CLINICAL CASE MANAGEMENT ASSOCIATE
Alivia Health
Job Description
Job Description
RESUMEN DEL PUESTO Y RESPONSABILIDADES:
El/La Asociado(a) de Manejo Clínico de Casos es responsable de realizar contactos telefónicos y presenciales con pacientes de Alivia Specialty Pharmacy. Evaluará las necesidades de salud y educativas de los pacientes relacionadas con sus medicamentos, y comunicará recomendaciones a los médicos, según sea necesario. Entre otras tareas, garantizará la comprensión del paciente sobre sus regímenes de medicamentos y tomará las medidas adecuadas cuando los pacientes informen reacciones adversas o inquietudes relacionadas con medicamentos especializados. Ocasionalmente, podría requerirse que realice trabajo de campo visitando proveedores de salud (HCP) y pacientes, o acompañando a la gerencia en actividades relacionadas con el trabajo.
Responsabilidades incluyen, pero no se limitan a:
Evaluar, monitorear y dar seguimiento a los planes de manejo de medicamentos, servicios y resultados para maximizar la salud del paciente.
Identificar las necesidades de salud y educación del paciente.
Comunicarse con los proveedores sobre complicaciones o necesidades relacionadas con los medicamentos del paciente.
Brindar orientación a los pacientes sobre reacciones adversas a medicamentos dentro de su alcance y referir al farmacéutico según sea necesario.
Completar entrenamientos de productos con requisitos de REMS y ofrecer orientación al paciente en ciclos subsecuentes.
Brindar consejería a pacientes que inician nuevos regímenes de medicamentos.
Interactuar continuamente con el paciente, su familia, médicos y otros proveedores, utilizando conocimientos clínicos para evaluar historial médico y estado actual.
Reportar incidentes críticos e información relacionada a la calidad del cuidado.
Apoyar al personal de Operaciones/Clínico con funciones clínicas como autorizaciones previas, facturación u otras tareas administrativas durante periodos de alto volumen, para mantener el flujo de trabajo y servicio al cliente.
Brindar apoyo como clínico “on-call” según sea requerido.
Asegurar el cumplimiento con todas las regulaciones y normativas estatales y federales en sus actividades diarias.
Otras tareas asignadas.
Educación y Experiencia:
Bachillerato en Enfermería.
Licencia o certificación profesional vigente y en buen estado.
3 años de experiencia en enfermería directa o cuidado directo a pacientes (preferido).
2 años de experiencia en farmacia especializada (preferido).
Conocimiento de CPR+ (preferido).
Conocimiento y experiencia en Neurología / Esclerosis Múltiple, Reumatología, Dermatología, Gastroenterología, Enfermedades Infecciosas, Asma, Oncología o Pediatría (preferido).
Habilidad para comunicarse efectivamente en inglés y español (preferido).
EEOC F/M/D/V
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