Cedars-Sinai
Pharmacy Program Coordinator - Clinical Prior Authorization - Rem...
Cedars-Sinai - Beverly Hills, California, United States, 90211
Work at Cedars-Sinai
Overview
- View job
Overview
Pharmacy Program Coordinator - Clinical Prior Authorization - Remote
Join to apply for the
Pharmacy Program Coordinator - Clinical Prior Authorization - Remote
role at
Cedars-Sinai Pharmacy Program Coordinator - Clinical Prior Authorization - Remote
1 day ago Be among the first 25 applicants Join to apply for the
Pharmacy Program Coordinator - Clinical Prior Authorization - Remote
role at
Cedars-Sinai Job Description
When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai, and it’s just one of the many reasons we’ve achieved our six-consecutive Magnet designation for nursing excellence. From working with a team of premier healthcare professionals to using state-of-the-art facilities, you’ll have everything you need to do something incredible—for yourself, and for others. Join us, and discover why we are #1 in California and nine years in a row on the "Best Hospitals" Honor Roll. Job Description
When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai, and it’s just one of the many reasons we’ve achieved our six-consecutive Magnet designation for nursing excellence. From working with a team of premier healthcare professionals to using state-of-the-art facilities, you’ll have everything you need to do something incredible—for yourself, and for others. Join us, and discover why we are #1 in California and nine years in a row on the "Best Hospitals" Honor Roll.
This role is a remote position. A staff member who works exclusively from home may be in California or one of the following approved states - Arizona, Nevada, Oregon, Colorado, Texas, Minnesota, Georgia and Florida.
The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical Center will work in collaboration with the Prior Authorization Pharmacy Technician, Drug Use Policy, as well as the authorizing providers to ensure safe, effective, and reasonable use of high cost-drug therapies. Clinical Prior Authorization Pharmacists support timely patient treatment and optimize reimbursement for these medications. The prior authorization staff support clinical prior authorizations, prevent denials, advocate for patients and assist in evaluation of payer (insurance) drug criteria. Additional responsibilities include but are not limited to payor update reviews, claim data analysis, assist with appeal process, review and incorporate payor clinical criteria into medication use guideline. The Prior Authorization Pharmacist also provides supports in navigating and obtaining payer coverage approval to facilitate discharge and/or prevent an admission.
The Pharmacist is responsible for clinical pharmacy services, including but not limited to identification of drug-related problems, identification of medication safety issues, review of medication orders for appropriateness and provision of in-services/drug information to the outpatient clinic sites of care and patients. The Clinical Prior Authorization Pharmacist Specialist will also supervise the associated pharmacy technicians.
Qualifications
Educational Requirements:
Pharm.D. or equivalent degree from an accredited school of pharmacy.
Licenses/Certifications:
Current pharmacist licensure in the State of California. BLS certification as outlined in the Pharmacist Responsibilities in Cardiopulmonary Resuscitation(C.P.R.)
What else are we looking for?
Completion of a PGY1 residency or equivalent practice experience. Prior authorization experience is highly preferred. Possesses excellent clinical data base. Possesses experience in Medication Use Evaluation. Possesses excellent verbal and written communication skills. Possesses software skills e.g., Microsoft Office. Comprehensive knowledge of medical terminology as related to drug usage. Comprehensive knowledge of common disease states and pathologies. Ability to comprehend patient medical management plans. Ability to assess and apply current pharmacological and biopharmaceutical principles for the selection and use of drug products in a clinical setting. Ability to extract pertinent information from the patient or other sources and relate it to the patient care plan. Possess the verbal and written communication skills required to fulfill the pharmacist’s responsibilities. Ability to teach and serve as preceptor for training programs. Ability to prepare drugs needed for immediate administration. Ability to provide recommendations and monitor the use of drugs. Knowledge of laws, regulations and standards relative to pharmacy practice. Ability to adapt to change. Ability to prioritize workflow. Ability to evaluate medication regimens to meet the therapeutic needs of patients. Ability to learn and adapt to the use of automated information systems in daily practice. Demonstrated competency in techniques of pharmaceutical calculations, compounding and pharmacokinetics. Possess patient-centered communication skills. Possess computer skills necessary to perform job functions. Exceptions to be approved by the Chief Pharmacy Officer or designee.
