Patient Care Coordinator (PCC)

Job Summary:

The Patient Care Coordinator at 15RX Pharmacy plays a vital role in ensuring patients receive comprehensive and personalized pharmacy services. This position is responsible for coordinating care between patients, pharmacists, healthcare providers, and insurance companies. The Pharmacy Care Coordinator helps manage medication therapy, improves patient outcomes, and ensures an optimal pharmacy experience by offering support in medication management, adherence, and education.

Key Responsibilities:

• Patient Medication Management:
• Coordinate the initiation and ongoing management of patient medication therapy.
• Ensure timely medication refills and resolve any issues related to prescription orders.
• Provide medication counseling to patients regarding proper use, dosage instructions, potential side effects, and storage of medications.
• Help identify medication-related problems and collaborate with pharmacists and healthcare providers to develop solutions.
• Patient Education & Adherence Support:
• Promote adherence to prescribed medication regimens by offering support and education on the importance of consistent medication use.
• Educate patients about potential drug interactions, side effects, and the proper use of over-the-counter (OTC) medications.
• Assist in creating personalized medication adherence plans and follow up with patients regularly to track their progress.
• Coordination of Care:
• Work closely with pharmacists, healthcare providers, and insurance companies to coordinate patient care and ensure that patients receive the appropriate medications.
• Collaborate with healthcare providers to adjust medication therapy and ensure optimal care for chronic or complex conditions.
• Assist in managing transitions of care, such as post-hospital discharge, to ensure patients continue receiving necessary medications.
• Insurance and Billing Assistance:
• Assist patients with insurance-related issues, including verifying coverage, processing claims, and handling medication prior authorizations.
• Resolve insurance rejections and work with insurance companies to ensure coverage of medications.
• Support patients with understanding their copays, deductibles, and any financial assistance programs available for their medications.
• Patient Advocacy:
• Act as a patient advocate by ensuring patients receive the medications they need and addressing any concerns or obstacles they face in accessing their prescriptions.
• Offer guidance on available programs that may reduce medication costs, such as discount programs, generic substitutions, or patient assistance programs.
• Address and resolve patient complaints or issues with medications or service delivery.
• Medication Therapy Management (MTM):
• Assist in the execution of Medication Therapy Management (MTM) services by providing regular medication reviews for patients.
• Identify potential medication-related problems such as drug interactions, duplicate therapy, or incorrect dosages.
• Provide recommendations to patients and healthcare providers to optimize medication use.
• Administrative Support:
• Maintain accurate and confidential patient records, ensuring all interactions, prescriptions, and medication plans are documented properly.
• Update and manage patient information in the pharmacy's management system.
• Assist in managing the workflow of prescription processing, including ensuring medications are ready for pick-up or delivery.
• Collaboration with Pharmacy Team:
• Work closely with pharmacy technicians and pharmacists to ensure that the pharmacy runs smoothly and that patients' needs are met in a timely and efficient manner.
• Participate in pharmacy team meetings to discuss patient care strategies, workflows, and operational improvements.
• Wellness and Preventative Care:
• Promote wellness and preventative care services, including immunizations, health screenings, and lifestyle recommendations.
• Provide resources and education on health topics such as smoking cessation, weight management, and disease prevention.
• Quality Improvement:
• Participate in quality improvement initiatives and patient safety programs within the pharmacy.
• Monitor patient outcomes and provide feedback for improving services and patient care.

Qualifications:

• Education: High school diploma or equivalent required; a degree or certification in pharmacy technology, healthcare management, or related fields is a plus.
• Experience: Experience in a pharmacy, healthcare, or customer service environment is preferred.
• Knowledge: Familiarity with pharmacy practices, insurance processes, and medical terminology.
• Skills: Strong organizational, communication, and interpersonal skills; proficiency in using pharmacy management software or electronic health record systems.
• Certifications: Pharmacy Technician Certification (CPhT) or Medication Therapy Management certification is preferred.

Skills & Abilities:

• Ability to work effectively in a team environment and collaborate with healthcare professionals.
• Excellent customer service skills, including the ability to manage patient inquiries, complaints, and sensitive issues with empathy.
• Strong attention to detail and ability to multitask in a fast-paced environment.
• Knowledge of HIPAA guidelines and other relevant healthcare regulations.
• Ability to use problem-solving skills to address medication-related challenges and patient care issues.

Working Conditions:

• Full-time or part-time role with typical pharmacy operating hours; flexibility to work evenings and weekends based on pharmacy needs.
• The position is based in a pharmacy setting with consistent interaction with patients, pharmacists, and healthcare providers.
• May require standing for extended periods and occasional lifting of pharmacy supplies or medication stock.

This role is essential for ensuring that patients at 15RX Pharmacy have access to high-quality care, accurate medication management, and the support they need to achieve optimal health outcomes. The Pharmacy Care Coordinator will play an integral part in improving patient satisfaction and overall health by providing expert guidance and managing care coordination in a collaborative environment.

Job Types: Full-time, Part-time

Pay: $16.65 - $20.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• Weekends as needed

Work Location: In person

Salary : $17 - $20