Pharmacy Technician Jobs

About The Position

Requirements

• Possess and maintain a current certification and registration by the Pharmacy Technician Certification Board (PTCB).
• HCW shall be in good standing, and under no restrictions, with the state licensure board in any state in which a license is held or has been held within the last 10 years.
• HCW shall be in good standing and under no sanction or suspension by the Federal Government.
• Possess and maintain current certification in either the American Heart Association BLS for Healthcare Providers or American Heart Association Healthcare Provider Course.
• Able to read, write, speak, and understand the English language fluently and maintain good communication skills with patients and other health care personnel.
• Ability to pass all background/suitability checks.
• A valid driver's license and ability to travel locally as needed.
• Proficiency in Microsoft Office software applications including Word, Excel, Access, PowerPoint, and Outlook.

Nice To Haves

• A thorough understanding of the military lifestyle and experience working with military family members.
• Working knowledge of relevant military, state, federal, and local laws and resources.
• Highly developed written, oral, and presentation communication skills.

Responsibilities

• Assess, monitor and evaluate and assist in processing referrals for authorization.
• Review specialty care referrals for clinical appropriateness, covered benefit, and administrative and medical completeness following MTF, DHA, BUMED guidelines and TRICARE policy.
• Input and retrieve patient information for each referral, through the use of various computer systems include Electronic Health Record (EHR), Defense Enrollment Eligibility Reporting System (DEERS) and other work programs that are in use in the Referral Management Center.
• Refer to a physician advisor for clinical review if the HCW and physician cannot reach an agreement on the processing of a referral within one business days.
• Elevate referrals to the medical manager, utilization nurse, and physician advisor for higher level of review when there is uncertainty in medical necessity and covered benefit.
• Communicate between physician reviewer and the requesting provider in regard to preauthorization.
• Submit monthly, quarterly, and yearly utilization reports using Electronic Health Record and TRICARE Reports.
• Evaluate monthly through prospective, concurrent, retrospective review, focused reviews, clinical pathways and clinical practice guidelines for performance outcomes of clinical care.
• Identify and communicate all adverse trends and referral management discrepancies in a written report via the chain of command and effectively communicate both verbally and in writing with the requesting physician(s) for clarification and correction.
• Manage the referral processing center for all beneficiary categories (Active Duty, Active Duty Family Members, Retirees, and their family member, survivors, Department of Defense Civilians, Contractors) of patient clinical referrals and care authorizations to health care specialists in either the direct care or purchased care systems.
• Provide departmental, directorate, and command performance improvement processes commensurate with this position.
• Participate in monthly in-service training for healthcare practitioners and administrative staff on subjects of referral management and utilization management services.
• Provide the MTF with a report on internal referral management bi-weekly using approved tools and electronic health record.
• Provide education and training on the referral management process, specialty referral guidelines, and related policies to beneficiaries, providers, and host nation partners.
• Maintain a level of productivity comparable with that of other individuals performing similar services.
• Adhere to and comply with the Department of the Navy, Bureau of Medicine and Surgery, and local instructions and notices in effect during the term of the contract.
• Practice aseptic techniques as necessary; comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes, and the use of universal precautions to prevent the spread of infection.
• Function with an awareness and application of safety procedures.
• Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced risk manner.
• Exercise awareness and sensitivity to patient/significant others' rights, as identified within the MTF.
• Maintain an awareness of responsibility and accountability for own professional practice.
• Maintain DoD email account as directed by government supervisor.
• Exercise appropriate delegation of tasks and duties in the direction and coordination of health care team members, patient care, and clinic activities.
• Undergo an orientation and shall complete mandatory Navy and DoD on-line training as required.
• Comply with all applicable Federal, State, and local laws, Department of Defense, Department of Navy, Bureau of Medicine and Surgery, and MTF instructions and policies.

Benefits

• Pay and benefits information for this position will be provided to interested candidates that apply.
• Arcetyp offers a package of compensation and benefits to full-time salaried employees.