What are the responsibilities and job description for the Clinical Care Coordinator Professional position at Software Methods, Incorporated?
At Software Methods, Incorporated, we are seeking a highly skilled Clinical Care Coordinator to join our team in the Media, PA area. This is a 100% on-site position.
The Clinical Care Coordinator will be responsible for connecting members with alternative funding who have complex clinical conditions and receive medication in a home infusion or in-office infusion setting.
- Manage, directly, Clinical Care Coordinator work for complex members.
- Research available programs for infused medications.
- Establish relationships with participants, foundations, and providers during transitions.
- Work with providers to ensure they order medications through manufacturer programs and collaborate with TPA for replacement drug setup.
- Increase the use of telecommunications and IT services to enhance efficiencies.
- Document all interactions with members, healthcare providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software in a timely manner.
- Review pending activities/events and customer requests to provide excellent customer service and experience.
- Demonstrate proficiency and understanding of Payer Matrix patient database, including data elements, case statuses, outcomes, documentation requirements, and company metrics.
- Research and identify available financial assistance programs for specialty drugs prescribed for active members.
- Report financial assistance program trends to supervisors.
- Communicate with member's health plan sponsors, funds, or PBMs as needed.
- Recommend improved processes and management methods to optimize workflow.
- Exercise judgment within defined standard operating procedures to determine appropriate actions.
Required Skills:
- Master's degree in Pharmacy; specialty pharmacy, home infusion, or physician infusion experience preferred.
- Minimum 3 years customer service experience.
- Excellent written and oral communication skills.
- Ability to multitask and handle consistent workflow.
- Time management and prioritization skills.
- Computer, email, and MS Office competency.
