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Remote Utilization Management Pharmacist Jobs in Iowa

Business Intelligence Developer

Des Moines, IA · On-site +1

$110K - $116K/yr

The position duties include the utilization of SQL programming and ETL to analyze data; promote ... management framework; and guide stakeholders with recommendations to create solutions. Remote work ...

Business Intelligence Developer

Des Moines, IA · On-site +1

$110K - $116K/yr

The position duties include the utilization of SQL programming and ETL to analyze data; promote ... management framework; and guide stakeholders with recommendations to create solutions. Remote work ...

... members, pharmacies, and healthcare providers with their pharmacy benefits. We are especially ... MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide.

Showing results 21-40

Remote Utilization Management Pharmacist information

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 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.

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 job categories do people searching Remote Utilization Management Pharmacist jobs in Iowa look for? The top searched job categories for Remote Utilization Management Pharmacist jobs in Iowa 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:

State of Iowa Registered PRN Dietician - Remote

Trinityhealth

Des Moines, IA • Remote

$30.50 - $41/hr

Part-time

Re-posted yesterday


Job description

Employment Type:Part timeShift:Description:

Remote Contingent Dietician-Trinity Health at Home Infusion

8-16 hrs a week

100% Remote but must be licensed in State of Iowa*

Basic Job Function Summary
The Dietitian is responsible for the provision of quality services that promote nutritional health and effective dietarypatterns for patients. Acts as a direct link between patients and MercyOne Des Moines HH and Hospice.


Required Education
Currently licensed to practice in the state serviced.
Registered by the American Dietetic Association.
Bachelor's degree in dietetics, foods, and nutrition; food service systems management; or related area.

Minimum Qualifications
Strong written and verbal skills.
Ability to work closely with a wide range of professionals or a multidisciplinary team.
Interpersonal skills that facilitate inter- and intra-team/departmental communication.
Excellent organizational and time management skills.
Excellent attention to detail.
One year experience in a hospital, nursing home, or home infusion pharmacy working with TPN and enteral
patients.

Essential Functions
1. Supports Trinity Health at Home's mission, values, strategic goals, and high standards of customer
service Consistently lives People First Behaviors.
2. Adheres to the Corporate Compliance Program, including confidentiality of HIPAA protected health
information.
3. Provides care following the plan of treatment and patient care plan.
4. Completes nutritional assessments for enteral and parenteral patients at admission and reassessments as
needed and documents assessments in electronic medical record.
5. Qualifies Enteral and Parenteral patients for insurance coverage, ensuring guidelines for coverage are
met and supporting documentation is collected.
6. Appropriately uses clinical notes, care plans, and other documentation tools.
7. Completes and submits all required documentation in a timely and accurate manner.
8. Conducts comprehensive patient assessments that include information regarding general health and
socioeconomic status.
9. Establishes a care plan for continued needs based on the patient assessment, information from caregivers
or other service providers relative to nutritional concerns and physician orders.
10. Works in conjunction with Clinical Pharmacist to make recommendations for changes to parental nutrition
formulas for patients based upon assessments, lab values and clinical need.
* "The Fair Labor Standards Act ("FLSA") classification noted on this job description might vary depending on your state's wage and hour laws."
11. Provides education to patients and caregivers.
12. Utilizes and coordinates patient resources to meet nutritional requirements.
13. Demonstrates sensitivity to patient and caregiver needs, custom or feelings.
14. Attends and participates in case conferences, in-services, and continuing education programs.
15. Participates in Quality Assurance Performance Improvement (QAPI), including assisting with the overall
development and implementation of the PI plan, assisting in the identification of goals and related patient
outcomes, participation and reporting of activities and outcomes, development and implementation of
corrective plans.
16. All other duties as assigned.
Mental and Physical Requirements
Frequently lifts, stands, and walks (65% of time)
Occasionally bend, stoop, and twist (30% of time)
Occasionally position and lift patients (10% of time)
Ability to perform continuously detailed tasks with frequent interruptions and work reprioritization (90% of
time)
Must be able to adapt to frequently changing work parameters.
Must be able to travel to various TH/THHS worksites or various work locations as required.
Environment of Care
Maintains a safe working environment for self, other employees, patients, visitors, and medical staff in accordance
with applicable standards and procedures relevant to the position's job duties.
Organizational Code of Ethics
Each employee must know and adhere to the Organizational Code of Ethics and Compliance Program. These
programs must be integrated and demonstrated in the various elements of the employee's day-to-day role,
decision-making, behaviors, and attitudes in accordance with stated standards.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.