UM Behavioral Health Nurse
Humana16 min ago
- Specialty: Utilization Review
- Job type: Full-time
- Salary: $65,000 – $88,600 / yr
- License states: Indiana
More open utilization review positions — or browse every utilization review role.
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At a glance
Remote RN pharmacy review role at Sedgwick. Evaluates prescribed medications and physician prescribing patterns, performs drug utilization reviews through pharmacy benefit managers, and negotiates pharmacy plans with providers. Requires an active unrestricted US RN license and four years of related experience.
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
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RN Pharmacy
As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting.
To utilize evidence based tools to evaluate the prescribed medications to ensure patient safety and quality standards are in alignment with best practice standards.
ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.
QUALIFICATIONS
Education & Licensing
Active unrestricted RN license in a state or territory of the United States required. Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred. Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred.
Experience
Four (4) 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.
NEXT STEPS
If your application is selected to advance to the next round, a recruiter will be in touch.
Work environment requirements for entry-level opportunities include – Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
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Humana16 min ago