Case Management Associate

Alivia Health

11h

About The Position

The Case Management Associate (CM) is responsible for ensuring patient satisfaction through personal attention and an efficient, transparent, and simple process from end to end. The CM must attend to patients' needs, questions, and concerns with kindness and awareness of their circumstances. As part of these tasks, the Case Manager may also communicate with Doctors (Prescribers), Managed Care Organizations (MCO’s), and authorized caregivers. Attention to precision, compliance with industry standards, and efficiency are essential for the safety and care of the patient, working within the limits of standard practice or accepted in a fast-paced Specialty Pharmacy. Perform work assignments in full compliance with and understanding of state and federal laws, as well as the internal policies and procedures that govern the handling, dispensing, and distribution of controlled substances.

Requirements

Associate Degree Diploma as Certified Pharmaceutical Technician is required.

Responsibilities

Review and interpret doctor's prescription orders to ensure appropriate therapies.
Transcribe prescription data in preparation for pharmacist verification.
Provide administrative support of Pharmacy as assigned and assist in the training of new associates in the Pharmacy.
Communicate with all new patients informing them of prescription referrals and welcoming them to the Alivia Specialty Pharmacy.
Communicate with patients and HCP offices to ensure all documentation required for timely prescription is made available.
Respond to incoming calls from the pharmacy, with excellent customer service standards and following up with pending tasks (internal or external).
Meet management’s production standards, whether quantitative or qualitative.
Obtain the patient's medication list for DUR research.
Award and review prescription drug insurance claims that will be delivered to patients and providers.
Perform or assist with any operation, as necessary to maintain the workflow and to comply with schedules and quality requirements.
Participate in meetings and work groups prepared by management or co-workers.
Be knowledgeable related to new developments, requirements and policies.