Job Description
Job Description
Position Summary
Responsible for assisting the organization, pharmacists, care managers, primary care providers and external partners in the management of the member’s needs related to medications.
Essential Functions
- Utilize Care Management documentation platform to assist in Care Management of members
- Support and assist Care Management team with the medication management process by collecting and verifying medication lists from pharmacy claims data or pharmacies, primary care practice records, member interviews, discharge summaries, and other sources as necessary in preparation for medication reconciliation / medication review
- Access to Hospital / Data or Electronic Medical Record system will be required, as necessary
- Provide best practice population health services to identified members with specific medication management needs
- Assist members, providers, and organizational staff with medication access issues such as prior authorization requests or other information as needed
- Assist with transmitting Care Management team recommendations to medical home providers, using provider-preferred method of communication; receive and accurately document medical home provider responses to recommendations
- Engage and maintain relationships with community pharmacies and external partners
- Assist with fielding questions and maintaining communication between Care Management team, primary care and specialty providers, and others to promote continuity of member care
- Assist with coordination, implementation and ongoing management of pharmacy initiatives across all business lines that promote evidence-based and cost-effective prescribing such as payer drug policy education and medication related quality and practice transformation initiatives
- Adhere to CCNC privacy and security policies to ensure that patient and company data are properly safeguarded
Qualifications
Completion of Pharmacy Technician Program requiredCertified Pharmacy Technician (CPhT) and registered with NC Board of Pharmacy preferredA minimum of 2 years of relevant pharmacy experienceMaintain ability to gain and keep access to Hospital / Data or Electronic Medical Record systemsMaintain a valid NC driver’s license with current auto liability insuranceKnowledge, Skills, and Abilities
Strong knowledge of the Care Management documentation platformComputer skills required including various office software and the internet; experience with MS Office software preferredExperience in patient or clinical data systemsKnowledge of and experience with federal and state regulations governing prescription medications and pharmacy operationsAnalytical skills necessary as independent decisions and problem solving are requiredExcellent interpersonal communication skillsSensitivity to diversity of cultures, language barriers, health literacy and educational levelsResponds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectivesAble to shift strategy or approach in response to the demands of a situationWorking Conditions
“Hands-on” clinical treatment or counseling / psychotherapy is NOT permitted when performing duties for the organizationMultiple contacts are required with various members, providers, multi-payer systems and community partners to ensure coordination of services; exposure to general office and household conditions, as well as communicable disease could occurRoutinely there may be some minor physical inconveniences or discomforts in the work setting, including sitting for moderate periods of timeMust be able to utilize office equipment, computer, keyboard and phone with or without assistive devicesRepetitive wrist motion and occasional lifting / carrying of up to 25 poundsTravel will be required within the region and / or the StateThe above statements are intended to describe the general nature and level of work performed in this position and are not to be construed as an all-inclusive list of duties, skills and responsibilities. In signing this job description, I confirm that I understand and am able to fulfill the terms of the position as set forth above.