clinical pharmacist - prior authorization/oncology (bcop required)

case manager, registered nurse (oncology experience required)

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clinical pharmacist - prior authorization/oncology (bcop required) Jobs in Washington

case manager, registered nurse (oncology experience required) Jobs in Washington

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clinical faculty evaluator | college of nursing, wsu tri cities (richland, wa) Jobs in Washington

clinical pharmacist prior authorization oncology bcop required

CVS Health

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Position Summary</b></p><p>
The Clinical Pharmacist is an operation-based role that conducts criteria based &amp; clinical review of medical data collected to perform prior authorization as per policy and procedure. The Pharmacist/Clinician will apply clinical knowledge to plan approved criteria for reviews of cases. This role will work from CVS Caremark supported systems and take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations, internally support the Prior Auth team and member services department, as well as provide on-call after hours availability for urgent PA request as needed. <b>This position requires the Clinical Pharmacist to hold Board Certified Oncology Pharmacist (BCOP) credential at time of hire.
</b></p><p></p><p>This position is responsible for assisting front-line colleagues (i.e. Staff Pharmacists, LPN's and Pharmacy Technicians) with oncology process/procedural support by acting as a subject matter expert (SME) and performing any other complex tasks or addressing any escalation cases assigned by leadership. This includes providing on-the-job (OJT) training, answering questions from front-line colleagues, production support, and providing recommendations/solutions to effectively streamline systems and processes. The Pharmacist will be responsible for maintaining the most current oncology therapy knowledge through self-education.</p><p></p><p>
Responsibilities:</p><p>
1.) Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols. One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval &amp; denial management processes.</p><p>
2.) Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed criteria within the designated service level agreements. Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve escalations.</p><p>
3.) Responsible for assisting front-line colleagues (i.e. Staff Pharmacists, LPN's and Pharmacy Technicians) with oncology process/procedural support by acting as a subject matter expert (SME) and performing any other complex tasks or addressing any escalation cases assigned by leadership.</p><p>
4.) Assist with standard or client specific oncology review process changes as needed.</p><p>
5.) Assist with writing Work Instructions when needed.</p><p>
6.) Works collaboratively with internal and external business partners to provide solutions for customers, colleagues, and clients.</p><p>
7.) Provide feedback of trends pertinent to oncology reviews.</p><p>
8.) Maintains professional and technical knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs administered within the Commercial Prior Authorization and Case Review Unit (CRU) line of business.</p><p>
9.) Performs other related projects and duties as assigned, including attending training sessions and development meetings, and providing on-call and after-hours pharmacist availability as needed.</p><p></p><p>
This is a remote role, open to qualified candidates within the United States <b>who currently hold Board Certified Oncology Pharmacist (BCOP) certification</b>. Colleague will be responsible for maintaining this credential and meeting all ongoing requirements of credentialing body.</p><p></p><p><b>
Essential Functions:
</b></p><p>1. Regular and predictable attendance</p><p>
2. Colleague may be required to work mandatory overtime/extended work week when needed</p><p>
3. Colleague may be required to travel when needed</p><p>
4. Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.</p><p>
5. Adhere to all policies and procedures</p><p>
6. Attend on going training and development meetings as assigned</p><p></p><p><b>
Work Environment</b></p><p>
This is a fully remote, work-at-home role. Colleague is responsible for maintaining a HIPAA-compliant remote workspace.<br>
Must be able to provide a quiet, uninterrupted work environment.<br>
Must have a workstation that is not accessible to common traffic and is secure from unintentional access.<br>
Must have stable personal high-speed internet and ability to hard-wire into company computer (cannot use wireless internet)</p><p></p><p><b>
Required Qualifications</b></p><ul><li><p>
Active, unrestricted pharmacist licensure in state of residence</p></li><li><p>
Board Certified Oncology Pharmacist (BCOP) required at time of hire, must currently hold this credential</p></li><li><p>
2+ years clinical pharmacist experience, inclusive of prior authorization experience and/or oncology experience</p></li><li><p>
Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable. Keyboard skills essential.</p></li><li><p>
Must be able to multitask and utilize multiple system applications simultaneously.</p></li><li><p>
Must be able to utilize available resources independently and provide high quality work.</p></li><li><p>
Must demonstrate problem solving ability and attention to detail.</p></li><li><p>
Ability to adapt and change with workflow and shifting priorities.</p></li><li><p>
Ability to work effectively in a team environment and provide mentorship to non-clinical staff on the PA team.</p></li><li><p>
Must possess excellent written, verbal, grammar, and listening communication skills.</p></li><li><p>
Must be able to effectively communicate with a diverse customer base (internal and external) in a friendly and confident manner.</p></li><li><p>
Ability to maintain confidentiality of PHI (Protected Healthcare Information).</p></li></ul><p></p><p><b>
Education</b></p><p>
BS in Pharmacy or PharmD required</p><p>
Board Certified Oncology Pharmacist (BCOP) required</p><p>
Active, unrestricted pharmacist licensure in state of residence required</p><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$45.43 - $101.54<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 03/16/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Clinical Pharmacist - Prior Authorization/Oncology (BCOP Required)

