[Hiring] RN Pharmacy @Sedgwick

Role Description

As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting.

• Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning, and recovery from illness or injury.
• Work in a rewarding career making an impact on the health and lives of others, in a remote work environment.
• Enjoy flexibility in your career path while advocating for effective and efficient medical treatment for injured employees.
• Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations.
• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
• Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives, and more.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

Qualifications

• 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.
• 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.

Requirements

• Consistent attendance during the training period is required to ensure a successful onboarding experience.
• 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.

Benefits

• Diverse and comprehensive benefits including medical, dental, vision, 401K, PTO, and more beginning your first day.
• Access to ongoing learning as a person and professional.
• Celebration of achievements within a dynamic company culture.