ESSENTIAL JOB FUNCTIONS

• Performs the job functions and duties of Senior Pharmacy Technologist when needed.
• Collects data and analyzes complex information and prepares precise written summaries, reports, and/or recommendations for a variety of purposes for pharmacy leadership as appropriate or as directed.
• Assists with the maintenance of policies and standard operating procedures for area of specialty to ensure the pharmacy department meets all legal, accreditation, and certification requirements
• Completes documentation and maintains records according to established policies and procedures
• Works to improve patient outcomes by ensuring patients receive the safest and most effective medication regimen
• Gathers clinical information on patients and conducts medication histories
• Provides medication dispensing for patient’s diagnosis, weight, and age
• Provides specialized drug delivery for related new drugs or technologies
• Provides education and counseling about the drug cost and financial assistance
• Ensures compliance with medication safety standards for clinical specialty area
• Provide pharmacy support to patients who are forced to use external pharmacies for their care, including helping patients troubleshoot issues with getting their prescriptions filled
• Provides support and is a resource for clinical pharmacy services and the clinical pharmacists
• Tracks completion of unit audits, pharmacist monthly reports, and goals
• Supports functions of the Pharmacy and Therapeutics Committee including preparation of meeting materials
• Coordinates in-services, events, and meetings including conference room management
• Supports pharmacist provision of in-person or telephonic/video-telehealth medication therapy management (MTM) services, drug therapy management (DTM) services, and immunization clinics
• Assists with the preparation and completion of staff skill and competency assessments
• Prior Authorization Job Duties:
  • Verifying patient information: Ensures that all the information provided by healthcare providers is complete and accurate, including patient information, medical history, and insurance information.
  • Reviewing requests: Reviews requests from healthcare providers for medical services, treatments, and procedures.
  • Communicating with healthcare providers: Communicates with healthcare providers to obtain additional information or clarify any details related to a prior authorization request.
  • Obtaining authorization: Works with insurance companies and healthcare providers to obtain prior authorization for medical services, treatments, and procedures.
  • Maintaining records: Maintains detailed records of all prior authorization requests, including patient information, healthcare provider information, and insurance information.
  • Following up on requests: Follows up on prior authorization requests to ensure that they have been processed and approved by insurance companies.
  • Staying up-to-date: Stays up-to-date on changes in insurance policies, procedures, and regulations related to prior authorization.

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.