Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Take a closer look to learn why a career with Genoa Healthcare might be the path to discovering your life's best work.(sm)$3000 Sign on bonus available for external candidatesPositions in this function consult with customers, members, patients, providers, internal departments and/or external third parties on any or all of the following:- Consult with and coordinate initial set up and on-going treatment plan for specialty drug patients, including DURs, co-pay assistance, ancillary products, scheduling Pharmacist consults and/or RN visits, and liaison with provider offices on labs, refill orders and prior authorizations
- Review and advise on medications and treatment plans (based on review of medical case notes, medication list and lab results) to improve outcomes and avoid potential drug interactions
- Discuss with patients life issues affecting medication adherence and provide advice on improving drug regimen compliance
- Advise patients on alternate Rx fill strategies of retail versus mail order and options for financial assistance
- May outreach to providers on suspected medication abuse situations
- Review medication regimen for disease state for LTC facilities/ hospice care / RN case managers / Medical Directors / clients and provide summaries and guidance on future medication plans. Advice may include alternate drug therapies, stopping a medication and/or lower cost alternative
- Review medical case notes to determine on-going medication treatment plan and project future medication costs
- Extensive work experience, possibly in multiple functions
- Work does not usually require established procedures
- Works independently
- Mentors others
- Acts as a resource for others
- Coordinates others' activities
- Works in a hospital setting and builds solid relationships with patients, hospital staff, pharmacy team as well as other clients and stakeholders aligned with the business group
- Participates in daily/weekly/monthly team meetings and acts on feedback to ensure quality care on -site
- Educates potential patients about services provided at time of discharge and articulates how patients may utilize pharmacy services to obtain full benefits of the high-quality prescriptive care
- Attends and contributes to daily medical team meetings and coordinates the collection of prescriptions, patient orders and all necessary paperwork for the pharmacy team in order to handle dispensing of patient medications
- Schedules and coordinates pharmacist consultation review of patient's prescribed medications to drive medication adherence and education
- Handles the coordination of patient medication delivery at time of discharge and ensures education has been provided to all necessary caregivers
- Identifies and resolves insurance billing adjudication; including facilitating prior authorizations (PAs), and assisting in locating financial assistance for patients as needed
- Conducts weekly follow up calls with hospital patients following discharge to ensure aftercare plans have been met
- Identifies trends, barriers and potential process improvement opportunities and subsequently recommends customized and innovative solutions; as well as proposing value-driven change when necessary
- High school education or equivalent experience
- IN Pharmacy Tech License
- Valid Driver's license and insurance
- Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
- PTCB and 2+ years hospital experience