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 initiatives to reduce hospitalizations and improve health outcomes.

What You’ll Bring

• Education: 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 patient counseling backgrounds are encouraged to apply.
• Skills: Strong communication, problem-solving, and care coordination skills.

Why This Role?

• Impact: Make a meaningful difference in patients’ lives by ensuring safe and effective medication use.
• Growth: Develop expertise in case management and managed care pharmacy.
• Flexibility: Many organizations offer hybrid or fully remote work options.
• Rewards: Competitive pay, benefits, and career advancement opportunities.

 

About Us
We are a confidential healthcare partner serving health plans and provider networks nationwide. Our case management pharmacists play a vital role in improving outcomes, reducing readmissions, and supporting patients across the continuum of care.

Apply Today
Apply now for our Case Management Pharmacist opportunity and join a team dedicated to patient-centered, coordinated care.