Description
The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential at-risk beneficiaries, as defined by CMS, or other beneficiaries in additional projects as determined by business needs.
Responsibilities
Are you passionate about helping with issues related to Overutilization while helping patients receive the best care? If so, this could be the right position for you.
The Staff Clinical Pharmacist will be responsible for independently completing timely reviews and decisions of case files for patients obtaining controlled substances, including but not limited to calculating daily morphine milligram equivalent (MME) of current opioid regimen. Further duties include the following.
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