Pharmacist, Utilization Case Manager - Archimedes

Navitus Health Solutions, LLC•,

5d•Remote

About The Position

The Pharmacist, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies, facilitating access to specialty medications for patients with complex disease states.

Requirements

PharmD required.
Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, may be required based on state of residence laws or client contracts.
Retail, hospital, or specialty pharmacy experience required.
Expert in Microsoft Office Suite.

Nice To Haves

Utilization and Case management experience preferred.
Experience in an infusion setting, physician office, or pharmacy preferred.
Experience with managing specialty medications for patients with chronic illness preferred.

Responsibilities

Review chart notes and perform utilization management on patient/drug specific case basis.
Coordinate facilitation of patients’ specialty drug treatment, ensuring timely delivery to the appropriate site of care.
Handle case assignments, review case progress, properly document case notes, and determine case closure.
Provide clinical expertise to prescribers around preferred therapy and be a guide for prescribing offices through the prior authorization process.
Follow established procedures, processes, and standards for production, productivity, quality, and customer service. Meet performance targets for speed, efficiency, and quality.
Complete care management clinical escalations. Escalate to account management as appropriate.
Ensure all external and internal customers receive the level of customer service required by Archimedes and serve as a representative of Archimedes to all external customers.
Participate in, adhere to, and support compliance, people and culture, and learning programs.
Perform other duties as assigned.