Case Management Pharmacist (Remote)

Pharmacy Careers; Simpsonville (SC); Hybrid; USD 110,000 - 170,000; Full time

Job summary

Pharmacy Careers is seeking a Case Management Pharmacist in the United States to coordinate care and optimize therapies for patients with complex medication needs. You will collaborate with physicians, nurses, and care coordinators, perform medication reviews, assist with prior authorization, and educate patients.

Hybrid or remote options may be available, with a focus on improving outcomes and reducing hospitalizations.

Qualifications

• PharmD or Bachelor of Pharmacy degree required.
• Licensed pharmacist in the U.S. with no restrictions.
• Experience in case management, MTM, or managed care preferred.

Responsibilities

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

Skills

Communication

Care coordination

Problem-solving

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.