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  • Physician Opportunity only

    Company: Placements USA

    Location: Memphis, TN

    Date Posted: September 06, 2013

    Administrator/Executive - Physician Pharmacy & Utilization Advisor To conduct physician advisor reviews on clinically complex pharmacy claims and other non-approved utilization review (UR) procedures utilizing evidence based criteria; to support the pharmacy team of nurses and claim examiners with training and implementation of medical best practices; and to provide support as necessary with presentations for product portfolio, service delivery, customer satisfaction, and renewal of managed care products. RESPONSIBILITIES Responsible for conducting physician reviews on pharmacy cases where the nurse is seeking treatment plan changes or blocking of medications. Responsible for generating phone calls to treating physicians to enter into a motivational conversation to create the case for...

    from NCHCR