Stellus Rx

• Understand confidentiality with respect to patient/ client care. • Provides telephonic follow up with members to provide medication management. • Coordinate delivery of medications to the patient. • Facilitate patients to the Pharmacist for all clinical needs. • Manage patient orders to the point of Pharmacist verification. • Accessing, inputting, and retrieving information through the Pharmacy’s computer network. • Obtain refill authorizations from prescribers. • Process and prepare third-party insurance claims. • Maintains accurate patient/client profiles. • Completes clear and concise documentation in Care Management programs. • Professionally answer phones and direct customer calls to the appropriate personnel. • Handle customer problems/concerns in a calm manner.

• The Clinical Pharmacist will help our communities thrive by optimizing medication management to allow our physicians more time to focus on patient care and support care coordination for assigned patient cohorts. • The Clinical Pharmacist will work closely with the care coordination team and with physicians to ensure assigned patients are on intended prescribed therapies, understand their medication therapy and receive appropriate adherence coaching. • Daily tasks will also be directed by the pharmacy services team. • Provides telephonic follow up with members to provide medication reconciliation and medication management to assigned patients including transitional care and chronic disease support. • Complete assigned tasks related to medication management services. • Working with member, physician, health system(s), pharmacy services, and other care providers to meet the member’s individual needs based on protocols and referrals. Coordinating transitional management including: Obtaining medication orders. • Complete medication reconciliation. • Work with Engage team to ensure medication provided until PCP follow-up. • Provides medication management services utilizing prescribed workflows. Complete assigned appointments in accordance with workflow. • Assess patient adherence behaviors. Eliminate barriers to adherence. Assess appropriateness of therapy provided by the pharmacy. • Document appropriately in Engage application and EnterpriseRx as applicable. • Work with central or local pharmacy to obtain and process prescriptions. • Communicate with providers regarding services provided. • Support the member education goals regarding their specific chronic condition based on the Plan of Care. • Support the evolution of pharmacy services delivery for key patient populations if applicable. • Complete clear and concise documentation in Care Management programs. • Complies with Customer Service expectations as applicable to the Department and Health Plan. Comply with all departmental policies and procedures. • Participate in departmental and company in-services as appropriate. • Recognizes and adheres to the scope / limitations of job requirements.

• Support medication reconciliation processes for patients within the designated population. • Collaborate with pharmacists and healthcare providers to optimize medication regimens. • Review patient profiles to identify potential medication-related issues and discrepancies. • Collect and analyze medication-related data to identify trends and opportunities for improvement. • Generate reports on medication adherence, therapeutic outcomes, and other relevant metrics. • Work closely with healthcare teams to ensure seamless coordination of pharmaceutical services. • Communicate with patients, caregivers, and healthcare professionals to address medication-related concerns. • Participate in population health programs aimed at promoting medication adherence and preventive care. • Support initiatives focused on improving health outcomes and reducing medication-related disparities. • Ensure compliance with regulatory standards, pharmacy laws, and organizational policies. • Contribute to quality improvement efforts within the pharmacy setting.

• Understand confidentiality with respect to patient/ client care; complying with all federal and state laws applicable to the confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and follow HIPAA guidelines regarding readily identifiable protected health information. • Provides telephonic follow-up with members to provide medication management to assigned patients for chronic disease support. • Coordinate delivery of medications to the patient. • Facilitate patients to the Pharmacist for all clinical needs. • Manage patient orders to the point of Pharmacist verification to ensure the order is complete and ready for final verification. • Complete assigned tasks related to medication management services. • Accessing, inputting, and retrieving information through the Pharmacy’s computer network to maintain accurate records. • Obtain refill authorizations from prescribers. • Process and prepare third-party insurance claims. • Maintains accurate patient/client profiles. • Provides medication management services utilizing prescribed workflows. • Comply with established procedures, rules, and regulations. • Completes clear and concise documentation in Care Management programs. • Professionally answer phones and direct customer calls to the appropriate personnel. • Accept prescriptions to be filled and ensure that the PIC has the data necessary to fill the orders. • Handle customer problems/concerns in a calm manner and refer them to the pharmacist accordingly and notify the pharmacist of any issues. • Promoting teamwork, professional services, and clear communication. • Recognizes and adheres to the scope/limitations of job requirements. • Performs other related duties as assigned.

