药房护理协调员 - 临床药房运营
Pharmacy Care Coordinator - Clinical Pharmacy Operations
职位描述
关于这个职位：
Devoted Medical 正在打造临床项目，以符合 Devoted 重视将每位成员视为家庭一员的价值观的方式，管理和协调护理。药物在帮助人们管理慢性病方面起着至关重要的作用，但在许多情况下，有效的药物管理受到获取障碍、处方不协调或未能使用最有效的循证药物治疗的限制。例如，尽管有大量证据表明，仅有不到 10% 的心力衰竭（CHF）患者被开具了已被证明可以挽救生命并防止住院的循证药物。
Devoted 的临床药学团队旨在为 Devoted 成员提供更优的治疗方案。它通过以下三种方式支持这项工作：
- 通过直接与成员互动以及药师咨询支持其他临床医生进行药物审查
- 通过远程医疗提供由药师或临床医生主导的虚拟护理，以弥补治疗缺口
- 通过咨询成员并与开方医生和药房协作，协调治疗方案的变化
这项工作服务于多个目标。临床药学团队推动 Devoted 在多个项目中的质量和 Medicare Stars 表现，包括：
- SUPD（糖尿病患者的他汀类药物使用）
- SPC（心脏病患者的他汀类药物使用）
- MTM（药物治疗管理）
- TCC（整体护理成本）
- 多药联用
在与我们的药师和临床医生的就诊过程中，会发现药物方面的机会。这就是药学护理协调员（PCCs）发挥作用的地方。PCCs 确保建议传达给外部医生，跟进药房的理赔问题、取药确认或停药情况，并在整个过程中让成员了解任何变化。
作为 PCC，您将与我们的临床药学和运营团队合作，进行外展、协调和后续跟进，为我们的成员提供一流的护理，作为一支以使命为导向、注重团队合作、充满快乐文化的团队的一员。
职责和影响将包括：
- 通过拨打外呼电话和使用门户聊天功能与成员联系，安排与药师团队的就诊，以解决临床缺口或药物相关问题
- 通过联系医生和成员，提供成本更低的替代药物选项，支持护理成本控制工作
- 管理分配的病例数量，可能需要与医生、药房和/或成员跟进，以解决药物相关问题
查看英文原文
Job Description
A bit about this role:
Devoted Medical is building clinical programs to manage and coordinate care in a manner consistent with Devoted's values of treating every member like family. Medication plays a crucial role in helping people manage chronic conditions, but in many cases effective medication management is limited by barriers to access, uncoordinated prescribing, or a failure to use the most effective evidence-based medication therapies. For example, despite a mountain of evidence, less than 1 in 10 people with congestive heart failure (CHF) are prescribed evidence-based medications proven to save lives and prevent hospitalizations.
Devoted's clinical pharmacy team aims to support improved therapeutics for Devoted members. It supports this work in three ways:
- Conducting medication reviews (via direct member engagement and pharmacist consult support for other clinicians)
- Virtual pharmacist-led or clinician-led care via telemedicine to close therapy gaps
- Coordinating care for changes in therapy by counseling members and engaging prescribers and pharmacies
This work is done in service of a number of goals. The clinical pharmacy team drives Devoted's quality and Medicare Stars performance across multiple programs such as:
- SUPD (Statin Use in Persons with Diabetes)
- SPC (Statin Use in Persons with Heart Disease)
- MTM (Medication Therapy Management)
- TCC (Total Cost of Care)
- Polypharmacy
During appointments with our pharmacists and clinicians, medication opportunities are identified.That's where Pharmacy Care Coordinators (PCCs) step in. PCCs ensure recommendations reach the outside provider, follow up with pharmacies on claims issues, pick-up confirmations, or discontinuations, and keep the member informed of any changes along the way.
As a PCC, you will partner with our Clinical Pharmacy and Operations teams on outreach, coordination, and follow-up to provide best in class care to our members, as part of a mission-driven, team-oriented, joyful culture.
Responsibilities and Impact will include:
- Supports clinical outreach campaigns by making outbound calls and utilizing portal chat to members to schedule appointments with the pharmacist team to address clinical gaps or medication concerns
- Supports cost of care efforts by reaching out to providers and members to offer lower cost alternative medication options
- Manages an assigned caseload which may require provider, pharmacy, and/or member follow-up to address medication recommendations, concerns, or questions
- Independently oversees assigned cases and outreaches with timely follow-up, clear next steps, and thorough documentation
- Helps members navigate their Devoted Health benefits
- Participates in sprints, pilots, and special projects as they launch
- Collaborates with the broader pharmacy team to support shared goals and coverage needs
- Assists with training and shadowing when new team members join the team
- Participates in team and pharmacy department activities and responsibilities
Required skills and experience:
- At least 3 years of work experience in health care or retail pharmacy
- Active National PTCB Certification
- Comfortable making a high volume of outbound calls to members, providers, and pharmacies
- Comfortable managing daily responsibilities and tasks independently
- Ability to shift between tasks, projects, and priorities frequently
Desired skills and experience:
- Highly organized and detail-driven
- Comfortable learning new software and adapting as tools and workflows evolve
- Adaptable and flexible, with a willingness to take on new or shifting tasks positively
- A true team player who brings new ideas to the table, works through solutions with others, and lifts up their teammates
- Comfortable speaking with physicians, pharmacies, and patients, with a genuine passion for our members
- Thrives in a fast-paced and dynamic environment
- A transparent communicator about your work, what's going well, and what's not, with a thoughtful eye for improving processes
Salary range: $23.00 - $30.00 hourly
hourly
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
- Employer sponsored health, dental and vision plan with low or no premium
- Generous paid time off
- $100 monthly mobile or internet stipend
- Stock options for all employees
- Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
- Parental leave program
- 401K program
- And more....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
Originally posted on Himalayas