Clinical Pharmacist Navigator, Diabetes Management

Cencora•Reading, PA

1d•Onsite

About The Position

This position primarily supports the Family and Internal Medicine clinics at Reading Hospital, with a focus on diabetes management. The role involves direct patient care as well as close collaboration with other healthcare providers, and this work is carried out under a Collaborative Practice Agreement (CPA). This position is 100% onsite in West Reading, Pennsylvania.

Requirements

Candidates must have completed a residency or have at least 1 year of diabetes management experience.
PharmD degree strongly preferred.
Residency training or previous Diabetes Management experience preferred.
Current unrestricted pharmacist license in the appropriate state of practice.
Must be proficient in Microsoft Office, including Word, Excel, and PowerPoint.
Candidates should have prior experience on pharmacy dispensing systems and be familiar with insurance adjudication processes.
The role involves working with a broad array of complex disease states and medical conditions; candidates should be comfortable working with clinical data, lab values, and reading/writing notes in patient medical records.

Responsibilities

Demonstrate value of ambulatory pharmacy partnership to physician practices.
Maintain presence in clinic, field medication questions from providers, such as formulary product selection, product dosing, ADR's, and other considerations.
Ensure prescriptions flow through ambulatory pharmacy and are identified by pharmacy staff.
Maintain patient schedule for clinical pharmacist services including, but not limited to, medication counseling, pillbox refills, immunization, medication administration.
Maintain patient list, schedule appropriate follow-ups to assess medication safety and efficacy, communicate treatment plan recommendations with provider.
Coordinate patient refills.
Ensure auditable records showing proof-of-delivery are maintained.
Prepare and submit prior authorizations, manage denials/appeals.
Triage prescriptions which are limited distribution drugs or out-of-network.
Act as financial advocate for patient when needed, leverage charitable foundations, state programs, and/or manufacturer programs to ensure medication affordability.
Demonstrate ability to navigate various platforms and document appropriately in EMR and specialty therapy management platform.
Contribute to expansion of ambulatory pharmacy services through active participation in navigator committee and projects.
Cross-train to ambulatory pharmacy, assist with staffing, as needed.