Pharmacy Care Advocate, UofL Hospital

Pharmacy Care Advocate, UofL Hospital, 7a-3:30p page is loaded## Pharmacy Care Advocate, UofL Hospital, 7a-3:30plocations:
Louisville, Kentucky time type:
Full time posted on:
Posted Yesterday job requisition :
JR  
** Primary

Location:

** University Hospital - UMC#
** Address:
** 530 South Jackson Street Louisville, KY 40202#
** Shift:
** Varied (United States of America)#
** Job Description

Summary:

** Flexible scheduling available. Employees may start at 7:00 AM or 8:00 AM, with the option to work four 10‑hour shifts based on business needs.
UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center.  With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.#

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* Job Description:

** The PCA works under the direction of the Pharmacy Manager or Supervisor.  The PCA serves as a liaison to patients/caregivers, physicians and other medical staff in identifying, facilitating, and ordering prescription medications via medication access programs for eligible patients who are underinsured.  They also identify opportunities from co-pay assistance foundations, where available.  They will create, manage and perform financial/billing/clinical audits to maintain the integrity of the programs and creates and distributes reports to pharmacy and hospital management concerning operations.

The PCA is responsible for verifying accurate insurance and demographic information, obtaining or verifying prior authorization, referrals and communicating need for medical necessity for out-patient medication infusions.  They also coordinate patient encounters utilizing multiple system applications, clinical operating systems, and communicating with appropriate team members to perform duties in a timely manner.
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* Essential Functions:

*** Facilitates optimal drug therapy by serving as a patient advocate and as a liaison between patients, pharmaceutical companies, insurance providers, physicians, pharmacists, clinic staff and care coordination staff
* Assists in delivering high quality health care services in a professional, compassionate and courteous manner while respecting the dignity and individuality of each person who comes in contact with the organization by following the values of UMC
* Accurately obtains patient history information upon receipt of prescription, including address, date of birth, phone number, drug allergies, disease states and third- party information
* Works cooperatively with others and organizes daily workflow to optimize output
* Documents findings thoroughly and accurately
* Meets or exceeds productivity standards in the completion of daily assignments and accurate production
* Answers and responds to external and internal phone calls in a timely manner; checks and responds to emails in a timely and professional manner
* Completes all requested documentation of workload / reports for trending activities
** ASSISTS WITH DRUG REPLACEMENT AND/OR CO-PAY ASSISTANCE:
*** Interviews patients and/or caregivers to obtain confidential qualifying information (demographics, financial and insurance information) necessary to complete applications for drug replacement and/or co-pay assistance programs
* Oversees the inventory management functionality of the program drugs in accordance with the regulations of pharmaceutical manufacturers and certifies patients in a timely manner so that benefits are uninterrupted
* Maintains accurate, up-to-date documentation of drug deliveries and reports of area serviced and volumes or tracking and trending
* Independently resolves majority of provider and customer concerns resulting in satisfactory outcomes – seeks assistance from a Pharmacist and/or Coordination Manager, as needed
* Contacts patients or caregivers by phone to determine medication/supply needs
* Works with physicians, nurses, pharmacists and Care Coordinators to better utilize formulary…