UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent recruiting, consulting, and clinical coaching. Our extensive experience includes Pharmacy Benefit Management, Long-Term Care, Retail Pharmacy, Hospital, and Leadership, enabling us to connect the best clinical talent with outstanding companies. We know clinicians because we are clinicians! About the role The Clinical Pharmacist is responsible for the processing and documenting of Utilization Management (UM) requests (e.g. prior authorization, step therapy, formulary exceptions) for delegated products and services. The work is detail-oriented, and candidates will be expected to provide sound clinical judgement and communication. Positions are available in Medicare and Commercial lines of business. What you’ll do Responsible for the clinical evaluation and determination of client UM requests, which includes consideration of the denial language, as well as the appropriateness of the decision as it pertains to the clinical intent of the individual program criteria. Accountable for direct consultation with health care providers concerning non-formulary and clinical product coverage issues. Collaborate with team members to promote consistency of clinical decisions across the pharmacist team. Other duties as assigned. Qualifications Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy degree. Current pharmacist license in good standing at local State Board of Pharmacy. Confident in making clinical decisions independently. Ability to prioritize tasks and manage multiple projects simultaneously. Motivated self-starter who does not require constant direction or feedback to drive results. Flexibility to evolve in a dynamic working environment. Proficient with learning new computer systems and using multiple monitors. #J-18808-Ljbffr
...Doctor of Medicine | Internal Medicine - General/Other Location: Newport, OR Employer: The Inline Group Pay: Competitive weekly pay (inquire for details) Start Date: ASAP About the Position Lincoln County Community Health Center - Full Time...
.... Description Verisk Analytics is seeking a Director, AI Governance Lead to advance the responsible, ethical, transparent, and well... ...and matures its AI Governance Workflow. Reporting to the VP, Data Strategy & Governance within the Chief Data Office, this leader...
We are looking for a Construction Office Administrator to support our project management team and ensure smooth office operations. This role involves... ...tasks, coordinating project documentation, and assisting with scheduling to keep our construction projects running...
...Probation Officer This position is responsible for monitoring the compliance of offenders placed on probation by the court and performs all functions that are necessary to prepare a presentence investigation. Supervises offenders of all risk levels Refers offenders...
...Job Description Job Description Job Title : Home Care Agency Nurse FLSA Status : Exempt Salary Range: See Salary Scale Job Summary: Responsible for the development and implementation of homecare services for program participants under the direct supervision...