Pharmacist


Role and Responsibilities

The Care Coordinator (CC) assists with the care coordination of member care of both Utilization and Disease Management/Wellness. Under the direction and supervision of the Care Manager-RN, the Care Coordinator assists members by providing support, education and assistance in the prevention and/or maintenance of their disease and/or health and wellness state; by assisting in supporting member compliance with treatment plans; and by assisting in the collaborative coordination of care to reduce waste and inefficiency. 
 

Core Functions

  • Understand confidentiality with respect to patient/client care; comply with all federal and state laws applicable to confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and follow HIPAA guidelines regarding readily identifiable protected health information
  • Assist with the direction and monitoring of Pharmacy personnel and performance as directed
  • Prepare, compound, dispense, and sell prescriptions and Pharmacy-related Products
  • Participate in patient assistance and quality assurance programs as directed
  • Submit appropriate claims for third-party reimbursement
  • Consult with physicians and nurses regarding pharmaceutical questions
  • Provide patient/ clients with counseling and education
  • Monitor storage, distribution, and use of pharmaceuticals
  • Ensure that patients/ clients are evaluated for appropriateness of therapy provided by the Pharmacy
  • Document and report medication errors to the PIC
  • Maintain records of all transactions of the Pharmacy as necessary to ensure accurate control over and accountability for all drugs as required by applicable state and federal laws and regulations
  • Oversee prescription
  • Maintain inventory and stock levels consistent with Pharmacy goals and manufacturer protocols
  • Communicate in a timely manner with customers, physicians, vendors, and colleagues
  • Administer immunizations and update vaccination schedules from CDC
  • Properly secure and maintain controlled substances
  • Operate the state prescription drug monitoring program
  • Properly dispose of hazardous waste drugs
  • Follow recall protocol
  • Comply with the legal requirements for pseudoephedrine sales and Medicare DME guidelines
  • Oversee return to stock processing
  • Properly dispose of personal health information
  • Comply with CME Fraud, Waste, and Abuse
  • Properly document requirements for Medicare DME
  • Maintain a safe and clean work environment
  • Promote positive and respectful work environment and provide professional services
     

 

QUALIFICATIONS AND EDUCATION REQUIREMENTS

  • Bachelor’s or advanced degree in pharmacy from an accredited institution
  • Licensed as a registered pharmacist with an unrestricted license in the state of Texas and be eligible for pharmacy licensure elsewhere
  • Prior pharmacy experience preferred
  • Immunization certified
  • Knowledge of inventory control, pharmaceutical chemistry and manufacturing methods
  • Knowledge of federal and state regulations regarding pharmacy
  • Excellent oral and written communication skills
  • Excellent leadership and customer services skills
  • Strong organizational and time management skills
  • Computer skills as necessary to operate Pharmacy management software and other necessary programs
  • Ability to work a flexible schedule, including evenings and weekends
  • Ability to sit and stand intermittently for long periods of time
  • Ability to bend, reach, and type

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