Case Management Pharmacist (Remote)

Pharmacy Careers; Casper (WY); Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Hybrid work options

Remote work possible

Competitive compensation

Job summary

Pharmacy Careers is seeking a Case Management Pharmacist to coordinate care for patients with complex medication needs and to prevent gaps in therapy. The role emphasizes collaboration with physicians, nurses, and care coordinators to optimize treatment and maintain medication safety.

Qualified candidates hold a PharmD or Bachelor of Pharmacy, a current US pharmacist license, and experience in MTM or managed care.

Qualifications

• Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree required.
• Active and unrestricted pharmacist license in the U.S. preferred.
• Experience in case management, MTM, or managed care highly desired.

Responsibilities

• Collaborate with physicians, nurses, and care coordinators to manage high-risk or complex patients.
• Conduct medication reviews to identify gaps, adherence issues, or drug interactions.
• Support prior authorization and appeals processes when needed.
• Educate patients and caregivers on regimens and disease state management.
• Document case activities and outcomes in compliance with health plan regulations.
• Participate in quality improvement initiatives to reduce hospitalizations and improve outcomes.

Skills

Strong communication

Problem solving

Care coordination

Team collaboration

Education

PharmD

Bachelor of Pharmacy

Job description

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.