Medication Access Counselor

LifeLong Medical Care - Berkeley, CA (30+ days ago)3.4

Full-time

Overview
Supporting Community Healthcare is a rewarding role. LifeLong Medical Care is looking for a Medication Access Counselor (MAC) to work at one of our sites in southwest Berkeley. This is a full time benefited position. The MAC works with licensed clinicians and clinic support staff to direct patients to appropriate resources for medications. Assists providers to expedite prescription refills, assists with pharmacy information requests, manages in-clinic dispensing, and is responsible for ordering, receiving, and managing medications for the clinic dispensary.

LifeLong Medical Care is a large, multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have 16 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more. LifeLong Medical Care is an Equal Opportunity Employer.

Benefits

We offer excellent benefits including: medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including nine paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan.

Responsibilities
Essential Functions - ««««« (Highest time requirements)

General

Provides LifeLong patients with medication resource support, information, and management.
Helps patients determine the most appropriate sources for their prescription medications and referring patients to appropriate programs and resources— discount pharmacies, Patient Assistance Programs, Dispensary, or Lifelong contract pharmacies.
Assist providers with prescribing, including formulary expertise and Prior Authorization technical assistance.
Acts as internal technical expert regarding medication management and purchasing.
Provides clinic-level 340B compliance and expertise.
Maintains clinic drug management processes and records in accordance with CA Board of Pharmacy regulations, DEA, and FDA requirements.
Helps manage clinic medication expenditures.
Assists with regulatory audits.
Manages Refill requests «««««

Reviews incoming patient meds refill requests and makes recommendations regarding required patient care and refills based on written protocols.
Refers refill requests to providers or RNs according to protocols.
Medication Access Support: ««««

Assists Health PAC/FSFS/Medicare and uninsured patients including donut hole and patients whose meds are not covered despite other coverage to access Medication Programs:.
Works with uninsured patients to determine the most appropriate sources for their prescription medications and referring patients to appropriate programs and resources—Patient Assistance Programs, discount pharmacies, Dispensary, or Lifelong contract pharmacy. This activity is for all patients, insured or uninsured.
Determines Lifelong Health PAC formulary medications to be dispensed directly to patient from clinic by analyzing provider prescribing patterns.
Verifies eligibility for medication programs and updates/maintaining pharmacy data base with Lifelong contract pharmacies
Works with providers to ensure adherence to Lifelong Health PAC formulary.
Resolves pharmacy eligibility and medication issues: «««

Assists patients, providers, and nursing staff in researching and resolving non-refill related -pharmacy issues, such as insurance issues, claims processing, adjudication, and formulary coverage.
Interfaces with community pharmacies
Dispensary Management «««

Assists Providers with dispensing and RNs with refills
Keeps appropriate on hand supplies of all medications
Ordering and receiving dispensary medications from multiple sources
Managing samples
Ordering and maintaining Direct Relief and other donated meds
Tracking all categories of medications—purchased 340B meds, DAP, Samples, Direct Relief and other donated meds
Reports monthly of utilization, inventory, and expenditures
Completes monthly dispensary inventories and annual end of fiscal year drug inventories
Disposes of expired/outdated medications according to state and federal requirements
Environmental maintenance— refrigerator, room, software
Prior Authorizations (Provides technical expertise for Pas)«««

Researches patient prescription plan and demographic information
Researches prescription plan formulary alternatives (formulary lookups and alternative resources)
Initiates paperwork and forwarding to prescriber for consideration
Documents and tracks completed Prior Authorization request forms, approvals or denials of requests via EHR
Contacts insurance/pharmacy and/or patient for any necessary follow-up
Transfers Medicare Part D prior authorizations each insurance plan year
Drug Assistance Programs: ««

Assists patients with DAP program applications and meds
Initiating DAP applications
Receiving medications
Tracking patient eligibility
Ordering refills for existing DAP patients
Serve as patient advocate to Patient Assistance Program
Maintains records in accordance with CA Board of Pharmacy regulations and other regulatory entities
Monthly reporting of financial savings to clinic

Drug recalls:
Monitors dispensary and clinic stock meds inventory for drug recalls, completing required activities and paperwork
Serve as patient advocate to Patient Assistance Programs
Maintains records in accordance with CA Board of Pharmacy regulations and other regulatory entities
Monthly reporting of financial savings to clinic

Drug Rep liaison:
Point of contact for pharmaceutical sales reps
Schedules presentations, events, and distributes information and pertinent communications to providers
Receives, stores, and helps dispense medication samples
Manage Secure Rx paper/pads/labels: (varies by clinic)

Orders, receives and stores secure Rx paper/pads
Distributes secure Rx pads to providers and tracks provider usage
Maintains documentation including signature log books and documents use or destruction of secure Rx paper/pads
Coordinates Medicare Part D program outreach and assistance (all clinics)

Assist patients in comparing Medicare Part D prescription plans and assisting patients in enrollment process.
Coordinate with University of Pacific, University of California San Francisco, and Touro University College of Pharmacy preceptors and student coordinators dates, times, and location of Open Enrollment outreach events.
Manages Lifelong staff and volunteer availability
Reserve facilities, maintenance, and set-up and cleaning
Initiate outreach calls, mailings, flyers, and other documentation, marketing, and promotional activities
Assist patients in comparing and enrolling in Medicare Part D plans
Check-in patients attending outreach events and assigning either Pharmacy student group or Lifelong staff volunteer to patient during event
Follow up on any issues that were not able to be resolved during outreach visit

Qualifications
Commitment to the provision of primary care services for the underserved with demonstrated ability and sensitivity in working with a variety of people from low-income populations, with diverse educational, lifestyle, ethnic and cultural origins.
Strong organizational, administrative, multi-tasking, prioritization and problem-solving skills.
Ability to work successfully in a LifeLong team-oriented environment with a number of professionals with different work styles and support needs.
Excellent interpersonal, verbal, and written skills both within and outside of LifeLong Medical Care.
Job Requirements

High school diploma or GED.
Minimum of six months experience in a fast-paced pharmacy setting.
Valid California Pharmacy Technician certification.
Bilingual English/Spanish – based on work site, may be preferred.
Knowledgeable in pharmacy terminology, protocols and procedures.
Knowledge of program eligibility and insurance coverage issues.
Proficient in Microsoft office Word, Excel, Outlook.
Job Preferences

Bachelor’s degree in related field preferred.
Electronic Medical Records (EHR) or pharmacy software experience.