PCRX Care Navigator

Apr 8, 2026

Case Management | Care Management, Entry Level, Featured, Licensed Practical Nurse | LPN | LVN, Pharmacy, Registered Nurse | RN
Remote

Employment Type:

Regular | Perm Employee

Schedule:

Full-time

Remote Status:

Remote

License:

Compact | Multistate - US

Point C

Case Management | Care Management, Entry Level, Featured, Licensed Practical Nurse | LPN | LVN, Pharmacy, Registered Nurse | RN
Remote

Employment Type:

Regular | Perm Employee

Schedule:

Full-time

Remote Status:

Remote

License:

Compact | Multistate - US

  • Coordinate case management activities related to medication optimization, adherence, and therapeutic appropriateness
  • Review medication regimens and clinical documentation to identify optimization opportunities
  • Collaborate with providers, PBMs, and pharmacy partners to support evidence-based medication use and access
  • Support specialty and high-cost medication coordination initiatives
  • Coordinate international drug sourcing programs, including partner collaboration, member education, and continuity of care
  • Serve as a clinical liaison across PBMs, pharmacy vendors, and internal teams to align on formulary options and access strategies
  • Conduct member outreach, education, and follow-up to support adherence and understanding
  • Review clinical records, pharmacy data, and provider documentation; escalate complex cases as needed
  • Ensure compliance with nursing scope of practice, regulatory requirements, and organizational policies
  • Maintain accurate and timely clinical documentation
  • Qualifications: