Posted on: May 16, 2022
**The 'Apply with SEEK' option will be utilized for
International applicants, mainly Australia. If this does not apply
to you please use the 'Apply' option.**
IF YOU CARE, THERE'S A PLACE FOR YOU HERE
For a career path that is both challenging and rewarding, join
Sedgwick's talented team of 27,000 colleagues around the globe.
Sedgwick is a leading provider of technology-enabled risk, benefits
and integrated business solutions. Taking care of people is at the
heart of everything we do. Millions of people and organizations
count on Sedgwick each year to take care of their needs when they
face a major life event or something unexpected happens. Whether
they have a workplace injury, suffer property or financial loss or
damage from a natural or manmade disaster, are involved in an auto
or other type of accident, or need time away from work for the
birth of a child or another medical situation, we are here to
provide compassionate care and expert guidance. Our clients depend
on our talented colleagues to take care of their most valuable
assets-their employees, their customers and their property. At
Sedgwick, caring counts -. Join our team of creative and caring
people of all backgrounds, and help us make a difference in the
lives of others.
**This position is remote and is an on call position that requires
no more than 20hrs/week.**
**PRIMARY PURPOSE** : To utilize evidence based tools to evaluate
the prescribed medications to ensure patient safety and quality
standards are in alignment with best practice standards.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ 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
+ Evaluates overuse, underuse and misuse of prescribed medications
and may recommend testing to determine if drug diversion is
+ 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
+ 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.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
**Education & Licensing**
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
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
**Skills & Knowledge**
+ Knowledge of pharmaceuticals used to treat pain
+ Knowledge of behavioral health
+ Knowledge of pain management process
+ Knowledge of drug rehabilitation process
+ Knowledge of workers' compensation laws and regulations
+ Excellent oral and written communication, including presentation
+ PC literate, including Microsoft Office products
+ Leadership/management/motivational skills
+ Analytic and interpretive skills
+ Strong organizational skills
+ Excellent interpersonal skills
+ Excellent negotiation skills
+ Ability to work in a team environment
+ Ability to meet or exceed Performance Competencies
When applicable and appropriate, consideration will be given to
**Mental:** Clear and conceptual thinking ability; excellent
judgment, troubleshooting, problem solving, analysis, and
discretion; ability to handle work-related stress; ability to
handle multiple priorities simultaneously; and ability to meet
**Physical:** Computer keyboarding, travel as required
**Auditory/Visual:** Hearing, vision and talking
The statements contained in this document are intended to describe
the general nature and level of work being performed by a colleague
assigned to this description. They are not intended to constitute a
comprehensive list of functions, duties, or local variances.
Management retains the discretion to add or to change the duties of
the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free
Keywords: Sedgwick, Albany , Pharmacy RN, Other , Albany, New York
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