Clinical Pharmacist Patient Care at The Judge Group Inc. in Baton Rouge, Louisiana
Posted in Other 5 days ago.
Job Description:
Location: Baton Rouge, LA
Salary: $63.00 USD Hourly - $64.00 USD Hourly
Description:
Judge Healthcare is seeking REMOTE Clinical Pharmacist for one of our top clients in the Louisiana area ASAP!
Position Details:
Title: Clinical Pharmacist
Location: Remote but must reside in Louisiana
Type of engagement: Contract
Hours: Business Hours
Specific Duties:
- Collaborates with the coordinators and nurses to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed criteria within the designated service level agreements.
- One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes.
- Performs other related projects and duties as assigned, including attending training sessions and development meetings, and providing on-call and after-hours pharmacist availability as needed.
- Performs and handles inbound and outbound phone calls with coordinators, nurse, physicians, healthcare providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve escalations.
- Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols.
Requirements/Qualifications:
- Pharm D.
- 2 years experience working as a pharmacist
- Experience using clinical resources
- Ability to prioritize, quickly assess, manage multiple tasks and adapt to constantly changing situations.
- Excellent organizational skills.
- Strong detail orientation.
Please send your resume and the job number to Sophia Kranias at SCosciaKranias@judge.com for immediate consideration and please share within your network!
Thank you for your time and I look forward to hearing from and working with you.
Regards,
Sophia Kranias
Healthcare Recruiter
The Judge Group
Email: scosciakranias@judge.com
Contact: scosciakranias@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
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