Howard University Hospital

<div><p><b>Pharmacy Informatics Manager</b></p><p><b>
Department:</b> Pharmacy Services<br>
<b>Location:</b> Washington, DC (Onsite)<br>
<b>Schedule:</b> Monday&ndash;Friday (Varies)<br>
<b>Salary Range:</b> $57.48 - $91.96 /hour<br>
<b>Code:</b> Non-Union HA2-22 Exempt</p><p><b>
About Howard University Hospital</b></p><p>
With over 150 years of caring for our community and each other in the Washington, DC area, Howard University Hospital is a nationally recognized institution with a world-renowned reputation for delivering high-quality, patient-centered care. As the nation&rsquo;s only teaching hospital located on the campus of a Historically Black University, we are proud of our rich legacy and commitment to excellence in education, innovation, and service.</p><p></p><p><b>
Position Summary</b></p><p>
We are currently seeking a <b>Pharmacy Informatics Manager</b> to join our Pharmacy Services team. This role is ideal for a clinical pharmacist with a passion for technology, data-driven decision-making, and improving medication safety across systems.</p><p></p><p><b>
Key Responsibilities</b></p><ul><li>
Lead workflow analysis and continuous quality improvement initiatives related to pharmacy/medication-use information systems.</li><li>
Supervise the build, implementation, and maintenance of pharmacy automation and technology systems.</li><li>
Evaluate new technologies to enhance workflow efficiency and medication safety.</li><li>
Analyze and promote the use of data to support informed decision-making.</li><li>
Facilitate change management processes for system-level standardization.</li><li>
Collaborate with the medication safety officer to identify process improvements and educational needs.</li><li>
Work with multidisciplinary teams to ensure cohesive delivery of pharmacy software across the system.</li><li>
Partner with ITS and IT teams to optimize hardware, software applications, and interfaces.</li><li>
Develop and deliver education and communication materials related to EHR, pharmacy workflows, and policy changes.</li><li>
Perform other duties as assigned.</li></ul><p></p><p><b>
Required Competencies</b></p><ul><li>
Strong written and oral communication skills</li><li>
Effective presentation and negotiation abilities</li><li>
Ability to work independently and manage deadlines</li><li>
Excellent organizational skills</li><li>
Consensus-building among diverse stakeholders</li><li>
Willingness to travel between sites and attend seminars</li><li>
Proficiency in Microsoft Office Suite, especially Access and Excel</li><li><b>
Preferred:</b> Experience with Cerner&trade;, Pyxis&trade;, MacroHelix&trade;, Pharmogistics&trade;, or similar inventory management software</li></ul><p></p><p><b>
Qualifications</b></p><p><b>
Education:</b></p><ul><li>
Doctor of Pharmacy (Pharm.D.)</li></ul><p><b>
Experience:</b></p><ul><li>
10 years as a hospital pharmacist with 3&ndash;5 years in pharmacy information systems management</li><li>
OR 5 years as a hospital pharmacist plus PGY-2 residency in pharmacy clinical informatics</li></ul><p><b>
Supervisory Experience:</b></p><ul><li>
At least 2 years of supervisory/managerial experience (Preferred)</li></ul><p><b>
Licensure:</b></p><ul><li>
Registered pharmacist in the District of Columbia or eligible via reciprocity</li></ul><p><b>
Other:</b></p><ul><li>
Clinical/informatics certification (Preferred)</li><li>
Prior multi-site or system experience (Preferred)
</li></ul><p></p><p><b>Organizational Expectations</b></p><ul><li>
Adhere to the Health Sciences Compliance Program and HIPAA Privacy Policies</li><li>
Maintain confidentiality of patients, families, and staff</li><li>
Participate in compliance training and activities</li><li>
Promote ethical conduct and regulatory adherence</li></ul><p></p><p><b>
Working Conditions</b></p><ul><li>
Physical activities include sitting (35%), standing (35%), walking (10%), bending (5%), and lifting/carrying up to 35 lbs (10%)</li><li>
Work hours may include days, evenings, nights, weekends, and holidays as needed.
</li></ul><p></p><p><b>COVID-19 Vaccination Requirement</b></p><p>
Howard University Hospital requires all external applicants to be fully vaccinated against COVID-19 prior to employment. Proof of vaccination may be required, or applicants may elect to be vaccinated at a designated hospital location.</p></div><p></p>