Req ID
: 10288
Working Title
: Pharmacy Program Coordinator - Clinical Prior Authorization - Remote
Department
: Pharmacy Training
Business Entity
: Cedars-Sinai Medical Center
Job Category
: Compliance / Quality
Job Specialty
: Patient Safety
Overtime Status
: EXEMPT
Primary Shift
: Day
Shift Duration
: 8 hour
Base Pay
: $75.76 - $121.22 Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Other Industries Hospitals and Health Care, IT Services and IT Consulting, and Research Services Referrals increase your chances of interviewing at Cedars-Sinai by 2x Get notified about new Program Coordinator jobs in
Beverly Hills, CA . Los Angeles, CA $87,590.00-$131,385.00 7 hours ago Associate Program Manager, People & Places
MST Program Development Coordinator (Multisystemic Therapy)
Creative Project Manager / Operations Coordinator
Pasadena, CA $75,000.00-$90,000.00 3 days ago Project Analyst III (Wildfire Resilience Coordinator)
Program Manager, Digital Scheduling and Access - Remote
Functional Family Therapy Program Manager
Los Angeles, CA $70,000.00-$110,000.00 2 weeks ago Functional Family Therapy Program Manager
Los Angeles, CA $70,000.00-$110,000.00 2 weeks ago Los Angeles, CA $60,000.00-$75,000.00 2 weeks ago Bell Gardens, CA $60.00-$70.00 2 weeks ago Bilingual Program Coordinator of CA Pre-Apprenticeship
Clinical Engineering Field Support Coordinator
Executive Assistant / Personal Assistant - FULLY REMOTE
Los Angeles, CA $140,000.00-$250,000.00 2 weeks ago Client Service Associate - Argentina or Colombia ONLY - Remote
36073063 Technical Program Manager - Data Privacy
Clerical Quality Assurance Coordinator (29183)
Medicare Advantage Annual Readiness Program Manager
Self Guided Study Teacher (Online Program)
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr
Join to apply for the
Pharmacy Program Coordinator - Clinical Prior Authorization - Remote
role at
Cedars-Sinai Pharmacy Program Coordinator - Clinical Prior Authorization - Remote
1 day ago Be among the first 25 applicants Join to apply for the
Pharmacy Program Coordinator - Clinical Prior Authorization - Remote
role at
Cedars-Sinai Job Description
When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai, and it’s just one of the many reasons we’ve achieved our six-consecutive Magnet designation for nursing excellence. From working with a team of premier healthcare professionals to using state-of-the-art facilities, you’ll have everything you need to do something incredible—for yourself, and for others. Join us, and discover why we are #1 in California and nine years in a row on the "Best Hospitals" Honor Roll. Job Description
When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai, and it’s just one of the many reasons we’ve achieved our six-consecutive Magnet designation for nursing excellence. From working with a team of premier healthcare professionals to using state-of-the-art facilities, you’ll have everything you need to do something incredible—for yourself, and for others. Join us, and discover why we are #1 in California and nine years in a row on the "Best Hospitals" Honor Roll.
This role is a remote position. A staff member who works exclusively from home may be in California or one of the following approved states - Arizona, Nevada, Oregon, Colorado, Texas, Minnesota, Georgia and Florida.
The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical Center will work in collaboration with the Prior Authorization Pharmacy Technician, Drug Use Policy, as well as the authorizing providers to ensure safe, effective, and reasonable use of high cost-drug therapies. Clinical Prior Authorization Pharmacists support timely patient treatment and optimize reimbursement for these medications. The prior authorization staff support clinical prior authorizations, prevent denials, advocate for patients and assist in evaluation of payer (insurance) drug criteria. Additional responsibilities include but are not limited to payor update reviews, claim data analysis, assist with appeal process, review and incorporate payor clinical criteria into medication use guideline. The Prior Authorization Pharmacist also provides supports in navigating and obtaining payer coverage approval to facilitate discharge and/or prevent an admission.
