Utilization Review Manager Jobs in Rio Rancho, NM

UNM Medical Group, Inc. is hiring a Pharmacist Clinician to join our Primary Care Grande Clinic. This opportunity is a part-time (0.5FTE 20 hours a week) day shift opening located in Rio Rancho, New Mexico.

Minimum $114,168 - Midpoint $145,468* Salary is determined based on years of total relevant experience. Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.

The Pharmacist Clinician provides direct patient care through comprehensive medication management and optimization of pharmacotherapy. Working collaboratively with physicians, advanced practice providers, nurses, and other healthcare professionals, the Pharmacist Clinician evaluates medication regimens, manages chronic and acute disease states, monitors therapeutic outcomes, and promotes safe, evidence-based medication use.

In addition to advanced clinical responsibilities, the Pharmacist Clinician performs the essential functions of a Staff Pharmacist, including medication dispensing, prescription verification, patient counseling, medication safety oversight, and compliance with applicable regulatory and accreditation standards. The Pharmacist Clinician serves as both a clinical resource and a practicing pharmacist, ensuring the safe and effective delivery of pharmaceutical care across the continuum of care.

The Pharmacist Clinician functions as an integral member of the interdisciplinary care team and provides services under collaborative practice agreements, clinical protocols, and applicable state and federal regulations. This role balances direct patient care, clinical consultation, medication management, and operational pharmacy responsibilities to support organizational quality, safety, and patient outcome goals.

Minimum Job Requirements of a Pharmacist Clinician:

Education: Bachelor's Degree in Pharmacy or Doctor of Pharmacy (PharmD) from an accredited college or school of pharmacy Completion of an accredited PGY-1 Pharmacy Residency program within six (6) months of employment

Experience: Two (2) years of directly related experience Experience practicing under a Collaborative Practice Agreement (CPA) preferred.

Certifications/Licenses: Licensed Pharmacist in State of New Mexico or obtain within 90 days Licensed Pharmacist Clinician in State of New Mexico or obtain within 180 days Board Certification through the Board of Pharmacy Specialists (BPS) including Pharmacotherapy Specialist (BCPS), Ambulatory Care Pharmacist (BCACP) or other specialty certification preferred.

Duties and Responsibilities of a Pharmacist Clinician:

1. Provides direct patient care to include, writing, renewing, and discontinuing prescriptions; documenting clinical interventions and patient encounters in the electronic health record; maintaining accurate, legible, and confidential records.

2. Conduct comprehensive medication reviews and assessments; develops, implements, monitors, and adjusts medication therapy plans based on patient-specific needs and evidence-based guidelines; identifies, prevents, and solves medication-related problems.

3. Evaluates laboratory values, diagnostic tests, and clinical data to optimize medication therapy; monitors therapeutic outcomes and adverse drug events; provides patient education and counseling regarding medications, disease management, adherence, and self-care.

4. Supports and creates a culture of service excellence, teamwork, and accountability in alignment with ASPIRE values; collaborates with physicians, advanced practice providers, nurses, and other healthcare professionals to improve patient outcomes; participates in interdisciplinary patient care conferences and care planning activities.

5. Supports quality improvement initiatives and organizational performance goals; assists in the development and implementation of clinical pathways, treatment protocols, and medication management programs; monitors and reports quality metrics related to medication management and patient outcomes; participates in medication safety and utilization review activities.

6. Participates in the development of clinical protocols or order sets to ensure the appropriate and safe delivery of medications to patients; adheres to the appropriate mechanisms of consulting with the supervising physician for pharmacist clinician protocols.

7. Serves as a medication resource for providers, staff, patients, and caregivers; provides drug information and evidence-based therapeutic recommendations; may be asked to assist with primary care team clinical inbox management; participation in education and training of pharmacy residents, students, and healthcare staff as appropriate; maintains professional competency through continuing education and professional development.

8. Promotes the most cost-effective delivery of medication therapy and use of medications to patients; develops and implements programs to promote cost-effective alternatives and track their effectiveness; evaluate opportunities to decrease pharmacy and other health care professional's time to provide optimal pharmaceutical care; evaluates opportunities and implements programs to decrease waste or improve reimbursement of medication therapies.

9. Adheres to all applicable federal, state, and organizational regulations, policies, and procedures; maintains patient confidentiality and compliance with HIPAA requirements; support a culture of patient safety by adhering to safety practices, identifying and reporting risks or concerns, improving processes, and encouraging patient involvement in their care.

10. Performs other related duties and responsibilities as assigned.

Why Join UNM Medical Group, Inc.? Since our creation in 2007, our dynamic organization has continued to grow and form strong partnerships within the UNM Health system. Modern Healthcare recognizes UNMMG in their Best Places to Work recognition for 2025. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence. We are dedicated to embracing and promoting diversity while fostering well-being across New Mexico through cultural humility and respect for everyone.

About the Grande Primary Care Clinic: UNM Medical Group has opened a new Primary Care Clinic for the Rio Rancho community in the summer of 2021. The UNM Health Grande Clinic focuses on providing the local community their non-emergency medical needs.

Services Provided at the Grande Clinic includes:

• General Primary Care (newborn and greater)
• Primary Medical Care
• Women's Health
• Annual Exams
• Sports Physicals
• Immunizations
• Treatment for Common Non-emergency Illness
• Health Promotion
• Disease Prevention
• Medication Management
• Diabetes Management
• Behavioral Health

Benefits: Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package. Insurance Coverage: Includes medical, dental, vision, and life insurance. Additional Perks: Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.