- CVS Health (Albany, NY)
- …indications and review clinical documentation in support of prior authorization reviews. You will also provide internal pharmacist support to the PA ... heart, each and every day. **Position Summary** As a clinical pharmacist , you will review Prior...and review clinical documentation in support of prior authorization reviews. The primary function of… more
- Molina Healthcare (NY)
- …pharmacy/health plan providers, Molina staff and others as needed. * Performs prior authorization reviews of high-cost medications and deferred authorization ... subject matter expertise for pharmacy Medication Therapy Management (MTM) and clinical pharmacy services activities. Contributes to overarching pharmacy strategy for… more
- US Tech Solutions (New York, NY)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... **Job Summary:** The clinical pharmacist is an operation based...phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains… more
- University of Rochester (Rochester, NY)
- …in an effective and professional manner. + Checks all products requiring a pharmacist approval prior to dispensing. + Participates in departmental Q/A processes ... Pharmacy License and interest in ambulatory practice. + The newly-hired Level II pharmacist is someone with either prior (1 year) of relevant… more
- Molina Healthcare (Yonkers, NY)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction),… more
- Mount Sinai Health System (Brooklyn, NY)
- …+ Appropriately checks all work conducted by non-licensed personnel requiring direct pharmacist supervision and authorization , eg, unit-dose cassette filling, IV ... Ensures rational drug therapy by reviewing inpatient and outpatient medication orders prior to dispensing. Evaluates new orders against existing patient profiles and… more
- University of Rochester (Rochester, NY)
- …to optimize medication therapy and patient outcomes. The centralized order verification pharmacist will also have a working knowledge of the operational aspects of ... shifts, evening shifts, weekends, and holidays. **ESSENTIAL FUNCTIONS** **_Medication Authorization and Distribution:_** + Understand and follow departmental and… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …for various cost containment/ clinical programs + Assist in the completion of prior authorization reviews as needed + Provide Help Desk support, where ... **Overview** **Scope of Responsibilities:** Assist with the day-to-day operations of the Clinical Pharmacist and clinical department of ProAct. Works under… more
- University of Rochester (Rochester, NY)
- … clinical employees at various levels including pharmacists, pharmacy technicians, medical/ clinical staff, and central prior authorization staff. External ... information to submit prescriptions to the patient's insurance for approval including prior authorization and helping enroll patients in financial assistance… more
- University of Rochester (Rochester, NY)
- … clinical employees at various levels including pharmacists, pharmacy technicians, medical/ clinical staff, and central prior authorization staff. External ... insurance coverage determination, patient out of pocket determination, determination of prior authorization requirements. The PAR will communicate with the… more
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