Work with physicians, nurses, and pharmacists to ensure that each patient receives the medications they need at the appropriate time:

* Review medication regimen with patient and verify insurance and benefit information

* Review and manage refill requests from patients by ensuring laboratory work and appointments for future visits are up-to-date per standard clinic protocol/workflows

* Assesses patient's medication adherence and knowledge about each medication through use of open-ended questions and motivational interviewing

* Monitor patient concerns, charts, and profiles to meet medication therapy needs

* Obtain patient immunization history

* Answer patient questions about the service, insurance issues, and financial assistance needs

* Ensure all questions are answered timely and accurately

* Ensure clinical questions are appropriately escalated

* Contact pharmacies, long-term care facilities, and ambulatory clinics to obtain additional information and confirm information provided by the patient

* Obtain medication allergy history and related reactions to the medication

* Use good judgement to assess accuracy of each medication by reviewing medication dose, route, frequency, and indication for use

* Review appropriate information with members of the care team where applicable

40%

Medication Finance, Procurement, and Assistance:

* Responsible for obtaining all medication prior authorizations

* Research and review prescription benefit coverage to assist patients and meet individual needs

* Must be able and willingly to call pharmacy, patient and insurance when needed in order to successfully complete PAs

* Must be able to communicate effectively with providers and office staff through email and phone calls regarding any issue with the PA process and/or individual patients, such as incomplete information, answering status questions, denials etc.

* Coordinate drug procurement operations and inventory management

* Maintain purchase records, invoices, and inventory control reports

* Understand CMS regulations and billing guidelines as they pertain patient pharmacy benefits

* Understand billing primary, secondary, and tertiary insurance claims

* Resolve any billing issues and obtain Prior Authorizations for medications

* Obtain benefit information and verify patient insurance eligibility and level of coverage

* Must determine which PAs require escalation or further assistance from management

50%

Informatics and Automation:

* Navigate electronic medical records with proficiency

* Document information gathered appropriately using approved templates

* Work with Excel and other databases to track utilization

* Relay medication information accurately and efficiently to pharmacy, nursing, and medical teams

Quality and Safety:

* Contribute to institutional and departmental policies and procedures development and implementation

* Demonstrate accountability and ownership of job responsibilities

* Exhibit and promote professional behaviors and attitudes related to communication, punctuality, workplace attire, personal internet or phone use, and teamwork

* Lead departmental and institutional patient safety initiatives

* Encourage reporting of safety issues identified during job responsibilities and applicable follow-up

* Assist in maintaining statistics, data metrics, and workload productivity as applicable

* Compile, analyze, and report department-specific productivity or workload data for pharmacy leadership

* Provide caring service, adjusting approaches to reflect developmental level and cultural differences of population served

* Improve processes to facilitate communication and service between patient, and clinic, infusion center and discharge pharmacy teams to ensure accurate and timely delivery of medications

Staffing and Competency:

* Required to be self-motivated, working with various systems, working with patients and caregivers

* Establishing a relationship with other health care professionals

* Expected to perform work in accordance with defined standard operating procedures

* Serves as a liaison to other pharmacy divisions, nursing, and clinicians across the institution

* Acts as a positive role model for other staff members

* Demonstrates mutual respect and cooperation with others

* Flexibility in work assignments and adaptability as needs change

* Comfortable working autonomously

* Ability to think broadly and longitudinally, constantly assessing and anticipating the needs of the patient and the practice environment

* Must be flexible to accommodate patients' immediate needs

* Seeks to understand and value differences between employees

* Treats other employees with dignity and respect

* Demonstrates open, honest communication and behavior

* Resolves conflict in a positive manner

* Able to work independently, accountable for work, and manage workload

* Provide training and or education to new staff related to medication access

Minimum Required:

High school diploma, GED or equivalent

Preferred:

Bachelor's Degree