[Pharmtech-job-announce] FW: Pharmacy Coordinator (downtown / civic / van ness)

[Rangaves, Diana]

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Pharmacy Coordinator
Date: 2013-05-01, 5:40PM

Pharmacy Coordinator (Pharmacy Technician)

The Pharmacy Coordinator is responsible for working with a multi-disciplinary team, serving primarily in an administrative support capacity. The duties of this position include making telephone calls to members and providers, as well as data entry. The position provides opportunities to work on case management, disease management, community outreach projects and assisting with utilization management and pharmacy authorization requests, contingent upon departmental needs. This position will be cross-trained in several key positions within the Medical Management department.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Researches medical and pharmacy utilization management requests using a variety of resources including evidence of coverage, policies and procedures, electronic resources and medical journals.
• Refers cases to a clinician, including the Medical Director, for clinical review, potential denial or modification and physician provider education
• Provides administrative and clerical support for case management, disease management and utilization management activities
• Maintains databases as needed for reporting requirements
• Answers questions and resolves issues promptly from providers, office staff, and pharmacy staff pertaining to medical supply benefits, formulary and preauthorization requirements.
• Ensure the privacy and security of PHI (Protected Health Information) as outlined in policies and procedures relating to HIPAA compliance.
• Makes telephone calls to members according to utilization, case and disease management program protocols.
• Provide administrative assistance on a collaborative pilot project to call members with diabetes, coach them on self-management goals, and respond to "triggers" from an automated telephone self-management system.
• Enters required data in various computer programs and databases.
• Coordinates activities with the other members of the collaborative and attends required meetings.
• Participates in making member phone calls working from a script, and identifying when calls need to be referred to a clinician for review.
• Other responsibilities as assigned.

 *   This is a contract job.
 *   Principals only. Recruiters, please don't contact this job poster.
 *   Please, no phone calls about this job!
 *   Please do not contact job poster about other services, products or commercial interests.

Original URL: http://sfbay.craigslist.org/sfc/hea/3779109207.html

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