Pharmacy Informatics Supervisor

Johns Hopkins Health System

<div></div><div><div><div>Requisition #:</div><div>
664820</div>
<div>Location:</div><div>
Sibley Memorial Hospital, Washington, DC 20016
</div><div>Category:</div><div>
Non-Clinical Professional</div>
<div>Schedule:</div><div>
Day Shift</div>
<div>Employment Type:</div><div>
Limited</div>
</div>
<p></p><div><div><p>24 Hours Per Week | Day Shift</p>
<p><b>The Clinical Technician &ndash; Medical Oncology</b> plays a vital role on our care team and works as a <b>Certified Nursing Assistant (CNA)</b> with advanced clinical competencies. In this dynamic position, you will support our <b>provider clinic, onsite lab, and busy infusion center</b>, helping ensure seamless, compassionate care for our oncology patients.</p>
<p>This role requires strong <b>phlebotomy</b> and <b>IV insertion</b> skills, as you will regularly draw labs, start IVs, and prepare patients for treatment. You will also room patients, obtain vitals, conduct medication and history reviews, perform EKGs, assist with room turnover, and provide direct support to both providers and nursing staff.</p>
<p>Your expertise in venipuncture and IV access will be essential to delivering a smooth and efficient patient experience&mdash;especially for those receiving chemotherapy or other infusion therapies.</p>
<p><b>
</b></p><p><b>What Awaits You</b></p>
<ul>
<li>Opportunities for <b>career growth and development</b></li>
<li><b>Tuition assistance</b></li>
<li><b>Free onsite parking</b></li>
<li>Up to <b>26 days of paid leave</b> upon hire</li>
<li><b>Affordable, comprehensive benefits package: </b><b>Sibley's Benefits</b></li>
<li><b>Free employee gym</b></li>
</ul>
<p></p><p><b>Minimum Education &amp; Experience</b></p>
<ul>
<li>High school diploma or GED</li>
<li>Current <b>CNA certification in the District of Columbia</b></li>
<li><b>American Heart Association BLS/CPR</b> certification required</li>
</ul>
<p><b>***Authorization to Work in the United States:</b><b> </b>Applicants who require sponsorship now or in the future will not be considered for this position.
</p><p><b>Salary Range:</b> Minimum /hour - Maximum /hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.</p>
<p>
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.</p>
<p>
Johns Hopkins Health System and its affiliates are drug-free workplace employers.</p>
</div><p></p>
</div><p>Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.</p></div><div></div>

Patient Care Technician - PCT - Oncology

<div></div><div><div><div>Requisition #:</div><div>
664824</div>
<div>Location:</div><div>
Sibley Memorial Hospital, Washington, DC 20016
</div><div>Category:</div><div>
Nursing Support/Patient Care</div>
<div>Schedule:</div><div>
Night Shift</div>
<div>Employment Type:</div><div>
Full Time</div>
</div>
<p></p><div><div><p>Schedule: 36 Hours | Day or Night Shift Available</p>
<p>Sibley Memorial Hospital, a member of Johns Hopkins Medicine, has a distinguished history of serving the community since its founding in 1890. As a not-for-profit and full-service community hospital, Sibley offers medical, surgical, intensive care, obstetric, oncology, orthopedic and skilled nursing inpatient services, as well as a 24-hour Emergency Department. Sibley&rsquo;s campus is also home to Grand Oaks, an assisted living residence, a medical building with physician offices and ambulatory surgery and imaging centers.</p>
<p>
The Patient Care Tech will provide nursing support for The Renaissance, a 45 bed skilled nursing/rehab facility at Sibley Memorial Hospital.</p>
<p>
The Clinical Technician (PCT) works as a Certified Nursing Assistant (CNA) with advanced training in specific clinical skills/competencies on the health care team.</p>
<ul>
<li>Periodically checks patients, takes vital signs, and observes condition of the patient and patient care equipment or devices.
</li><li>Provides personal care for patient including hygiene and physical comfort measures</li>
<li>Performs bedside glucose monitoring, EKG tracing, and phlebotomy</li>
<li>Inserts IVs
</li><li>Measures and records intake and output</li>
<li>Inserts and removes Foley catheters</li>
</ul>
<p><b>What Awaits You:</b></p>
<ul>
<li>Career growth and development</li>
<li>Tuition assistance</li>
<li>Free onsite parking</li>
<li>Up to <b>26 days</b>paid leave upon employment</li>
<li>Affordable and comprehensive benefits package - Sibley Memorial Benefits</li>
<li>Free employee gym</li>
</ul>
<p><b>Minimum Education and Experience:</b></p>
<ul>
<li>High school graduate or GED</li>
<li>Current certification as CNA in the District of Columbia</li>
<li>Minimum 2 years patient care experience required</li>
<li>American Heart Association BLS/CPR required</li>
</ul>
<p>Important Notices:
</p><p>***Authorization to Work in the United States: Applicants who require sponsorship now or in the future will not be considered for this position.
</p><p><b>Salary Range:</b> Minimum 21.44/hour - Maximum 33.24/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.</p>
<p>
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.</p>
<p>
Johns Hopkins Health System and its affiliates are drug-free workplace employers.</p>
</div><p></p>
</div><p>Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.</p></div><div></div>

