Top 9 Prior authorization pharmacist Jobs in Coventry, Ri

Specialty Pharmacy Tech - Liaison
Care New England Health System —Warwick, RI
- Full-time
- Computer literacy
- Mid-level
- Outpatient experience
4d
Clinical Pharmacist Ambulatory, Specialty Pharmacy
Brown University Health —Providence, RI
- $105,019.20 - $173,264.00 a year
- 8 hour shift
- Management
- Hospital
- Computer literacy
Ambulatory Pharmacy Technician (Per Diem)
Care New England Health System —Warwick, RI
- $20.00 - $31.51 an hour
- Per diem
- Hospital
- Mid-level
- Residential
Ambulatory Pharmacy Technician TEMP 40D
Care New England Health System —Warwick, RI
- $21 - $31 an hour
- Temporary
- Hospital
- Mid-level
- Residential
Ambulatory Pharmacy Technician 40D
Care New England Health System —Warwick, RI
- $22 - $26 an hour
- Full-time
- Hospital
- Mid-level
- Residential

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Current and valid Massachusetts pharmacist license. Performs case reviews in automated prior authorization (Auto PA) tools and guides the case through the…
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Clinical Pharmacist -Appeals and Operations Support- Growing Healthcare Organization
Fallon Health —Worcester, MA
Current license to practice as pharmacist in Massachusetts without restriction. Follow regulatory rules and processes for Massachusetts, CMS, Medicaid, state…
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Prior Authorization Specialist
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Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
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Specialty Pharmacy Tech - Liaison

Care New England Health System -
Warwick, RI

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Job Details

Full-time
4 days ago

Qualifications

Computer operation
Phone communication
Computer literacy
Employee relationship building
High school diploma or GED
Registered Pharmacy Technician
Computer skills
Documentation Handling
Client interaction via phone calls

Full Job Description

Job Summary:

The Specialty Pharmacy Technician-Liaison works alongside specialty clinicians to encourage patients to utilize Care New England (CNE) Pharmacy to fully benefit from its superior patient care services. They collaborate with the clinic staff to complete prior authorizations and obtain financial assistance for patients. They determine whether a patient is eligible to fill their prescriptions at the CNE Specialty Pharmacy and direct prescriptions to the pharmacy whenever possible.

Duties & Responsibilities:

Provides integrated support to patients and pharmacists by providing a "hands-on" approach to total quality patient care.
Encourages patients of specialty clinics to utilize pharmacy to fully benefit from its superior patient care services.
Seamlessly integrates with the clinic team (doctors, nurses, staff, etc.) to successfully serve patients both face-to-face and over the phone.
Educates prospective pharmacy patients on how CNE Specialty Pharmacy serves patients and improves their overall care.
Supports outpatient retail and specialty prescription medication needs.
Grows the specialty pharmacy patient population.
Ensures that patients remain on track with medication regimens through outbound therapy/medication adherence check-ups and securing refill prescriptions.
Helps develop new processes to ensure smooth operations and patient care.
Identifies medications requiring special storage and/or handling, such as hazardous medications and/or refrigerated medication.
Identifies the necessary supplies for select medications, such as sharps containers, needles/syringes, alcohol swabs, and Band-Aids.
Answers, resolves, and triages inbound inquiries.
Resolves insurance-related issues, including prior authorizations (PAs), and assists patients with various forms of financial assistance.
Ensures appropriate documentation in all required systems and tracking mechanisms.
Manages, organizes, and updates relevant data using database applications.
Actively participates in process improvement initiatives.
Maintains quality levels and standards as they relate to providing direct and indirect patient care.
Protects the organization's value by keeping information confidential.
Delivers specialty prescriptions to patients’ homes, when necessary.
Performs other related duties to support departmental goals, including covering on-bench shifts as necessary.

Requirements:

High School or GED Required.
Minimum 1 to 3 Years of experience as a Pharmacy Technician; 5+ years of experience preferred.
Registered in the state of Rhode Island as a Pharmacy Technician.
National certification as a Certified Pharmacy Technician (CPhT) must be obtained within 6 months of hire.
Knowledge of specialty pharmacy reimbursement: state, federal and commercial.
Highly computer proficient (knowledge of EPIC, CoverMyMeds, McKesson, INMAR systems a plus).
Knowledge of computerized information systems.
Ability to maintain record keeping systems and procedures.
Ability to analyze information.
Good judgment and strong verbal communications, including strong phone skills.
Highly productive and quality focused.
Exceptional attention to detail.
Ability to foster a cooperative work environment.
Strong interpersonal skills and the ability to work effectively with branch departments.

About Us:

Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

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Refine Your Search

prior authorization pharmacist jobs in coventry, ri

Specialty Pharmacy Tech - Liaison

Clinical Pharmacist Ambulatory, Specialty Pharmacy

Ambulatory Pharmacy Technician (Per Diem)

Ambulatory Pharmacy Technician TEMP 40D

Ambulatory Pharmacy Technician 40D

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