Patient Care Coordinator

Summary

The Patient Care Coordinator assists individuals served in obtaining the medications prescribed by the clinical providers at Park Place. The Patient Care Coordinator will assist individuals in applying for and obtaining free prescription medicines from the brand name pharmaceutical companies’ Patient Assistance Programs (PAPs) and/or discounted generic medicines by using Indigent Drug Program (IDP). The coordinator will continue to assist patients not eligible for Medicaid in obtaining medicines via the PAPs. The will work with prior authorizations staff and medical personnel to accurately obtain information needed to get medications prescribed via pharmacy or supplemental programs.

Supervisory Responsibilities

N/A

Essential Duties And Responsibilities

The Duties and Responsibilities reflect the general details considered necessary to describe the principal functions of the job and shall not be construed as a detailed description of all related work assignments that may be inherent to the job.

• Acquiring authorizations for treatment and for medications via Fax, Electronically, Phone as required by each individual’s insurance or payer.
• Coordinating individual’s served care in collaboration with the clinical team. Answering individual served calls, questions or concerns with regard to medication side effects, concerns, refills, questions for providers. Including working with discharge planners to ensure individuals have access to medications after discharge.
• The Coordinator will also assist patients in obtaining medicines by referring those newly eligible for Medicaid or other programs to SOAR.
• Communicate medication changes, answer questions asked by those served, and review treatment plans with the individual, appropriate clinical staff, and providers. Documenting all contacts within the individual’s electronic health record.
• Communicate and address with providers, issues and concerns with medications, authorizations or pharmacy changes as needed.
• Assist individuals who are having issues with obtaining medications thru completing Patient Assistance Applications, Indigent Drug Program Waivers, Copay Cards, etc.
• Develop a collaborative working relationship with Psychiatrists, clinicians, physicians, insurance companies, pharmacies, and staff, both internal and external to the department.
• Maintain and Monitor the samples disbursement to individuals qualified, as directed by provider.
• Work with pharmaceutical and insurance representatives in a positive and helpful manner. Collaborating with them to obtain information necessary for medication coverage.
• Serve, as needed, within an MA scope to provide vitals and other duties within scope as needed and record in electronic health record, and/or system as required by the receiving lab.
• Provide all the above services to our Poinciana location. Travel to Poinciana is required.
• Provide translation assistance when needed.
• Cover Treatment Coordinators as necessary.
• Cover Prior Authorization Team when needed.
• Perform other duties as assigned by supervisor.
  
  

CORE COMPETENCIES (Hourly)

• Maturity and sensitivity to the special needs of PPBH persons served while possessing the knowledge of behavioral health and medical conditions.
• Must be service oriented with good customer service skills.
• Must possess the knowledge and ability to collect vital statistics.
• Ability to utilize and navigate an electronic health record, Microsoft office software, and insurance verification websites.
• Must possess knowledge of behavioral health and medical conditions.
• Must possess the ability to maintain confidentiality of persons served.
  
  

Qualifications, Education And/Or Experience

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and-or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Minimum of LPN is required.
• Maturity and sensitivity to the special needs of the mentally ill population.
• Fluency in English and Spanish is REQUIRED.
• Ability to work a flexible schedule when necessary.
• Knowledge of computer software
• COMPUTER SKILLS: Must have Intermediate to advanced experience in MS Office Suite (Outlook, Word, Excel, and PowerPoint), the use of personal computers, and standard office productivity software.
• LANGUAGE SKILLS: Ability to read and interpret documents such as safety rules, operation and maintenance instructions, and procedure manuals
• Travel: 25% to our Poinciana office.
  
  

Requirements

• A valid Class E Drivers’ License for positions that require driving personal or Agency vehicle on Agency business.
• Must maintain a minimum Bodily Injury & Property Liability insurance limit of at least $50,000 for positions that require driving personal own vehicle (POV) on Agency business. (Proof Required)
• PPBH is a 24/7 Agency. All employees must be available as needed when required.
  
  

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the Therapist Position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

While performing the duties of this job, the employee frequently required to use hands to finger, handle, or feel objects, tools, or controls and reach with hands and arms. The employee is regularly required to stand, walk, sit, climb or balance, stoop, kneel, crouch, crawl, talk or hear.

The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, depth perception and the ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate in a fast-paced work environment.