Patient Care Technician - PCT - Rehab

MedStar Health

<div>About this Job:
<div>
MedStar Medical Group at MedStar Health offers a rewarding career in Washington D.C. in a setting that&rsquo;s right for you. Be part of a dedicated team that welcomes your experience and leadership as a clinician and health care expert.</div><div></div><div><br>
We are looking for an Advanced Practice Provider to join our team at MedStar Health Urology &ndash; specifically in Urologic Oncology. This job would be based mainly at MedStar Washington Hospital Center with opportunities to provide care at our regional ambulatory centers. This position offers an opportunity to practice with a small team of physicians who are regional leaders in Urologic Oncology. Our team focuses on comprehensive management of all urologic malignancies, and we often take care of complex cases with other disciplines. In addition, our site is a primary site for the MedStar Georgetown Urology residency program, and you will be able to work closely with residents and medical students. Our mission is to provide the highest level of care for patients with complex urologic oncologic conditions with a focus on innovation, education, and research.<br>
</div><div></div><div>Your focus will be on providing care for these patients, both independently and in assisting our surgeons with outpatient care for pre-op and post-op patients as well as assisting in robotic surgeries. We will train you to perform office procedures, including diagnostic cystoscopy, complex urethral catheterization, and intravesical therapies. If interested, you can participate in clinical trials and eventually become a co-investigator. The standard schedule is Monday-Friday, during normal business hours.</div><div></div><div><br>
Join our highly motivated and specialized team of urologists, APP&rsquo;s, RN&rsquo;s, and office staff who are changing the face of health care in the DMV!</div><div></div><div><b><br>
As a MedStar Medical Group provider, you can expect:
</b></div><ul><li>A competitive base salary and performance rewards
</li><li>Generous paid time off (PTO)</li><li>
CME leave and CME allowance
</li><li>Medical, dental and vision insurance
</li><li>Fully paid malpractice insurance
</li><li>Retirement plan &ndash; 403(b) with % employer match</li></ul><div></div><div><br>
Be a part of a nationally recognized Urologic Oncologic team in a health system that is the largest provider of services in the Baltimore/Washington region. With our experienced team and MedStar&rsquo;s resources, you can have a rewarding and long-term career. Join us in the nation&rsquo;s capital and enjoy a great quality of life which features fun, culture, and diversity.</div><div><br>
</div>This position has a hiring range of : USD $115,000.00 - USD $143,619.00 /Yr.</div>

Urologic Oncology Advanced Practice Provider - MedStar Washington Hospital Center

US Department of Veterans Affairs

Registered Nurse - Hematology Oncology/Clinical Research

Explore 453+ Clinical pharmacist prior authorization oncology bcop required in Washington this March. Find roles across top companies and apply now to boost your career.

453 clinical pharmacist prior authorization oncology bcop required jobs In Washington

Clinical Pharmacist - Prior Authorization/Oncology (BCOP Required)

Clinical Pharmacist - Prior Authorization/Oncology (BCOP Required)

Pharmacy Informatics Supervisor

Patient Care Technician - PCT - Oncology

Patient Care Technician - PCT - Rehab

Urologic Oncology Advanced Practice Provider - MedStar Washington Hospital Center

Registered Nurse - Hematology Oncology/Clinical Research