- US Tech Solutions, Inc. (Atlanta, GA)
- …status and results (seniors, pharmacists, appeals , etc). . Identify and elevate clinical inquiries to the pharmacist team as appropriate . Other duties ... complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the ...clinical questions, escalations and judgement calls to the pharmacist team. The Tech I will also assist with… more
- Elevance Health (Denver, CO)
- …and may get asked to attend a town hall office meeting once a quarter. The ** Pharmacist - Clinical Appeals ** is responsible for managing the selection and ... utilization of pharmaceuticals and supports core clinical programs such as DUR. Primary duties may include,...would provide an equivalent background. + Requires a registered pharmacist . + Must possess an active unrestricted state license… more
- Adecco US, Inc. (Minneapolis, MN)
- …patients and/or physicians regarding use of medications, potential drug interactions, and clinical status for appeals requests . Conduct Quality Assurance and ... appeals of pharmacy coverage decisions . Gather complex clinical information, consider approved compendia, medical literature, coverage policy, and criteria… more
- City and County of San Francisco (San Francisco, CA)
- …and over 15 primary care health centers. Under general direction, the Clinical Pharmacist performs professional pharmaceutical duties in drug education and ... medications, checks pharmacy stock, and keeps records. The 2454 Clinical Pharmacist also performs other related duties...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- Elevance Health (Columbus, OH)
- ** Clinical Pharmacist - CarelonRx** **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid ... -first lens, to deliver member-centered, lasting pharmacy care. The ** Clinical Pharmacist ** is responsible for managing the...United States when conducting a utilization review or an appeals consideration and cannot be located on a US… more
- Elevance Health (San Juan, PR)
- …States. Through its affiliated companies, they serve more than 118 million people. ** Pharmacist Clinical ** **Location:** This position will work a hybrid model ... for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS and formulary management. Primary duties may… more
- City and County of San Francisco (San Francisco, CA)
- …✅ + THEN, submit an online application Under general supervision, the Pharmacist performs professional pharmaceutical duties for the San Francisco Department of ... night, weekend, and holiday shifts. Under general direction of the Supervising Pharmacist , the Pharmacist performs the following essential job functions: +… more
- CVS Health (Honolulu, HI)
- …for providing operational leadership and direction for Specialty Prior Authorization and Appeals business units. The position has a primary focus on ensuring ... regulatory requirements and accreditation standards. + Participates in evaluation of clinical criteria used in prior authorization reviews + Establishes and… more
- City and County of San Francisco (San Francisco, CA)
- …may be carriers of infectious/communicable diseases. Under the supervision of a pharmacist , the Pharmacy Technician supports the provision of pharmaceutical care to ... a variety of pharmaceuticals under the supervision of a Pharmacist , including intravenous admixtures according to proper aseptic technique...areas, or for dispensing by cart to ensure that clinical and patient needs are met; + Provides information… more
- Banner Health (Tucson, AZ)
- …authorizations. You will also work with Provider consultations, provide Pharmacist verification, fulfillment and work alongside Pharmacy Technicians. Specialty ... practices. Banner Pharmacy Services will be recognized nationally as a clinical leader and trusted partner in proactively providing innovative pharmacy services… more
- Centers Plan for Healthy Living (Brooklyn, NY)
- …ICT + Reviews and manages pharmacotherapy of each member, collaborating with clinical pharmacist and physicians when necessary. + Prescribe appropriate ... strategies, thereby improving the quality of life of the members. + Provide clinical education and support to nursing staff as needed + Provide ongoing education… more
- Penn Medicine (Philadelphia, PA)
- …needs and assist with quality assurance through follow up calls on all clinical appeals and assigning specialty accreditation reassessments in the electronic ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- PeaceHealth (Vancouver, WA)
- …receiving, processing and documenting referral or prior authorization requests from the clinical areas. Provides customer service and support for the clinical ... Location Specific Notes Home Infusion: + Follow-up work with denials and appeals for Prior Authorizations. + Efficient communication and correspondence with the Home… more
- Baptist Memorial (Covington, TN)
- …pharmaceuticals for BSP patients under the supervision of a licensed pharmacist and in accordance with dispensing regulations and established guidelines. This ... position supports the BSP Director, BSP Pharmacy Staff and Clinical Pharmacists to ensure that all duties as assigned...in treatment + Support BSP pharmacists to manage the appeals process for patients and ensure timely communication occurs… more
