RN Pharmacy

PRIMARY PURPOSE OF THE ROLE

To utilize evidence based tools to evaluate the prescribed medications to ensure patient safety and quality standards are in alignment with best practice standards.

ARE YOU AN IDEAL CANDIDATE?

We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

ESSENTIAL RESPONSIBILITIES MAY INCLUDE:

• Performs clinical assessment via information in pharmacy reports and case files; assesses client's situation to include psychosocial needs, cultural implications and support systems in place.
• Evaluates patient drug usage and physician prescribing patterns.
• Evaluates overuse, underuse and misuse of prescribed medications and may recommend testing to determine if drug diversion is present.
• Evaluates need for and recommends alternative treatment.
• Sends letters as needed to prescribing physician(s) and refers to physician advisor as necessary.
• Negotiates appropriate level and intensity of care through use of medical and disability duration guidelines, adhering to quality assurance standards.
• Negotiates changes in pharmacy plan with providers.
• Acts as a resource in consulting with the client, nursing staff and claims examiners regarding pharmacy issues.
• Performs drug utilization reviews through the pharmacy benefit manager or vendor.
• Communicates effectively with claims examiner, client, vendor, supervisor and other parties as needed.
• Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.

Qualifications

• Active unrestricted RN license in a state or territory of the United States required.
• Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred.
• Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred.
• Experience: Four (4) years of related experience or equivalent combination of education and experience required to include two (2) years of direct clinical care OR two (2) years of case management/utilization management.

TAKING CARE OF YOU

• Seeks innovative customer solutions.
• Craves cutting edge opportunities.
• Wants dynamic company culture.
• Passion about creativity.
• Seeks ongoing learning as a person and professional.
• Thrive when solving challenging problems.
• Wants achievements to be celebrated.

Next Steps

If your application is selected to advance to the next round, a recruiter will be in touch.

Work environment requirements for entry-level opportunities

• Physical: Computer keyboarding
• Auditory/visual: Hearing, vision and talking
• Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines

Compensation

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Benefits

• Medical
• Dental
• Vision
• 401k
• PTAO
• Disability and life insurance
• Employee assistance program
• Flexible spending or health savings account
• Other additional voluntary benefits

About Sedgwick

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.