Medication Case Manager (Part Time)

SUMMARY

Under the direct supervision of the Health Center Manager and clinical supervision of the Clinical Services Supervisor, the Medication Case Manager will assist patients in the procurement and ongoing use of essential medications to improve health and well-being.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Reviews prescription issued by providers to determine potential source for financial coverage and prior authorization.

• Enters data such as patient name, prescribed medication, cost, income level and potential eligibility for medication assistance programs.

• Affords 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.

• Limits 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).

• Affords 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.

QUALIFICATIONS

• High school diploma or GED required. Previous experience working in a pharmacy and/or clinic setting preferred. Must have knowledge of medications and their uses.

• Ability to read, analyze, and interpret documents such as safety rules, operating and maintenance instructions, policy and procedure manuals. Ability to respond effectively to the most sensitive inquires or complaints. Ability to write routine reports and correspondence. Ability to speak effectively before groups of patients or employees of organization.

• Ability to add, subtract, multiply, and divide into all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

• Ability to apply sound judgment in understanding to carry out instructions in written or oral form. Ability to make appropriate job decisions following standard office policies and past precedents.

• Experience with word processing, spreadsheets, email, and keyboarding required. Google Suite, Microsoft Office skills required. EHR experience required.

• Possession of current, valid, unrestricted California Driver's License (Class C) required. A valid, unrestricted California Pharmacy Technician license or a Pharmacy Technician certificate is preferred. Will consider licensure or certificate in a related field.