Ohio Licensed Pharmacy Review Nurse

This job has been removed
Location: Remote
Compensation: To Be Discussed
Reviewed: Fri, Apr 24, 2026
This job expires in: 26 days

Job Summary

A company is looking for a Pre-Cert Pharmacy Review Nurse, RN.

Key Responsibilities
  • Review and process coverage determinations for specialty medications
  • Collaborate with a multi-disciplinary clinical team to optimize care for members
  • Communicate outcomes of requests to members, providers, and internal teams
Required Qualifications
  • Bachelor's degree in nursing or a closely related field
  • Current and unrestricted Registered Nurse (RN) license in Ohio
  • Minimum of 2 years of managed care or direct care nursing experience
  • Experience with Specialty Pharmacy and Utilization Management
  • Ability to make clinical decisions quickly with limited information

COMPLETE JOB DESCRIPTION

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