RN Pharmacy - Complex Pharmacy Management - Memphis
Sedgwick
Corporate Headquarters - 10000
1d ago

Pharmacy RN

IF YOU CARE, THERE'S A PLACE FOR YOU HERE

For a career path that is both challenging and rewarding, join Sedgwick's talented team of 21,000 colleagues around the globe.

Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do.

Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens.

Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance.

Our clients depend on our talented colleagues to take care of their most valuable assets their employees, their customers and their property.

At Sedgwick, caring countsĀ®. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.

PRIMARY PURPOSE : To utilize evidence based tools to evaluate the prescribed medications to ensure patient safety and quality standards are in alignment with best practice standards.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Performs clinical assessment via information in pharmacy reports and case files; assesses client's situation to include psychosocial needs, cultural implications and support systems in place.
  • Evaluates patient drug usage and physician prescribing patterns.
  • Evaluates overuse, underuse and misuse of prescribed medications and may recommend testing to determine if drug diversion is present.
  • Evaluates need for and recommends alternative treatment.
  • Sends letters as needed to prescribing physician(s) and refers to physician advisor as necessary.
  • Negotiates appropriate level and intensity of care through use of medical and disability duration guidelines, adhering to quality assurance standards.
  • Negotiates changes in pharmacy plan with providers.
  • Acts as a resource in consulting with the client, nursing staff and claims examiners regarding pharmacy issues.
  • Performs drug utilization reviews through the pharmacy benefit manager or vendor.
  • Communicates effectively with claims examiner, client, vendor, supervisor and other parties as needed.
  • Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.
  • ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • QUALIFICATIONS

    Education & Licensing

    Active unrestricted RN license in a state or territory of the United States required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred.

    Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred.

    Experience

    Five (5) years of related experience or equivalent combination of education and experience required to include two (2) years of direct clinical care OR two (2) years of case management / utilization management required.

    Skills & Knowledge

  • Knowledge of pharmaceuticals used to treat pain
  • Knowledge of behavioral health
  • Knowledge of pain management process
  • Knowledge of drug rehabilitation process
  • Knowledge of workers' compensation laws and regulations
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Leadership / management / motivational skills
  • Analytic and interpretive skills
  • Strong organizational skills
  • Excellent interpersonal skills
  • Excellent negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies
  • WORK ENVIRONMENT

    When applicable and appropriate, consideration will be given to reasonable accommodations.

  • Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion;
  • ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

    Physical : Computer keyboarding, travel as required

    Auditory / Visual : Hearing, vision and talking

    The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.

    They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

    Sedgwick is an Equal Opportunity Employer

    Drug-Free Workplace

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