Medication Case Manager

Review prescription issued by providers to determine potential source for financial coverage and prior authorization. Enter data such as patient name, prescribed medication, cost, income level and potential eligibility for medication assistance programs. Assists patients in finding links to additional health resources, Health Educators, smoking cessation programs and physical fitness programs. Ensures patients are following up with their primary provider at least once a year to review medications. Communicates with patient care teams to ensure appropriate documentation for medication renewals and refills. Accounts for inventory of medication samples on hand. Locates and prepares refill requests in provider and staff inboxes. Reviews medication refill requests. Enters or loads up the refill request with pertinent information for provider to refill. Ensures needed lab tests for prescribed medications adhere to medication guidelines when applicable. Adds diagnosis to medication requests when the diagnosis has already been established in the patient's record. Communicates/notifies patients of medications that are ready for pick-up. Takes financial and drug histories to assists the pharmacist in the appropriate procurement and monitoring of drug therapy for individual patients, including adherence to the prescribed treatment regimen. Reviews records to determine late refill requests and contacts patients to determine the reason for non-adherence. Reviews and obtains appropriate information for controlled substance monitoring (example: CURES). Assists the 340B department on completion and status of reports, obtains consult notes from specialty providers and updates medication modules with prescriptions prescribed by the specialist. Ability to work with high volume of patients, internal/external customers, and deal with frequent changes, delay or unexpected events. Demonstrates adherence to and observes all safety policies and procedures, inclusive of infection control rules and regulations. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served (infants, pediatrics, adolescents, adults or geriatrics). Demonstrates knowledge of domestic violence, child and dependent abuse protocols. Demonstrates cultural sensitivity and competence with patients. Maintains and adheres to HIPAA, employee confidentiality, and privileged communications (