Medication Assistance Caseworker
Medication Assistance Caseworker
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1 Vacancy
Job Description
Working at Northern Virginia Family Service (NVFS) means doing work that matters every day because of the difference you will make in the lives of children and families in Northern Virginia. NVFS breadth depth and scope of services offer the resources and support to ensure that everyone in need at every stage of life maximizes their potential and fully contributes to a thriving Northern Virginia Family Service (NVFS) we value every team members contribution and our collective impact on our clients and the community. NVFS is an equal opportunity employer E-Verify participant and drug-free workplace.
Join the NVFS Family: We are looking to hire a Medication Assistance Caseworker to join the Community Health team!As the Medication Assistance Caseworker (MAC) you will work within the Health Access safety-net programs which serve uninsured families experiencing poverty by linking program participants with free or reduced-rate physician-prescribed medications and other medical supplies. NVFS works in close partnership with area free clinics federally-qualified healthcare centers hospitals Community Services Boards (CSB) and safety-net providers across the region to ensure efficient services and high-quality customer care.
As a MAC you will complete and submit applications to the Patient Assistance Programs (PAPs) on behalf of clients. As a MAC you will work with physicians and pharmaceutical companies to ensure prescriptions are obtained and received by clients in a timely manner. MACs provide case management by monitoring and providing long-term support to clients with chronic conditions by ensuring they have access to prescription medications to improve their health and by making appropriate referrals to other community programs.
Benefits and Compensation:We want you to be well have work/life flexibility grow your career with us and have the resources and support you need. Check out our comprehensive benefit offeringsherein support of various dimensions of your wellbeing.
This is a full-time position with a pay range in the mid to high 40s.
In this role you will be responsible for:
Prescription Assistance:
- Establish professional relationships with medical providers and medical staff. Educate providers about the PAPs. Conduct regular face-to-face meetings with assigned office manager and/or physicians as needed. Participate in Clinic all-staff meetings.
- Utilize an electronic medical record (EMR) database with assigned clinic(s).
- Manage day-to-day operation of The Pharmacy Connection (TPC) software (a web-based software that helps expedite access to free medicines available from brand-name pharmaceutical companies PAPs) and perform data entry of necessary information into TPC and other databases as needed.
- Understand each pharmaceutical companies requirements and stay up-to-date to changes in policies and procedures as they occur. Attend relevant TPC trainings and funder roundtables.
- Screen patients for income level and determine eligibility for available PAPs.
- Order medications from pharmaceutical companies patient assistance programs including processing refills every 90 days.
- Complete required paperwork for each pharmaceutical company; obtain supporting documentation from clients including income verifications and Medicaid denial-letters.
- Communicate to providers when medications are not available on PAPs and suggest alternative prescription medicines.
- Track clients medication pick-up adherence and timing of refills in coordination with medical office staff.
- Maintain client files electronic and hard copy if needed - in a timely manner and in accordance with program requirements and NVFS guidelines and enter required information in program database(s).
- As needed make comprehensive service referrals in response to the clients holistic needs; and work with other community providers to provide collaborative services to clients comprehensive needs.
Program Development:
- Maintain knowledge of eligibility requirements for:
- Prescription assistance programs brand name medications generic medications discount prescription programs offered at pharmacies;
- State public health benefits including Medicaid and Medicare programs;
- The Virginia Insurance Marketplace (VIM) (formerly the Affordable Care Act).
- Understand and keep updated on the social-services safety-net landscape in designated service area (example. Prince William Fairfax or Loudoun counties).
- Participate in regular supervision with supervisor including providing regular updates on status of work activities.
- Collaborate with other Community Health (CH) team members to stay up-to-date on other program offerings within CHE and across other programs at NVFS. Refer clients to other NVFS programs as appropriate.
- Assist program supervisor and manager prepare reports on program progress.
- Help prepare marketing products (e.g. flyers brochures etc) for education and outreach purposes.
Your Background:We understand that you may obtain skills through a variety of professional personal educational and volunteer experiences.
- High school diploma or GED equivalent
- Pharmacy Technician certificate preferred but not required
- Experience working in a medical office preferred
- Work experience such as case management and care coordination; healthcare system access and navigation preferred.
- Demonstrated ability to provide culturally appropriate service delivery and the ability to communicate respectfully clearly effectively tactfully and patiently in-person and on the phone to a diverse population
- Oral and written fluency in English; Spanish language fluency may be required depending on program
- Strong interpersonal and analytical skills
- Proficiency in usage of basic technological tools including laptops/computers email phones and internet; working knowledge of Microsoft Office Suite
- Must be able to demonstrate and live the organizational values of Communication Integrity Respect Collaboration and Accountability
Additional Requirements:
- Successful completion of background checks upon hire
- Successful completion of a TB test with a medical provider upon hire
Employment Type
Full-Time