• Develop, implement, and evaluate population health initiatives centered around medication management, adherence, and optimizing therapeutic outcomes. • Utilize health data analytics to identify trends, gaps in care, and opportunities for intervention to improve medication-related outcomes for the target population. • Collaborate with healthcare providers to ensure appropriate medication selection, dosing, and monitoring, considering population-specific needs and evidence-based guidelines. • Design and implement programs to educate patients about their medications, ensuring understanding, adherence, and management of potential side effects. • Work closely with healthcare teams, including physicians, nurses, social workers, and other healthcare professionals, to coordinate care plans and interventions for improved patient outcomes. • Participate in quality improvement projects aimed at enhancing medication-related outcomes, reducing adverse events, and promoting evidence-based practices. • Stay updated with pharmaceutical regulations, ensuring compliance with relevant laws, policies, and guidelines. • Provide leadership within the pharmacy team, mentorship to junior staff, and contribute to departmental goals and initiatives.

• Support medication reconciliation processes for patients within the designated population. • Collaborate with pharmacists and healthcare providers to optimize medication regimens. • Review patient profiles to identify potential medication-related issues and discrepancies. • Collect and analyze medication-related data to identify trends and opportunities for improvement. • Generate reports on medication adherence, therapeutic outcomes, and other relevant metrics. • Work closely with healthcare teams to ensure seamless coordination of pharmaceutical services. • Communicate with patients, caregivers, and healthcare professionals to address medication-related concerns. • Participate in population health programs aimed at promoting medication adherence and preventive care. • Support initiatives focused on improving health outcomes and reducing medication-related disparities. • Ensure compliance with regulatory standards, pharmacy laws, and organizational policies. • Contribute to quality improvement efforts within the pharmacy setting.

• Develop, implement, and evaluate population health initiatives centered around medication management, adherence, and optimizing therapeutic outcomes. • Utilize health data analytics to identify trends, gaps in care, and opportunities for intervention to improve medication-related outcomes for the target population. • Collaborate with healthcare providers to ensure appropriate medication selection, dosing, and monitoring, considering population-specific needs and evidence-based guidelines. • Design and implement programs to educate patients about their medications, ensuring understanding, adherence, and management of potential side effects. • Work closely with healthcare teams, including physicians, nurses, social workers, and other healthcare professionals, to coordinate care plans and interventions for improved patient outcomes. • Participate in quality improvement projects aimed at enhancing medication-related outcomes, reducing adverse events, and promoting evidence-based practices. • Stay updated with pharmaceutical regulations, ensuring compliance with relevant laws, policies, and guidelines. • Provide leadership within the pharmacy team, mentorship to junior staff, and contribute to departmental goals and initiatives.

• Support medication reconciliation processes for patients within the designated population. • Collaborate with pharmacists and healthcare providers to optimize medication regimens. • Review patient profiles to identify potential medication-related issues and discrepancies. • Collect and analyze medication-related data to identify trends and opportunities for improvement. • Generate reports on medication adherence, therapeutic outcomes, and other relevant metrics. • Work closely with healthcare teams to ensure seamless coordination of pharmaceutical services. • Communicate with patients, caregivers, and healthcare professionals to address medication-related concerns. • Participate in population health programs aimed at promoting medication adherence and preventive care. • Support initiatives focused on improving health outcomes and reducing medication-related disparities. • Ensure compliance with regulatory standards, pharmacy laws, and organizational policies. • Contribute to quality improvement efforts within the pharmacy setting.

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