Remote RN Pharmacy Case Manager

Sedgwick; United States; Remote; USD 65,000 - 67,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401K

Job summary

Sedgwick, a global provider, seeks a Registered Nurse to join our Pharmacy team in a role focused on medication evaluation and patient safety. This remote-friendly position offers career growth, comprehensive benefits, and work-life balance.

You will perform clinical assessments, review drug usage, and collaborate with physicians to optimize care for injured employees while upholding privacy and regulatory standards.

Qualifications

• Active unrestricted RN license in the United States required.
• BSN preferred or equivalent work experience.
• Certification in case management, pharmacy, rehabilitation nursing or related specialty preferred.

Responsibilities

• Performs clinical assessment via pharmacy reports and case files; evaluates client’s situation.
• Evaluates patient drug usage and physician prescribing patterns.
• Evaluates overuse, underuse and misuse of prescribed medications; may recommend testing for diversion.
• Evaluates need for and recommends alternative treatment.
• Sends letters to prescribing physicians and refers to physician advisor as necessary.
• Negotiates appropriate level and intensity of care using guidelines.
• Negotiates changes in pharmacy plan with providers.
• Acts as a resource in consulting with client, nursing staff and claims examiners regarding pharmacy issues.
• Performs drug utilization reviews and communicates with stakeholders.
• Maintains client privacy and promotes safety and advocacy per regulatory standards.

Skills

Clinical assessment

RN license

Case management

Pharmacy knowledge

Education

Bachelor's degree in nursing (BSN)

RN license

Certification in case management

Job description

Sedgwick, a global provider, seeks a Registered Nurse to join our Pharmacy team in a role focused on medication evaluation and patient safety. This remote-friendly position offers career growth, comprehensive benefits, and work-life balance.

You will perform clinical assessments, review drug usage, and collaborate with physicians to optimize care for injured employees while upholding privacy and regulatory standards.