Pharmacy RN

Sedgwick•Telecommuter TN, TN

1d•$65,000 - $67,000•Remote

About The Position

As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting. Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment. Enjoy flexibility in your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

Requirements

Active unrestricted RN license in a state or territory of the United States required.
Four (4) years of related experience or equivalent combination of education and experience required to include two (2) years of direct clinical care OR two (2) years of case management/utilization management.

Nice To Haves

Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred.
Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred.

Responsibilities

Performs clinical assessment via information in pharmacy reports and case files; assesses client's situation to include psychosocial needs, cultural implications and support systems in place.
Evaluates patient drug usage and physician prescribing patterns.
Evaluates overuse, underuse and misuse of prescribed medications and may recommend testing to determine if drug diversion is present.
Evaluates need for and recommends alternative treatment.
Sends letters as needed to prescribing physician(s) and refers to physician advisor as necessary.
Negotiates appropriate level and intensity of care through use of medical and disability duration guidelines, adhering to quality assurance standards.
Negotiates changes in pharmacy plan with providers.
Acts as a resource in consulting with the client, nursing staff and claims examiners regarding pharmacy issues.
Performs drug utilization reviews through the pharmacy benefit manager or vendor.
Communicates effectively with claims examiner, client, vendor, supervisor and other parties as needed.
Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.