Conduct medication review and reconciliation, assess health literacy, use motivational interviewing, interpret clinical guidelines, collaborate with other programs, perform member outreach, support inbound member messaging, promote evidence-based healthcare information.
Compensation
The typical pay range for this role is: $106,200.00 - $187,500.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Responsibilities
Conduct medication review and reconciliation
Utilize professional clinical judgement and assessment techniques
Provide specialized diagnosis, treatment, and long-term management for children and adolescents with hematologic disorders and pediatric cancers.
Locations (2)
Abu Dhabi, Abu Dhabi, United Arab Emirates
Dubai, Dubai, United Arab Emirates
Compensation
Competitive tax-free salary package
Responsibilities
Diagnose and manage a broad range of pediatric hematologic and oncologic conditions
Develop individualized treatment plans based on patient condition, clinical protocols, and evidence-based practices
Administer and oversee chemotherapy, immunotherapy, transfusion therapy, and supportive care treatments
Coordinate care with multidisciplinary teams including pediatricians, surgeons, radiologists, pathologists, pharmacists, nurses, and allied healthcare professionals
Monitor patient progress, treatment response, and potential complications while adjusting management plans as required
The Clinical Guidelines Manager manages science or health projects for the NIH Office of AIDS Research, directing technical execution, schedules, budgets, and quality assurance while leading stakeholder communications.
Compensation
Salary Range: $98,474.07 - $113,245.17 per year
Responsibilities
Provides advice on technical approaches to accomplish scientific and health project objectives
Develops and delivers clear, strategic communications and presentations
Develops detailed scientific and health project plans and tracks progress
Oversees the development and review of deliverables to ensure technical accuracy
Guides data collection, analysis, and reporting activities
Requirements
Bachelor's degree in science, health, healthcare, research or relevant fields
Provide pharmacy dispensing, consultation, and clinical services to patients as a float staff pharmacist covering multiple locations within South Central Minnesota.
Responsibilities
Provides pharmacist coverage at the hub pharmacy and other assigned pharmacies within the designated market
Works a centrally managed market schedule that may vary by pharmacy location, shift, day of the week, and business need
Reports to assigned locations on time and prepared to support the pharmacy team, patient needs, and daily operating priorities
Communicates proactively with the central scheduler, hub Pharmacy Manager, assigned store leadership, and market support leaders regarding availability, schedule changes, coverage concerns, and operational needs
Provides a pharmacy atmosphere and excellent customer service to develop and maintain patient and employee loyalty
Performs Utilization Review function for Capital Health related to third party reimbursement, denials, appeals and clinical audits for inpatient cases.
Compensation
Pay Range:
$86,964.80 - $113,672.00
Responsibilities
Monitors inpatient utilization process and ensures that process is performed adequately on all inpatients in accordance with applicable standards, regulations and payer contracts.
Actively supports denial and appeal process for the department.
Interfaces with Health Information Management (HIM) and billing departments to coordinate clinical components to ensure appropriate reimbursement.
Performs accurately chart and utilization review audits as directed.
Supports Capital Health Utilization Committee with analysis of clinical outcomes data.
Requirements
Graduation from an accredited School of Registered Nursing
As a Prior Authorization Pharmacist, you will review clinical documentation and Preferred Drug List criteria to determine the appropriateness of medication therapy and prior authorization requests.
Compensation
The pay range for this position is 90,900 - 129,900 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Responsibilities
Conduct clinical evaluations of medication therapy and review prior authorization requests using established clinical guidelines and Preferred Drug List criteria.
Participate in peer-to-peer discussions with medical providers regarding prior authorization reviews, clinical determinations, and appropriate medication therapy.
Provide clinical pharmacy consultations and interventions, including reviewing prior authorization data to identify prescribing trends and opportunities for intervention.
Support Clinical Call Center and Prior Authorization operations by providing pharmacy expertise and assisting with communications to members, providers, and internal teams.
Collaborate with Medical Directors, Clinical Pharmacists, Clinical Specialty Pharmacists, and other stakeholders to maintain clinical integrity and advance pharmacy program best practices.
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status, and oversees daily activities of Patient Placement Services.
Responsibilities
Utilizes inpatient admission criteria to assign diagnoses that meet acute care criteria
Communicates with staff regarding site of service when criteria not met
Acts as a resource for physicians regarding admission status
Supports utilization function by processing work efficiently
Receives bed requests and coordinates admission and transfer of patients
Supports identification and review of appropriate case types in compliance with the clinical guidelines, promotes and supports quality effectiveness of Healthcare Services, and provides comprehensive clinical review of complaints and appeals filed by providers.
Responsibilities
Provides comprehensive clinical review of complaints and appeals filed by providers with the use of appropriate resources and guidelines to ensure cost effective delivery of health service
Supports identification and review of appropriate case types in compliance with the clinical guidelines
Promotes/supports quality effectiveness of Healthcare Services
Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit determinations
Considers all documented system information and any additional records/data presented to develop a determination or recommendation
Float Staff PharmacistThrifty White Pharmacy · Mankato, US
Patient Placement Specialist Registered NurseMcLaren Health Care · Bay City, US
Nurse Level 1/2AEXL · Kochi, India