Pharmacy Navigator I

3 weeks ago

Neptune City, United States Hackensack Meridian Health Full time

Overview:
Our team members are the heart of what makes us better. At Hackensack Meridian _Health_ we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The ambulatory pharmacy navigator program provides for improved service levels for HMH Discharge Patients by seeking to supply medications prescribed by the patient's physician for discharge in a timely manner so that the patient can be discharged efficiently from an acute care HMH facility and transition directly to home. The Navigator I assists with obtaining all information necessary for prescription processing, helps prioritize workflow, helps troubleshoot barriers (financial, insurance, or clinical) and facilitates delivery of completed prescriptions back to the patient prior to discharge.

The Navigator ensures OBRA compliance by ensuring an offer to counsel is made and that patient medication educational needs are met. The Navigator I functions will include all job functions of an Ambulatory Pharmacy Technician plus additional duties described below.

**Responsibilities**:
A day in the life of a Pharmacy Navigator I at Hackensack Meridian _Health_ includes:
1. The Navigator duties includes all job functions of an Ambulatory Pharmacy Technician plus additional duties;
2. Establish an initial greeting to patients admitted and explains services available via the HMH Pharmacy
3. Performs prescription order entry duties as necessary
4. Obtains patient authorization to process discharge prescriptions through the ambulatory pharmacy
5. Engages in a collaborative process with floor nurses, discharge planners, case managers, social workers, physicians, APN's, PA's, Medical Residents, unit clerks and other teams/initiatives as required to ensure patients scheduled for discharge to home can receive the critical medications needed in a timely manner.
6. Works to determine patients being scheduled for discharge and ensure HMH Pharmacies are selected by patient choice to provide services
7. Determines information sources necessary to process prescriptions (e.g. insurance coverage)
8. Identifies and Troubleshoots discharge patient medication access issues related to insurance, financial or insurance coverage and helps to resolve so patients can receive needed medications
9. Adheres to all established HMH Pharmacy and Federal/State privacy and compliance policies to protect patient confidentiality
10. Ensures prescription fulfillment by in-house pharmacy based upon priority needs to allow for timely discharge
11. Coordinates and facilitates patient pickup of prescriptions and/or delivery of completed prescription orders to patient care areas
12. Ensures patients receive offer for pharmacist counseling and distributes pharmacist contact information in the event patient has prescription-related questions at home
13. Facilitates distribution of medication-related educational materials and coordinates counseling with staff pharmacist where needed
14. Assists Ambulatory Pharmacy staff as needed
15. Performs duties of Ambulatory Pharmacy Technician if required
16. Ensures all guests/patients receive safe care. Maintain a safety first work ethic. Report any medication errors or medication variances as required by HMH Pharmacy Policy
17. Other duties and/or projects as assigned.
18. Adheres to HMH Organizational competencies and standards of behavior.

Qualifications:
Education, Knowledge, Skills and Abilities Required:
1. High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.

2. Excellent written and verbal communication skills.

3. Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms.

Education, Knowledge, Skills and Abilities Preferred:
1. Retail Pharmacy experience.

2. Strong knowledge and experience with PBM Claims and coverage.

Licenses and Certifications Required:
1. Pharmacy Technician License.

2. PTCB or ExCPT Certification Required within 180 days of start of employment with the following exceptions:
a. Hired prior to January 2024

b. Actively enrolled in ACPE accredited school of pharmacy / another allied health program or hired before 1-1-24

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