Remote Case Management Pharmacist. in Los Angeles Move Collective

Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes

A confidential managed care organization is seeking a detail-oriented Case Management Pharmacist to enhance support for patients with complex medication needs. This vital role emphasizes care coordination, prevention of medication-related issues, and ensuring members receive the most appropriate therapy in a timely manner.

Key Responsibilities:
• Collaborate with physicians, nurses, and care coordinators to manage high-risk or complex patients.
• Conduct thorough medication reviews to pinpoint gaps in therapy, adherence concerns, and potential drug interactions.
• Assist with prior authorization and appeals processes as necessary.
• Educate patients and their caregivers on medication regimens and effective disease state management.
• Document case activities and outcomes in alignment with health plan and regulatory standards.
• Engage in quality improvement initiatives aimed at reducing hospitalizations and enhancing 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 robust patient counseling backgrounds are encouraged to apply.
• Skills: Strong communication, problem-solving, and care coordination abilities.

Why This Role?
• Impact: Make a significant difference in patients' lives by ensuring safe and effective medication use.
• Growth: Cultivate expertise in case management and managed care pharmacy.
• Flexibility: Enjoy opportunities for hybrid or fully remote work arrangements.
• Rewards: Benefit from competitive pay, comprehensive benefits, and career advancement opportunities.

About Us: We are a confidential healthcare partner serving health plans and provider networks across the nation. Our case management pharmacists play a crucial role in improving outcomes, reducing readmissions, and supporting patients throughout the continuum of care.

Apply Today: Seize the opportunity to join our team as a Case Management Pharmacist and contribute to patient-centered, coordinated care.