***Schedule: Sunday - Thursday; 10:30am - 7pm (30 min lunch)***
**STATE CERTIFICATION (VA) OR NATIONAL CERTIFICATION (PTCB) REQUIRED***
Summary:
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
ESSENTIAL FUNCTIONS:-
Determines appropriateness for medications. Communicates decision to physicians, physician鈥檚 office staff, medical management staff and/or pharmacists. - Researches, resolves and documents prior authorization outcomes in pharmacy system.- Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician鈥檚 office staff, medical management staff and/or pharmacists.- Escalates requests to Pharmacist when request requires extensive clinical review or denial.- Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management.- Performs other duties as required.
Integrated Resources INC
https://careers.smartrecruiters.com/IntegratedResourcesINC