Remote Prior Authorization Jobs in Lexington, SC

The Clinical Quality Pharmacist provides the licensed clinical layer that supports the Ambulatory Infusion
Center (AIC) Order Entry workflow across all states in which Palmetto Infusion Services operates. They
will perform remote medication order processing and prescription review — including order/prescription
clarification, receipt and documentation of verbal orders, prospective drug use review, therapeutic
interventions, and drug information support. This position will also work with and advance our formal
Continuous Quality Improvement (CQI) program which monitors, evaluates, and continuously improves
the quality, safety, and appropriateness of order processing in accordance with internal policy, the South
Carolina Pharmacy Practice Act, and the applicable laws of each state served. The role collaborates
closely with the Pharmacist-in-Charge, AIC clinical staff, and Patient Services to deliver safe, high-quality
infusion therapy and to sustain a defensible, inspection-ready standard of pharmacy practice.

Minimum Qualifications:

Experience/Education:

• Prior experience in specialty pharmacy, ambulatory infusion, and/or home infusion practice; familiarity
  with prospective drug use review, verbal order intake, and continuous quality improvement in a pharmacy setting.
• Education: Doctor of Pharmacy (PharmD) required.
• Licensure: Active state pharmacist license required at hire. May be required to obtain and maintain non-resident or reciprocal pharmacist licensure in any additional state of operation, as required by each state's laws and Board of Pharmacy regulations

Essential Functions:

• Receives, reviews, interprets, and if needed, clarifies medication orders and prescriptions
  originating from prescribers, and documents all clarifications in accordance with internal policy
  and applicable state and federal pharmacy law.
• Performs prospective drug use review (DUR) on medication orders prior to administration, using
  the common electronic file to verify patient information, allergies, therapy appropriateness, dose,
  route, rate, and duplications.
• Enters and/or transfers medication-order data, receives verbal orders from prescribers, obtains
  substitution authorizations, and performs therapeutic interventions consistent with the authorized
  functions of licensed pharmacists.
• Serves as a drug information resource to the AIC clinical staff (nurses and providers), internal
  Palmetto Infusion staff, and outside referral sources.
• Receives and acts on urgent order clarifications, verbal orders, prospective DUR, and drug
  information requests during staffed hours.
• Helps with reporting, implementing, and continuously advancing the pharmacy's Continuous
  Quality Improvement (CQI) program: objectively and systematically monitors and evaluates the
  quality and appropriateness of order processing, pursues improvements to prevent and document
  medication errors.
• Identifies, documents, reviews, and addresses medication errors and near-misses arising from
  remote order processing; performs root-cause analysis, trends findings, and translates results into
  periodic process improvements and policy updates.
• Maintains complete, attributable records of each order-processing function performed, retrievable
  for at least two years and available to the Board on request, in accordance with the Remote
  Medication Order Processing Policy & Procedure and the department’s Service Level Agreement
  with Patient Services.
• Maintains proper competencies based on assigned role, maintains active licensure, and remains
  current on all required continuing education.
• Adheres to all federal/state pharmacy laws and regulations and protects patient information in
  compliance with HIPAA and applicable state privacy law when accessing the common electronic
  file over secure networks.

About the Benefits:

• Competitive Compensation
• Comprehensive Medical Insurance
• Dental and Vision Insurance
• Company Life Insurance
• Voluntary Life and Disability Insurance
• Additional Voluntary Supplemental Plans
• Flexible Spending Account (Medical and Dependent Care)
• Health Savings Account
• 401K Retirement Plan
• Employee Assistance Program (EAP)
• Employee Discounts
• Ramsey SmartDollar Program
• Referral Program
• Tuition Assistance
• Paid Time Off
• 8 Paid Company Holidays

Patient Advocacy Statement:

At Palmetto Infusion, we believe that patient advocacy is at the heart of everything we do, regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well-being of our patients first. Whether we're working directly with patients or supporting them behind the scenes, our commitment to being a compassionate advocate is paramount. We understand that every interaction, every decision, and every effort contribute to the quality of care our patients receive.

Together, we strive to ensure that every individual feels heard, supported, and empowered throughout their healthcare journey. This dedication to patient-centered care is what creates "The Palmetto Experience" — a standard of excellence that defines us and enriches the lives of those we serve.

Physical Demands:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.

OTHER

All employees must uphold the confidentiality of protected health information and follow all HIPAA policies. This position has access to sensitive information and a breach of information may be grounds for immediate termination.

We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.