Job Description
Case Management Pharmacist – Coordinate Care and Improve Patient Outcomes
A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at the right time.
Key Responsibilities
- Collaborate with physicians, nurses, and care coordinators to manage high-risk or complex patients.
- Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions.
- Support prior authorization and appeals processes when needed.
- Educate patients and caregivers on medication regimens and disease state management.
- Document case activities and outcomes in compliance with health plan and regulatory standards.
- Participate in quality improvement initiativ...