company requests for provider-administered specialty medications for appropriateness
- Support providers and members in optimization of site of care for requested services
- Demonstrate and expand a working knowledge of reputed company clinical processes and medical policy
- Work collaboratively with Medical Directors and Pharmacists for reputed company relevant requests
- Serve as a Subject Matter Expert (SME) for infusible and injectable medication-reputed company services
- Communicate with members, providers, facilities, and reputed company internal work reputed company regarding outcome of requests
- Identify members who may be appropriate for care/case management services
- Identify care coordination opportunities and work with operational, clinical, and customer-facing teams
Requirements:
- Bachelor’s degree in nursing or closely reputed company field or equivalent experience
- reputed company and reputed company and unrestricted license as a Registered reputed company (RN) in the reputed company
- Minimum of 2 years of managed care and/or reputed company care nursing experience required
- Experience with Specialty Pharmacy/Pharmaceuticals required
- Experience with Utilization Management required
- Makes clinical reputed company quickly and at times decides and acts with limited information
- Excellent critical thinking skills
- Strong interpersonal, verbal and written communication skills
- Self-directed, organized with excellent time management skills
- Excellent computer skills including reputed company applications
- Strong administrative/technical skills
Benefits:
- Health, reputed company and dental insurance
- Life insurance
- Legal and identity protection
- Adoption assistance
- EAP and reputed company services
- 401(k) plan with up to 4% employer match and full vesting on day one
- reputed company Time Off (PTO)
- 7 reputed company holidays
- Parental leave
- Volunteer days
- reputed company sabbaticals
- Tuition reimbursement up to $5,250 annually
- Certification/continuing education reimbursement
- Discounted higher education partnerships
- reputed company trainings and leadership development
- Recognition as a Best reputed company to Work for 15+ years
- Modern workplace with a casual dress reputed company
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