The Pharmacist is responsible for clinical pharmacy services, including but not limited to identification of drug-related problems, identification of medication safety issues, review of medication orders for appropriateness and provision of in-services/drug information to the outpatient clinic sites of care and patients. The Clinical Prior Authorization Pharmacist Specialist will also supervise the associated pharmacy technicians.
Qualifications
Educational Requirements:
Pharm.D. or equivalent degree from an accredited school of pharmacy.
Licenses/Certifications:
Current pharmacist licensure in the State of California. BLS certification as outlined in the Pharmacist Responsibilities in Cardiopulmonary Resuscitation(C.P.R.)
What else are we looking for?
Completion of a PGY1 residency or equivalent practice experience. Prior authorization experience is highly preferred. Possesses excellent clinical data base. Possesses experience in Medication Use Evaluation. Possesses excellent verbal and written communication skills. Possesses software skills e.g., Microsoft Office. Comprehensive knowledge of medical terminology as related to drug usage. Comprehensive knowledge of common disease states and pathologies. Ability to comprehend patient medical management plans. Ability to assess and apply current pharmacological and biopharmaceutical principles for the selection and use of drug products in a clinical setting. Ability to extract pertinent information from the patient or other sources and relate it to the patient care plan. Possess the verbal and written communication skills required to fulfill the pharmacist’s responsibilities. Ability to teach and serve as preceptor for training programs. Ability to prepare drugs needed for immediate administration. Ability to provide recommendations and monitor the use of drugs. Knowledge of laws, regulations and standards relative to pharmacy practice. Ability to adapt to change. Ability to prioritize workflow. Ability to evaluate medication regimens to meet the therapeutic needs of patients. Ability to learn and adapt to the use of automated information systems in daily practice. Demonstrated competency in techniques of pharmaceutical calculations, compounding and pharmacokinetics. Possess patient-centered communication skills. Possess computer skills necessary to perform job functions. Exceptions to be approved by the Chief Pharmacy Officer or designee.
Req ID
: 10288
Working Title
: Pharmacy Program Coordinator - Clinical Prior Authorization - Remote
Department
: Pharmacy Training
Business Entity
: Cedars-Sinai Medical Center
Job Category
: Compliance / Quality
Job Specialty
: Patient Safety
Overtime Status
: EXEMPT
Primary Shift
: Day
Shift Duration
: 8 hour
Base Pay
: $75.76 - $121.22 Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Other Industries Hospitals and Health Care, IT Services and IT Consulting, and Research Services Referrals increase your chances of interviewing at Cedars-Sinai by 2x Get notified about new Program Coordinator jobs in
Beverly Hills, CA . Los Angeles, CA $87,590.00-$131,385.00 7 hours ago Associate Program Manager, People & Places
MST Program Development Coordinator (Multisystemic Therapy)
Creative Project Manager / Operations Coordinator
Pasadena, CA $75,000.00-$90,000.00 3 days ago Project Analyst III (Wildfire Resilience Coordinator)
Program Manager, Digital Scheduling and Access - Remote
Functional Family Therapy Program Manager
Los Angeles, CA $70,000.00-$110,000.00 2 weeks ago Functional Family Therapy Program Manager
Los Angeles, CA $70,000.00-$110,000.00 2 weeks ago Los Angeles, CA $60,000.00-$75,000.00 2 weeks ago Bell Gardens, CA $60.00-$70.00 2 weeks ago Bilingual Program Coordinator of CA Pre-Apprenticeship
Clinical Engineering Field Support Coordinator
Executive Assistant / Personal Assistant - FULLY REMOTE
Los Angeles, CA $140,000.00-$250,000.00 2 weeks ago Client Service Associate - Argentina or Colombia ONLY - Remote
36073063 Technical Program Manager - Data Privacy
Clerical Quality Assurance Coordinator (29183)
Medicare Advantage Annual Readiness Program Manager
Self Guided Study Teacher (Online Program)
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr