Remote Clinical Pharmacist Utilization Review
$55 per hourActalent
Actalent is seeking a dedicated Clinical Pharmacist for a fully remote position. You will be responsible for reviewing utilization management requests and making clinical decisions based on specific criteria. The ideal candidate needs to have a Doctor of Pharmacy (PharmD) and a current pharmacist license, along with at least two years of relevant experience. The role involves evaluating clinical requests, collaborating with healthcare providers, and participating in team interactions. A competitive pay of $55/hr is offered, along with various benefits including medical, dental, vision, and a retirement plan. #J-18808-Ljbffr
$55 per hour
...Actalent is seeking a Clinical Pharmacist for a fully remote role to review utilization management requests. This position requires a PharmD or BS in Pharmacy and a current pharmacist license. Your responsibilities include evaluating requests, determining coverage approvals...Remote work- ...Actalent is seeking a Clinical Review Pharmacist for a fully remote contract position based in Salt Lake City, UT. Candidates will evaluate Utilization Management requests, consulting with healthcare providers and ensuring adherence to formularies. Required qualifications...Remote workContract work
$55 per hour
...Actalent is seeking a dedicated Clinical Pharmacist to join our team in a fully remote capacity, responsible for reviewing utilization management requests. The ideal candidate will have a PharmD and at least two years of clinical pharmacy experience. This position requires...Remote work- ...Actalent is seeking a dedicated Clinical Pharmacist to join our remote team in Oklahoma City. This role involves reviewing utilization management requests and requires precision, clinical judgment, and effective communication. The ideal candidate holds a PharmD or a BS...Remote work
- ...Actalent is seeking a Remote Clinical Pharmacist in Houston, TX, responsible for reviewing utilization management requests and making clinical decisions. The role requires strong communication skills and the ability to prioritize tasks. A PharmD or Bachelor of Science...Remote workContract work
$104k - $143k
...part of our caring community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist... ...and comprehensive medication reviews for prescriptions requiring pre-authorization... ...season Travel: While this is a remote position, occasional travel to...Remote workDaily paidFull timeContract workApprenticeshipMonday to FridayFlexible hoursShift workWeekend work$91.7k - $163.7k
...Clinical Pharmacist Optum is a global organization that delivers care,... ...outcomes through completion of utilization management functions for... ...enjoy the flexibility to work remotely * from anywhere within the... ...prior authorization case reviews to meet production and performance...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday$89.9k - $160.6k
...OverviewJoin to apply for the Clinical Pharmacist Utilization Management - Remote PST role at OptumOptum is a global organization that delivers care, aided... ...ResponsibilitiesResponsibilitiesCompletes assigned daily prior authorization case reviews to meet production and performance metrics as...Remote workMinimum wageFull timeWork experience placementLocal areaMonday to Friday- ...Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential... ...analyzing medication use, applying clinical guidelines, and collaborating with providers... ...Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive...Remote work
- ...Pharmacist Position Immediate Need! We are seeking a qualified... ...residents. This role involves reviewing patient medication regimens,... ...geriatrics, long-term care, or clinical pharmacy preferred.... ...ASAP. This job can be done remotely. Please send resume for immediate...Remote workHourly payTemporary workImmediate start
$55 - $60 per hour
...UNITAS provides clinical staffing and consulting solutions, including... ...role The Clinical Pharmacist is responsible for the processing and documenting of Utilization Management (UM) requests (e.g... ...The pay range for this role is: 55 - 60 USD per hour (Remote)Remote workHourly payPermanent employmentContract workLocal area- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active... ...with management and providing guidance on clinical questions. This is a unique opportunity to work from...Remote workFull timeWork from home
- ...is looking for an experienced Registered Nurse in Peoria, Illinois. The role focuses on utilization review, clinical consultation, and effective patient support within a fully remote setting. Candidates should have an active Illinois RN license and significant...Remote workWork from home
- ...Clinical Pharmacist - Utilization Management Archimedes Location US- ID 2026-6002 Category Archimedes Position Type Full-Time Remote No Company Archimedes About Us Archimedes - Transforming the Specialty...Remote workFull timeWork at office
$57 per hour
ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts...Remote workHourly payWork from homeFlexible hours- ...A leading healthcare solutions company seeks a skilled Utilization Review Nurse to conduct vital reviews for medical necessity and appropriateness... ...will have an active RN license, 3+ years of inpatient clinical experience, and strong written communication skills. This...Remote workWork from homeFlexible hours
$91.7k - $163.7k
UnitedHealth Group is looking for a Clinical Pharmacist who will improve patient care by conducting utilization management functions for value-based patients. The role... ...specialty medications. With the flexibility to work remotely across the U.S., applicants must have a PharmD...Remote job- A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote jobFull timeWork at officeWork from home
$35 - $45.94 per hour
...Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About... ...Review. Work Location This is a remote position, open to candidates who reside... ...care reviews for requested services using clinical judgment and Oscar Clinical Guidelines,...Remote workHourly payFull timeWork from homeHome office- ...providing telephonic and e-referral case review and authorization of services utilizing established mental health and... ...quality care appropriate to clinical needs. Responsible for prospective... ...This position is full-time, fully remote (work from home) and requires some...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
- ...Paid Holidays ~ Work-life balance. ~ Remote/hybrid setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills to... ...will defer decision to a second level reviewer. This individual interfaces with case managers...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
$120.24k - $214.93k
...Resp & Qualifications PURPOSE: The Clinical Pharmacist will perform comprehensive clinical services with a focus on utilization management for specialty drugs covered under... ...compliant with regulatory mandates. Reviews pharmacy market information and trends to...Work experience placementImmediate start- ...a high-performing Physician Reviewer to join our Group Health division... ...timely, defensible utilization review determinations across... ...preauthorization, appeals, DRG clinical validation, benefit review, and... ...operating systems Work Environment Remote work from home Full-time,...Remote workFull timeTemporary workWork at officeWork from homeMonday to FridayNight shift
$65k - $78k
...and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective,... ...medical necessity and appropriateness of services, following clinical criteria, coverage policies, and contract guidelines. This involves...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
$211.2k - $277.2k
...Physician Reviewer - Utilization Management You will determine the medical appropriateness of inpatient... ..., and pharmacy services by reviewing clinical information and applying evidence-... .... Work Location: This is a remote position, open to candidates who reside...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ...Santa Barbara Cottage Hospital is hiring a Utilization Review Nurse for a remote position. The role involves gathering clinical information, certifying medical necessity, and making decisions on treatment certifications. Ideal candidates will have a strong nursing background...Remote work
- ...Part-Time | Remote (U.S. Based) Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering evidence-based solutions for more than Physician Advisor (Utilization Review) Part-Time | Remote...Remote workPart timeWork at officeWork from home10 hours per weekFlexible hoursShift workWeekend work
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
- ...State and Territorial Epidemiologists is seeking a Clinical Pharmacist for a remote position within the United States. This role involves conducting clinical reviews for Medicare-Medicaid coverage, supporting drug utilization programs, and ensuring communication with...Remote work
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