- Location
- SITE - Corewell Health Care Center - 1900 Wealthy St SE - Grand Rapids, United States of America
- Workplace
- Remote
- Type
- Full-time
- Department
- IT
- Education
- Associate
- Closing date
- Today
- Source
- Workday
Description
About the Medication Care Coordination Infusion Team
The Medication Care Coordination Infusion (MCC) Pharmacy Team is a centralized team currently supporting 28 Infusion Departments across Corewell Health West (CHW), Corewell Health South (CHS) and Corewell Health East (CHE). Tasks within these areas of work include serving as the first-line resource for infusion pharmacy, scheduling, nursing, and provider teams for patient insurance benefit investigation, infusion pre-authorizations, navigating site of care restrictions, externally supplied medications, and insurance formulary preferences while troubleshooting infusion claim payment denials. This is a Remote position that will require 4 Weeks of On-Site Training in Grand Rapids, Southfield, or St. Joseph, Michigan.
Scope of Work
- Pull, transcribe, and organize clinical information from patient charts into third party platforms or navigators.
- Complete authorization requests in a timely and efficient manor without compromising quality, to ensure patients receive their care as scheduled.
- Identify and schedule appointments for pharmacists from provider referrals, quality reports, and other available registries.
- Demonstrate the ability to utilize all payer websites to assist verifying patient’s coordination of benefits and authorization requirements.
- Assist with inventory and medication use cycle tasks if in clinic.
- Organize and track data for multiple payer programs and service lines.
- Communicate positively and effectively with patients, colleagues, and clinic staff.
- Adhere to all department procedures, guidelines, and standard work with the ability to utilize resources appropriately.
- Proficiency and advanced knowledge/experience with multiple work queues (e.g. new start therapy, new start treatment, resumes)
- Ability to support multiple regions (West, South and East)
- Provides coverage within various work queues when needed
- Significant experience with investigation and resolving retro authorization requests
- Significant experience with investigation and resolving denied claims (Includes reviewing the hospital account record and outgoing claim)
- Support other team member case escalations
- Provide feedback, mentoring and/or training for new team members
- Complete process improvement projects as assigned
Qualifications
- Required High School Diploma or equivalent
- Preferred Associate's Degree
- 1 year of relevant experience Retail or Ambulatory Pharmacy Experience Preferred
- 1 year of relevant experience Prior Authorization Experience or Insurance Navigation Preferred
- 1 year of relevant experience Epic Experience Preferred
- LIC-Pharmacist Intern - STATE_MI State of Michigan Upon Hire required Or
- LIC-Pharmacy Technician Temp - STATE_MI State of Michigan Upon Hire required And
- LIC-Pharmacy Technician - STATE_MI State of Michigan 90 Days required
- CRT-Pharmacy Technician, Certified (CPHT) - PTCB Pharmacy Technician Certification Board Excludes - LIC - Pharmacist Intern 90 Days required Or
- CRT-Exam for the Certification of Pharmacy Technicians (ExCPT) - NHA National Healthcareer Association Excludes - LIC - Pharmacist Intern 90 Days required
Ideal candidate will possess Full Pharmacy Technician License
This position will require Strong Proficiency in Microsoft Applications, such as MS Word, Excel, Outlook, Teams, and OneNote
Epic Proficiency would be a very strong Plus
This is a position that will require 2-4 Weeks of On-Site Training in Grand Rapids, Southfield, or St. Joseph, Michigan, and then will allow this person to work from home
Schedule will be Monday to Friday, 8 AM to 5 p.m., No Weekends
How Corewell Health cares for you
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Corewell Health Care Center - 1900 Wealthy St SE - Grand RapidsDepartment Name
Pharmacy Corp Medication Care Coordination - CorporateEmployment Type
Full timeShift
Day (United States of America)Weekly Scheduled Hours
40Hours of Work
8 a.m. to 5 p.m.Days Worked
Monday to FridayWeekend Frequency
N/ACURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
