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Remote Utilization Management Pharmacist Jobs in Iowa

... remote dispensing sites. The retail pharmacist is a champion for all clinical and operational ... Acts as an authority and advocate of change management redefining the practice of retail pharmacy ...

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our ... Provide telephonic case management and utilization review for assigned consumers. * Develop ...

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Remote Utilization Management Pharmacist information

What is a remote utilization management pharmacist?

A Remote Utilization Management Pharmacist is a licensed pharmacist who works from a non-traditional setting, such as home, to review medication use and ensure that prescribed drugs are medically necessary, cost-effective, and aligned with clinical guidelines. They collaborate with healthcare providers, insurance companies, and patients to optimize medication therapy while controlling costs and preventing unnecessary treatments. Their work often involves evaluating prior authorization requests, reviewing patient medication histories, and providing recommendations for alternative therapies when appropriate.

How does a remote utilization management pharmacist typically collaborate with other healthcare professionals while working offsite?

Remote Utilization Management Pharmacists work closely with physicians, nurses, and case managers primarily through secure digital platforms and regular conference calls. They review medication requests, provide clinical recommendations, and help ensure patients receive appropriate therapies in line with established guidelines. Effective communication and timely documentation are essential, as collaboration often relies on electronic health records and virtual meetings. Building strong professional relationships remotely can be a challenge, but most organizations provide robust digital tools and dedicated support teams to facilitate seamless interaction.

What are the key skills and qualifications needed to thrive as a remote utilization management pharmacist, and why are they important?

To thrive as a Remote Utilization Management Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, active pharmacist licensure, and experience in medication review and clinical decision-making. Familiarity with pharmacy benefit management (PBM) systems, electronic health records (EHRs), and utilization management software is typically required. Strong analytical skills, attention to detail, and effective written communication are vital for evaluating medication requests and collaborating with healthcare providers. These competencies ensure appropriate medication use, regulatory compliance, and optimal patient outcomes in a remote healthcare setting.

What is the difference between Remote Utilization Management Pharmacist vs Remote Pharmacy Benefits Manager?

AspectRemote Utilization Management PharmacistRemote Pharmacy Benefits Manager
CredentialsPharmacy license, certification in utilization reviewPharmacy license, health plan or benefits management experience
Work EnvironmentHealthcare organizations, insurance companies, telehealth platformsHealth insurance companies, pharmacy benefit management firms
Industry UsageFocuses on medication review, prior authorizations, and clinical decision supportOversees pharmacy benefit plans, formulary management, and cost control strategies

While both roles involve pharmacy expertise and work remotely, the Remote Utilization Management Pharmacist primarily reviews medication appropriateness and manages prior authorizations, whereas the Remote Pharmacy Benefits Manager focuses on managing pharmacy benefit plans and formulary strategies. Understanding these distinctions helps professionals choose the role that best aligns with their skills and career goals.

What are popular job titles related to Remote Utilization Management Pharmacist jobs in Iowa?

For Remote Utilization Management Pharmacist jobs in Iowa, the most frequently searched job titles are:

What cities in Iowa are hiring for Remote Utilization Management Pharmacist jobs?

Cities in Iowa with the most Remote Utilization Management Pharmacist job openings:

Retail Pharmacist

Thedacare

Manchester, IA • Remote

Full-time

Re-posted 2 days ago


ThedaCare rating

6.6

Company rating: 6.6 out of 10

Based on 129 frontline employees who took The Breakroom Quiz

572nd of 898 rated healthcare providers


Job description

Why ThedaCare?

Living A Life Inspired!

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.

At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.

Benefits, with a whole-person approach to wellness -

  • Lifestyle Engagement
    • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
  • Access & Affordability
    • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!

Summary :The retail pharmacist partners with the retail pharmacy team leader and deliver within operations, regulatory compliance, medication safety, prescription processing, specialty pharmacy services/programs, and patient experiences within supervising pharmacies and remote dispensing sites. The retail pharmacist is a champion for all clinical and operational initiatives, partnering with the retail pharmacy team leader and key stakeholders to drive strategic growth and development, program integrity, financial viability, and optimal patient outcomes. Acts as an authority and advocate of change management redefining the practice of retail pharmacy congruent with the following: establishing high quality clinical care into pharmacy practice, redefining the patient experience to be fulfilling, predictable, and highly reliable and establishing pharmacy as an integral provider on the patient care team.Job Description:

SCHEDULE:

Variable Shift

Required to be in weekend and holiday rotation

1-2 days per week will be required to work out of TC Retail Pharmacy - Shawano

KEY ACCOUNTABILITIES:

  • Participates in daily operations of the pharmacy and its associated remote dispensing sites including but not limited to clinical functions, dispensing, distributing, and inventory management.

  • Performs role and responsibilities maintaining the highest patient experience standards.

  • Assists Retail Pharmacy Team Leader in operationalizing regulatory compliance congruent with applicable federal and state regulations, external accrediting authorities, and expert governing bodies within pharmacy and associated remote dispensing sites.

  • Assists Retail Pharmacy Team Leader in operationalizing all ThedaCare policies and procedures within pharmacy and associated remote dispensing sites.

  • Champions all clinical and operational initiatives, partnering with key service line stakeholders driving strategic growth and development, program integrity, financial viability, and optimal patient outcomes.

  • Contributing member of the interdisciplinary patient care team, driving safe and effective patient outcomes.

  • Functions as a fully licensed and competent pharmacist along the entire spectrum of services offered through pharmacy and associated remote dispensing sites.

  • Maintains operational knowledge of 340B program as it relates to pharmacy and its associated remote dispensing sites, ensuring compliance and program intent in collaboration with key stakeholders.

QUALIFICATIONS:

  • Doctor of Pharmacy degree from an ACPE accredited School of Pharmacy (required)

  • American Heart Association Healthcare Provider Basic Life Support (BLS)

  • Certified Immunizer

  • State of Wisconsin Pharmacist Licensure

PHYSICAL DEMANDS:

  • Ability to move freely (standing, stooping, walking, bending, pushing and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance

WORK ENVIRONMENT

  • Climate controlled office setting with daily movement throughout the hospital campus

  • Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of fifty (50) pounds without assistance

  • Job classification is exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

  • Frequent exposure to sharp objects and instruments

  • Possible exposure to communicable diseases, hazardous materials, and pharmacological agents.

  • Occasional contact with aggressive and or combative patients.

  • Use of computers throughout the work day

  • Frequent use of keyboard with repetitive motion of hands, wrists, and fingers

Position requires compliance with department specific competencies.

Scheduled Weekly Hours:40Scheduled FTE:1Location:ThedaCare Regional Medical Center - Neenah - Neenah,WisconsinOvertime Exempt:YesWorker Shift Details:Variable

What ThedaCare employees say

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About ThedaCare

Sourced by ZipRecruiter

We want to make exceptional care effortless for our patients. At ThedaCare, that means going above and beyond treating a particular condition – it means helping you achieve better health for life. You and your family are at the center of everything we do, from prioritizing your schedule when making appointments to designing our facilities for your comfort and convenience. Remaining proactive in your care allows us to better predict and prevent disease before complications arise, and when it comes to making important health-related decisions, we are here to support you. In every interaction, we want you to have full confidence the care you receive is purposeful, cost-effective and will help you continue enjoying life as you’ve planned it. ThedaCare is the third largest healthcare employer in Wisconsin, and the largest employer in Northeast Wisconsin with over 7,000 team members.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Neenah, WI, US

Year founded

1909