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Remote Utilization Management Pharmacist Jobs in Rochester, NY

... management of assigned therapists when necessary * Perform ongoing review of high-risk cases and ... Engage in the Utilization Review process for assigned cases every month * Respond to clinical ...

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Remote Utilization Management Pharmacist information

See Rochester, NY salary details

$18

$57

$85

How much do remote utilization management pharmacist jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for remote utilization management pharmacist in Rochester, NY is $57.33, according to ZipRecruiter salary data. Most workers in this role earn between $46.01 and $67.84 per hour, depending on experience, location, and employer.

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 Rochester, NY?

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

What job categories do people searching Remote Utilization Management Pharmacist jobs in Rochester, NY look for?

The top searched job categories for Remote Utilization Management Pharmacist jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Remote Utilization Management Pharmacist jobs?

Cities near Rochester, NY with the most Remote Utilization Management Pharmacist job openings:

Infographic showing various Remote Utilization Management Pharmacist job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, and 3% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $119,239 per year, or $57.3 per hour.

Remote Licensed Clinical Social Worker at Atlantic Academy, RTC

Atlantic Academy, RTC

Rochester, NY • Remote

$90K - $105K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 5 days ago


Job description

Position Overview

Atlantic Academy, RTC is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) for a full-time remote position, primarily focused on providing essential mental health support. In this critical role, you will be responsible for developing strong therapeutic relationships with clients, facilitating their healing journey, and providing tailored interventions that empower individuals to achieve their mental health goals.

About the Organization

At Atlantic Academy, RTC, we specialize in delivering exceptional mental health support catered to a diverse spectrum of needs. Our professionals cultivate a safe and nurturing environment where personal growth, healing, and empowerment are prioritized. We believe in an integrated approach to mental health care, ensuring our practices reflect the values of inclusivity, respect, and dignity for all clients.

Work Environment

This role provides a unique opportunity to work remotely, allowing you to balance professional responsibilities and personal life effectively. As a member of our community health clinic team, you will enjoy a supportive work culture that recognizes and values your contributions. Regular team meetings and training sessions are conducted virtually to promote collaboration and professional development.

Key Responsibilities
  • Act as a liaison between clients, their families, and outpatient providers to facilitate comprehensive care and support.
  • Engage with various insurance companies for pre-certification and utilization management, ensuring that clients receive necessary coverage for their treatment.
  • Participate actively in discharge and aftercare planning, preparing clients for successful transitions and support post-treatment.
  • Provide therapeutic meal support, modeling healthy relationships with food, encouraging mindful eating practices, and fostering positive body image.
  • Deliver safe, empathetic, and affirming care tailored to each client's unique circumstances, particularly taking into account their intersecting identities and experiences.
Patient Population / Client Focus

As a Licensed Clinical Social Worker at Atlantic Academy, you will work with a diverse client population that includes children, adolescents, and adults facing various mental health challenges. Through our remote community health clinic, you will engage individuals from different backgrounds, helping them cope with mental health issues including depression, anxiety, trauma, and more. Your role is essential in enhancing their quality of life and promoting recovery.

Qualifications
  • A Master's degree in Social Work from an accredited institution is required.
  • Must hold a valid Licensed Clinical Social Worker (LCSW) license in the state of New York.
  • Experience working with older adults and understanding the unique challenges they face in mental health.
  • Exceptional clinical and diagnostic skills to assess and formulate treatment plans effectively.
  • Outstanding communication and interpersonal skills to foster strong relationships with clients and team members.
  • A willingness to work independently and as part of a collaborative team environment.
Preferred Experience
  • A background in working with patients facing complex trauma or multi-faceted mental health concerns is highly preferred.
  • Familiarity with telehealth technologies and electronic health records systems to document sessions and coordinate care efficiently.
  • Knowledge of community resources and local mental health services that can assist clients in their recovery journey.
Compensation and Benefits

We offer a competitive salary range of $90,000 to $105,000 per year, commensurate with experience and qualifications. In addition to a competitive salary, you will receive a robust benefits package that includes:

  • Comprehensive medical, dental, and vision insurance.
  • 401(k) retirement plan with employer matching contributions.
  • Flexible spending accounts for healthcare and dependent care expenses.
  • Life insurance and short-term disability coverage for added peace of mind.
  • A supportive work environment that encourages professional development and growth.
Career Growth Opportunities

At Atlantic Academy, we are committed to the professional advancement of our staff. As a Licensed Clinical Social Worker, you will have opportunities for continued education, training in specialized therapeutic techniques, and leadership roles within the organization. We encourage you to pursue further certifications and qualifications to enhance your skills and impact on our clients.

Why Join Our Team

Joining Atlantic Academy means becoming part of a forward-thinking team that is passionate about mental health advocacy and patient care. Here, your insights and contributions matter. You will work alongside a team of skilled professionals who share your commitment to empowering individuals and enhancing mental health outcomes across the community.

Application Information

If you are a dedicated Licensed Clinical Social Worker looking to make a significant impact in the lives of others while enjoying the flexibility of remote work, we encourage you to apply today! Please submit your resume and a cover letter detailing your qualifications and motivation for joining our team.