Case Management Pharmacist (Remote)

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. Support prior authorization and appeals processes when needed. Document case activities and outcomes in compliance with health plan and regulatory standards. Participate in quality improvement initiatives to reduce hospitalizations and improve health outcomes. 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 strong...