Toledo, OH · On-site
$76K - $93K/yr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Centene - Buckeye Employment: Long Term Contract Shift: 8:00-5:00 pm M-F Start Date: ASAP Location:
Toledo, OH · On-site
$76K - $93K/yr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Centene - Buckeye Employment: Long Term Contract Shift: 8:00-5:00 pm M-F Start Date: ASAP Location:
Dayton, OH · On-site
$75K - $92K/yr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Centene - Buckeye Employment: Long Term Contract Shift: 8:00-5:00 pm M-F Start Date: ASAP Location:
Dayton, OH · On-site
$75K - $92K/yr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Centene - Buckeye Employment: Long Term Contract Shift: 8:00-5:00 pm M-F Start Date: ASAP Location:
Dayton, OH · On-site
$75K - $92K/yr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Centene - Buckeye Employment: Long Term Contract Shift: 8:00-5:00 pm M-F Start Date: ASAP Location:
Dayton, OH · On-site
$75K - $92K/yr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Centene - Buckeye Employment: Long Term Contract Shift: 8:00-5:00 pm M-F Start Date: ASAP Location:
$27.88 - $32.10
2% of jobs
$32.10 - $36.32
0% of jobs
$36.32 - $40.54
0% of jobs
$40.54 - $44.76
0% of jobs
$44.76 - $48.97
5% of jobs
$48.97 - $53.19
9% of jobs
$55.91 is the 25th percentile. Wages below this are outliers.
$53.19 - $57.41
13% of jobs
The median wage is $61.32 / hr.
$57.41 - $61.63
22% of jobs
$61.63 - $65.84
21% of jobs
$66.40 is the 75th percentile. Wages above this are outliers.
$65.84 - $70.06
18% of jobs
$70.06 - $74.28
9% of jobs
$27
$60
$74
A Centene Pharmacist is responsible for reviewing and processing medication prescriptions, ensuring compliance with regulations, and optimizing drug therapy for patients. They collaborate with healthcare providers, verify prior authorizations, and support medication management programs. This role may also involve formulary management, drug utilization reviews, and policy development to improve healthcare outcomes for Centene members.
A typical day for a Centene Pharmacist often includes reviewing and processing medication authorizations, providing clinical support for benefit determinations, and consulting with providers to optimize patient care. You may also participate in formulary management, drug utilization reviews, and case discussions with interdisciplinary teams. The work environment is usually collaborative and fast-paced, balancing direct clinical interactions with administrative tasks. This blend of responsibilities offers valuable experience in managed care pharmacy and opportunities to develop expertise in population health management.
To thrive as a Centene Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, active pharmacist licensure, and a solid understanding of managed care pharmacy principles. Familiarity with pharmacy benefit management systems, claims adjudication platforms, and medication therapy management (MTM) tools is typically required. Excellent communication, critical thinking, and organizational skills help set top performers apart in this role. These abilities are crucial for ensuring safe, effective medication use, collaborating across clinical teams, and supporting quality care for diverse patient populations.
The most popular types of Centene Pharmacist jobs are:
The top searched job categories for Centene Pharmacist jobs are:
$76K - $93K/yr
Full-time
Re-posted 9 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Title: Field Registered Nurse Case Manager
Client: Centene - Buckeye
Employment: Long Term Contract
Shift: 8:00-5:00 pm M-F
Start Date: ASAP
Location: Toledo, Ohio
ABOUT THE POSITION:
-Will be working with Medicare Members with complex medical or behavioral health conditions or who are at high risk.
-Will be traveling 60%-70% of time the remaining time will be spent in the field, Rest of the time they will be working remote.
* Responsible for completing four assessment per day!
-Candidates will be traveling to members' homes to assess and create care plans
- Coordinate services between Primary Care Physician (PCP) specialist, and other medical and non-medical providers as necessary to meet the complete psychological, social, and medical needs of members
Job Description:
Perform collaborative duties to assess, plan and coordinate continuum of care for select members with complex medical or behavioral health conditions or are at high risk in order to promote quality, cost effective care.
Advanced review of admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care.
Develop, assess and adjust as necessary the care plan and promote desired outcome.
Coordinate services between Primary Care Physician (PCP) specialist, and other medical and non-medical providers as necessary to meet the complete medical socio economic needs of clients. Participate in face to face visits with high risk members at point of service as needed. For BCHP only, participate in face to face visits with high risk members at point of service.
Provide patient and provider education.
Identify related risk management quality concerns and report these scenarios to the appropriate resources.
Data enters assessments and authorizations into the system.
Registered Nurse
Case Manager Experience
5+ years RN Experience if without Case Management exp
Are you an experienced Registered Nurse looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career In Nursing by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the RN position for you!
If you are interested, reach out to me (Patricia) at 321-574-6536
The greatest compliment to our business is a referral.If you know of someone looking for a new opportunity, please pass along my contact information!
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003