Per Diem Authorizations Pharmacist - Ambulatory Infusions, LAX or SM office

UCLA Health and David Geffen School of Medicine; Santa Monica (CA); Híbrido; USD 131.000 - 186.000; Jornada completa

Descripción de la vacante

UCLA Health and David Geffen School of Medicine seeks an ambulatory pharmacist to review infusion orders for medical necessity, formulary adherence, and UCLA formulary alignment before authorization submissions. You will serve as the primary infusion payor formulary resource and assist coordinators and providers with complex cases.

The role involves traveling to multiple UCLA Health sites. A PharmD and CA license are required, with oncology infusion experience and strong communication skills.

Formación

• Pharm D. degree and CA license required.
• Minimum of 1 year of practice experience in Oncology.
• Infusion experience preferred.
• Prior Medical Benefit Authorization Experience preferred.
• Epic experience preferred.
• BCOP preferred.
• Exceptional communication, interpersonal, organizational and follow-through skills.
• Knowledge of pharmacokinetic calculations by age and disease.

Responsabilidades

• Review ambulatory infusion orders for medical necessity documentation and payor formulary adherence.
• Coordinate with prescribing providers to update orders prior to authorization submission.
• Serve as the primary ambulatory pharmacy resource for infusion payor formularies and denial reasons.
• Support authorization coordinators and prescribing providers with complex infusion medication authorization cases.
• Maintain and review patient medication profiles and insurance benefits; help decrease turnaround time and improve patient experience.

Conocimientos

Oncology infusion experience

Authorization knowledge

Communication skills

Infusion workflow understanding

Educación

Pharm D. degree

CA Pharmacist license

BCOP (preferred)

Herramientas

Epic

Descripción del empleo

Description

Play a key role in the delivery of world-class patient care. Make a significant contribution to an award-winning health system. Leverage your expertise to make a life-changing difference. At UCLA Health, you can do all this and more.

In this key role, you will review Ambulatory Medical Specialty & Heme/Onc infusion orders for adequate medical necessity documentation, payor formulary adherence, UCLA formulary adherence and if needed coordinate with the prescribing provider to update orders per protocol prior to authorization submission. You will serve as the primary ambulatory pharmacy resource for information regarding infusion payor formularies and denial reasons. You will support authorization coordinators and prescribing providers with complex infusion medication authorization cases.You will maintain and review patient medication profiles, review physician medication orders and patients’ insurance benefits. You will interact with healthcare professionals and providers to help decrease authorization turnaround time and improve the patient experience.

Hourly Rate: $115.04

Schedule: Variable hours based on departmental needs. You are required to have the ability to travel to multiple work sites within UCLA Health.

Bargaining Unit: HX-UPTE

Qualifications

We’re seeking a dedicated clinical professional with:

• Pharm D. degree and current CA Pharmacy license (required)


• Minimum of 1 year of practice experience in Oncology (required)


• Prior Infusion Experience (preferred)


• Prior Medical Benefit Authorization Experience (strongly preferred)


• Epic experience (preferred)


• BCOP (preferred)


• Exceptional communication, interpersonal, organizational and follow-through skills.


• Knowledge of and ability to perform age specific and disease specific pharmacokinetic calculations.