PHARMACY TRANSITION SPECIALIST - MEDICATION ASSISTANCE PROGRAMApply Now Email Job Job ID: PHA006KA
Become part of an inclusive organization with over 30,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Position: Pharmacy Transition Specialist
Location: Imperial Center / Durham
Hours: Full Time, 40 hrs/wk; Days
This position may involve support of various hospitals and health care systems within the UNC Health Care System, but will be employed by Rex Hospital, Inc. (this includes, but is not limited to, for purposes of payroll, health benefits, retirement options, and applicable policies).
- Complete pre-certification for all patients referred for medical or pharmacy benefits review: include
Investigate options for supplying or replacing medications received by self-pay patient
Maintain current knowledge of, requirements for and ability to enroll patients in: manufacturer, state and local medication assistance programs; disease based assistance from non-profit organizations ; Medicare prescription drug benefits; Social Security Low Income Subsidy; state and federal medication subsidy programs
Work collaboratively with other health care professionals to obtain clinical and financial information needed for program enrollment
Utilize internally developed systems, the electronic health record and commercial vendor software to track patient eligibility, prescriptions, patient communications and program enrollment
Document and communicate findings to the patient, provider and pharmacies per internal operational standards.
Evaluate all self-pay patients for PAP eligibility and enroll patients as possible
Educate staff, prescribers, patients and their families regarding program requirements and payer restrictions
Understand and interpret insurance terms to appropriately triage referrals
Communicate regularly with physicians, pharmacists, nurses, and other staff to ensure customer and department staff needs are met
Interact with physicians, nurses, and other health care professionals in a courteous and professional manner
Work cooperatively and collaboratively with scheduling, financials counselors, pre-arrival, pharmacy, physicians, nurses and other staff and management to provide a professional and cohesive work environment
Proactively seek solutions to customer problems encountered both inside and outside of the department
Screen for and/or identify barriers (literacy, language, compliance, etc.) to medication management/access and refer patients to appropriate nursing/pharmacy staff member
Preferred Skills and Attributes:
- Communication, Leadership, Organization, Time Management, Self-Initiative, Innovation , Collaboration and Customer Service
Completion of a nine-month Pharmacy Technician Program (or equivalent combination of education, training and experience). All new hires not currently enrolled in a pharmacy school are required to have their certification as a pharmacy technician. If completion of a Pharmacy Technician Program: No prior experience required. If a High School diploma or GED: Two (2) years of experience as a Pharmacy Technician.
Completion of a nine-month Pharmacy Technician Program (or equivalent combination of education, training and experience). All new hires not currently enrolled in a pharmacy school are required to have their certification as a pharmacy technician.
If completion of a Pharmacy Technician Program: No prior experience required.
If a High School diploma or GED: Two (2) years of experience as a Pharmacy Technician.
Primary Location: Durham, North Carolina, United States
Department: SHRD-72703-AMB. PHARM CARE NETWORK - MAP
Shift: Day Job