Remote Case Management Pharmacist: Complex Care Coordinator

Pharmacy Careers; Worcester (MA); Remote; USD 110,000 - 150,000; Full time

Benefits offered by this job

Hybrid or remote options

Job summary

Pharmacy Careers is seeking a Remote Case Management Pharmacist to coordinate care for high-risk and complex patients from a home-based setting. The role emphasizes clinical problem-solving, medication reviews, and adherence support, with potential hybrid or fully remote options across nationwide health plans.

The successful candidate will review medications, support care coordination, and educate patients while ensuring compliance with regulatory standards and quality initiatives.

Qualifications

• Pharmacist education required: PharmD or Bachelor in Pharmacy.
• Experience in case management, MTM, or managed care preferred.
• Strong communication, problem-solving, and care coordination abilities.

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 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 and regulatory standards.
• Participate in quality initiatives aimed at reducing hospitalizations and improving outcomes.

Skills

Strong communication

Problem-solving

Care coordination

Education

PharmD or Bachelor

Job description

Pharmacy Careers is seeking a Remote Case Management Pharmacist to coordinate care for high-risk and complex patients from a home-based setting. The role emphasizes clinical problem-solving, medication reviews, and adherence support, with potential hybrid or fully remote options across nationwide health plans.

The successful candidate will review medications, support care coordination, and educate patients while ensuring compliance with regulatory standards and quality initiatives.