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Pharmacy Svc Tech - Case Mgmt


Req ID: 22015

Shift: Days

Employment Status: AF - Active - Regular - Full Time 

Job Summary

Under the Direction of the Case Management Supervisor, The Pharmacy Service Technician collaborates closely with the case management staff to provide a coordinated experience for patients and families.  The primary responsibilities are to proactively identify medications requiring prior authorization and execute same.  This includes benefit checks, attending rounds on assigned units, working collaboratively with the case manager, clinical pharmacist and resident team

Job Responsibilities

Discharge Planning:

  • Obtains authorizations for post discharge services and documents in computer system
    • Medication authorizations obtained through pharmacy benefit or medical plan as dictated by the patient’s benefits
  • Provides support to the discharge coordination process by attending rounds and collaborating with the clinical pharmacist
  • Keeps abreast of industry trends and regulatory changes in the pharmacy industry and incorporates knowledge in the performance of job duties.
  • Identifies problems in process/procedures or services and makes recommendations for improvements.
  • Conducts discharge follow-up patient phone calls
    • Able to elicit information during follow-up calls and understands when to have case manager intervene.
  • Accurately and promptly documents interventions appropriately.
  • Creates and supports an environment which fosters teamwork, cooperation, respect and diversity. Establishes and maintains positive communication and professional demeanor with internal and external business partners at all times.

 

Data Management:

  • Runs case management related reports
  • Monitors, identifies and communicates trends in payor responses to authorizations requests and advances learning to manager.

 

Other duties as assigned.

Job Responsibilities (Continued)

Job Responsibilities (Continued)

Required Licenses, Certifications, Registrations

Certified Pharmacy Technician (CPhT)

Required Education and Experience

Required Education: High School Diploma / GED

 

Required Experience: At least two (2) years medication prior authorization experience

Preferred Education, Experience & Cert/Lic

Preferred Education: Bachelor degree

 

Preferred Experience: At least two (2) years Pharmacy Benefits Management (PBM), Managed Care, Hospital Pharmacy, Home Infusion Pharmacy, and/or Retail Pharmacy experience

Additional Technical Requirements

  • Proficient with Microsoft Word and Excel
  • Knowledge of PowerPoint.
  • Ability to work independently with minimal supervision.
  • Ability to be pro-active in following up on projects and tasks.
  • Excellent phone etiquette.
  • Ability to handle confidential materials.
  • Ability to handle multiple tasks.
  • Excellent organizational and interpersonal skills.
  • Knowledge of medical terminology and protocol.

All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption.

Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products or nicotine in any form and a negative nicotine screen (the latter occurs after a job offer).

Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.

VEVRAA Federal Contractor/Seeking priority referrals for protected veterans.  Please contact our hiring official with any referrals or questions.

CHOP Careers Contact 

Talent Acquisition

2716 South Street, 6th Floor

Philadelphia, PA 19146 

Phone: 866-820-9288 

Email:TalentAcquisition@email.chop.edu