What are the responsibilities and job description for the Transition of Care Specialist position at Rush University Medical Center?
Job Title: Transition of Care Specialist
Department: Specialty Drug Solutions
Shift: 1st
Specialty:
Job Number: 2023-0947
Date Posted: 03/20/2023
Position Type: Pharmacy
Job Qualifications:
Transition of Care Specialist
Rush University Medical Center is one of the country's leading medical centers pushing the boundaries of healthcare services with innovative, compassionate, and accountable team members. Are you ready to challenge and grow your skills, contribute to providing top quality patient care, and enhance your career? Rush is a diverse and inclusive culture, and offers a competitive salary, and a valuable compensation package including health, dental and vision benefits, retirement, health savings accounts, and tuition assistance to invest in your future.
The Transition of Care Specialist serves as an expert consultant to hospital staff, and a clinical educator and advocate for patients, with the goals of raising awareness about the benefits of home infusion and optimizing the transition of care for patients referred to the Rush Specialty Pharmacy. The Specialist will educate patients, physicians, case managers and all customers regarding disease states, specialty therapy, coverage and access process, and HDM pharmacy programs and services. The Specialist will facilitate patient care coordination for patients referred to the HDM pharmacies including initial patient set-up. The Specialist interfaces with healthcare professionals and hospital staff in an effort to strengthen partnerships and grow the HDM pharmacies through referrals. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Position Responsibilities:
Assures proper placement of patients within the Rush outpatient pharmacy services arena. Assesses each patient referred for additional service needs.
Coordinates reviews of patient's medical record to gather appropriate assessment documents so that an effective plan of treatment can be formulated. Reviews the record to obtain primary and secondary insurance payer information and relays this information to the intake department.
Educates patients, their caregivers and the Rush Medical Staff about the services and products that the Rush Pharmacies provide.
Represents and serves as the point of contact between the Rush Specialty Pharmacy and all other levels of care, including physicians, staff nurses, CM staff, agency liaisons and patients/caregivers.
Effectively communicates with all levels of care, including CM Staff, nursing agencies, medical team members, pharmacy staff, patients and caregivers to assure a smooth transition from hospital to home.
Works in collaboration with the patient and their caregiver to implement an effective treatment plan with mutual goals, explaining available options, including the advantages and disadvantages of each option.
Maintains a positive relationship with internal customers, listens to different viewpoints and works collaboratively with others throughout the company to resolve conflicts.
Educates and assists patients in qualifying for third party assistance or reimbursement.
Maintains a strong knowledge base of all payer contracts to communicate to customers.
Maintains professionalism at all times. Follows through on commitments to others, delivers on promises, maintains personal integrity, is easily accessible at all times, and serves as a role model for others as evidenced by peer feedback and letters of recognition and support.
Other relevant duties as required.
Position Qualifications Include:
High School diploma or equivalent required. Bachelor's degree preferred.
Five or more years' experience in the specialty pharmacy environment.
Excellent problem-solving skills and the ability to work independently in a fast paced environment.
Experience providing customer service to both internal and external customers, including meeting quality standards for service and evaluation of customer satisfaction.
Excellent interpersonal, verbal and written communication skills and organizational skills.
Knowledge of and guarantees compliance with state and federal regulations, accrediting body standards, HDM pharmacy policies and procedures and standards of performance required.
Knowledge of marketing strategies, processes and available resources.
Ability to develop, plan and implement short- and long-range goals.
Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
Computer skills (Word, Excel, patient databases, email), voicemail and cell phones.
Advanced knowledge of Medicare, Medicaid and insurance benefits.
Company Highlights:
Ranked among the top academic medical centers in the country, Rush University Medical Center is an outstanding place to enhance your career. Everything we do centers on one goal: improving patient care.
Rush offers a competitive salary, and valuable healthy living benefits including: health, dental and vision to help you maintain and improve your health. Rush also offers several ways to invest in your future.
Rush University Medical Center was ranked among the top 20 best hospitals to work at in 2019 by really.
All three hospitals in the Rush University System for Health have been designated a "Leader in LGBTQ Healthcare Equality" in the Healthcare Equality Index (HEI).
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Salary : $37,200 - $47,100