Prescription Assistance Coordinator (Cooper Green)

STATEMENT OF VALUES:

Cooper Green Mercy strives to be THE choice for health care in our community. We honor this commitment by embracing our core values of:

· Kindness,

· Inclusion,

· Cleanliness, and;

· Attention to Detail.

GENERAL SUMMARY

As a Prescription Assistance Coordinator, you will be to assist patients in applying for prescription assistance programs to ensure patients have access to vital medications. Acting as a liaison between patients, healthcare providers, and pharmaceutical companies, you will ensure that patients receive the necessary support to access vital medications. and community organizations to navigate the application process and advocate for patient’s medication needs. Responsible for completing, tracking, and following up on medication prior authorizations, including obtaining supporting documentation, communicating with insurance providers, documenting outcomes, and coordinating with providers and patients to facilitate timely access to prescribed medications. Prescription Assistance Coordinators will Perform additional tasks and responsibilities as directed by supervisor or management to support the overall operations of Cooper Green Mercy Health Authority and meet the needs of patients and staff.

KEY RESPONSIBILITIES

1. Service as the primary point of contact for pharmaceutical companies and other organizations offering prescription assistance programs. Establish and maintain relationships to ensure timely and accurate information dissemination.

2. Receive deliveries of medications from pharmaceutical companies, verify the accuracy of each delivery and maintain records of all medication delivery.

3. Document all received medications in our EMR system and notify patients of their medication arrival.

4. Identify patients in need of prescription assistance programs through screenings, referrals, and collaboration with healthcare teams.

5. Educate patients about available prescription assistance programs, eligibility criteria, and application procedures.

6. Assist patients in completing application forms, gathering required documentation, and submitting applications to pharmaceutical companies or assistance programs.

7. Advocate for patients with pharmaceutical companies and other stakeholders to expedite application processing and ensure access to prescribed medications.

8. Communicate effectively with patients, healthcare providers, and pharmaceutical companies to coordinate the enrollment process, address any issues or concerns, and provide regular updates on application statuses.

9. Follow up with patients to track the status of their applications, resolve any issues or barriers, and provide support throughout the process.

10. Maintain accurate records of patients’ medication needs, applications, and outcomes in compliance with privacy regulations and organizational policies.

11. Collaborate with case managers, social workers, providers and other healthcare professionals to address broader social determinants of health impacting patients’ access to medications.

12. Stay informed about changes in prescription assistance programs, eligibility criteria, and application procedures to provide up-to-date assistance to patients.

13. Participate in quality improvement initiatives to enhance services and support continuous improvement. Identify community take back and disposable programs and or resources for medications disposal.

14. Communicates with providers, pharmacies, insurance companies, and patients regarding prior authorization status, approvals, denials and appeals.

15. Perform responsibilities within the realm of prescription assistance coordinator as needed, and other duties as assigned to assist in the operation of CGMHS.