Pharmacist, Utilization Case Manager - Archimedes

Overview

The Pharmacist, Utilization Case Manager will coordinate care between physicians, patients, and pharmacies, facilitating access to specialty medications for patients with complex disease states.

Responsibilities

• Review chart notes and perform utilization management on patient/drug specific case basis.
• Cook up specialty drug treatment for patients, ensuring timely delivery to the appropriate site of care.
• Handle case assignments, review case progress, properly document case notes, and decide on case closure.
• Provide clinical expertise to prescribers around preferred therapy and guide prescribing offices through the prior authorization process.
• Follow established procedures, processes, and standards for production, productivity, quality, and customer service.
• Maintain performance targets for speed, efficiency, and quality.
• Complete care management clinical escalations.
• Escalate to account management as needed.
• Ensure all external and internal customers receive the level of customer service required by Archimedes and represent Archimedes to all external customers.
• Participate in, adhere to, and support compliance, people and culture, and learning programs.
• Perform other duties as assigned.

Qualifications

• Education: PharmD required.
• Certification/Licenses: Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, may be required based on state of residence laws or client contracts.
• Experience: Retail, hospital, or specialty pharmacy experience required. Utilization and Case management experience preferred. Experience in an infusion setting, physician office, or pharmacy preferred. Experience with managing specialty medications for patients with chronic illness preferred. Expertise in Microsoft Office Suite.