RN Pharmacy

Sedgwick

. Utilize evidence-based tools to evaluate prescribed medications for patient safety and quality standards .

Posted 9/29/2026full-timeRemote • Tennessee • United StatesMid-LevelSenior💰 $65,000 - $67,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical assessments, drug utilization reviews, and evaluating patient drug usage while maintaining compliance with ethical and regulatory standards. Proficient in negotiating pharmacy plan changes and advocating for client safety and confidentiality.

Highest-signal resume keywords

Active RN LicenseClinical AssessmentsDrug Utilization ReviewsCase Management CertificationNegotiation Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentsDrug Utilization ReviewsPatient Drug Usage EvaluationPharmacy Plan NegotiationAlternative Treatment Recommendations

Soft Skills

Excellent JudgementClear Thinking AbilityDiscretionAbility to Meet Deadlines

Tools & Technologies

Pharmacy Benefit Manager

Certifications & Qualifications

Case Management CertificationPharmacy CertificationRehabilitation Nursing Certification

Industry Keywords

Patient SafetyQuality StandardsMedical CareRehabilitation CareEthical StandardsLegal StandardsAccreditation Standards

About the role

Key responsibilities & impact

Utilize evidence-based tools to evaluate prescribed medications for patient safety and quality standards
Perform clinical assessments using pharmacy reports and case files
Assess clients’ psychosocial needs, cultural implications and support systems
Evaluate patient drug usage and physician prescribing patterns
Evaluate overuse, underuse and misuse of prescribed medications
Recommend testing to determine whether drug diversion is present
Evaluate the need for and recommend alternative treatment
Send letters to prescribing physicians and refer to physician advisors as necessary
Negotiate appropriate level and intensity of care using medical and disability duration guidelines
Negotiate changes in pharmacy plans with providers
Consult with clients, nursing staff and claims examiners regarding pharmacy issues
Perform drug utilization reviews through the pharmacy benefit manager or vendor
Communicate with claims examiners, clients, vendors, supervisors and other parties
Maintain client privacy and confidentiality and promote client safety and advocacy

Requirements

What you’ll need

Active unrestricted RN license in a state or territory of the United States required
Four (4) years of related experience or equivalent combination of education and experience required
Two (2) years of direct clinical care OR two (2) years of case management/utilization management
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 highly preferred
Knowledge and experience in medical/clinical or rehabilitation care
Ability to perform clinical assessments and drug utilization reviews
Ability to evaluate patient drug usage and physician prescribing patterns
Ability to assess overuse, underuse and misuse of prescribed medications
Ability to negotiate pharmacy plan changes with providers
Ability to maintain privacy and confidentiality and adhere to ethical, legal, accreditation and regulatory standards
Computer keyboarding
Hearing, vision and talking
Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines

Benefits

Comp & perks

Remote work environment
Professional development opportunities
Continuing education credits
Team building initiatives
Medical, dental and vision benefits
401(k) and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Additional voluntary benefits
Work-life balance
Diverse and comprehensive benefits package