Case Management Pharmacist (Remote)

Pharmacy Careers; Summerville (SC); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Pharmacy Careers in the United States is seeking a Case Management Pharmacist to coordinate care for patients with complex medication needs, ensuring safe and effective therapy at the right time.

The role emphasizes collaboration with physicians, nurses, and care coordinators, conducting medication reviews, supporting prior authorizations, educating patients and caregivers, and documenting activities to meet health plan standards.

Qualifications

• PharmD or Bachelor of Pharmacy degree required.
• Active and unrestricted pharmacist license in the U.S. required.
• Experience in case management or MTM preferred; strong patient counseling background.

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 medications 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.

Skills

Care coordination

Patient counseling

Communication skills

Problem solving

Education

PharmD or Bachelor of Pharmacy

Active pharmacist license in the U.S.

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.