Clinical Pharmacy Specialist MCC Infusion
Job Location:
Grand Rapids, MI - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
The Medication Care Coordination Infusion (MCC) Pharmacy Team is a centralized team currently supporting 28 Infusion Departments across Corewell Health West (CHW) Corewell Health South (CHS) and Corewell Health East (CHE). Tasks within these areas of work include serving as the first-line resource for infusion pharmacy scheduling nursing and provider teams for patient insurance benefit investigation infusion pre-authorizations navigating site of care restrictions externally supplied medications and insurance formulary preferences while troubleshooting infusion claim payment denials.
- Support pharmacy technicians with medication pre-authorization completion through review of relevant clinical patient information health plan coverage criteria local coverage determinations set forth by CMS clinical guidelines and literature for indications such as oncology and specialty conditions
- Lead peer-to-peer conversations on medication authorization denials appeals and reconsiderations and ensure streamlined communication occurs between ordering providers and health plans to limit patient care delays
- Assist in therapy and treatment plan ordering and modifications supporting providers with transcription of medication plans and infusion clinic staff with any questions or patient escalation needs.
- Support drug shortage escalations and convert to biosimilar stocked products for prevention of delays in care
- Support system and health plan formulary alignment tasks through biosimilar interchanges.
- Coordinates and implements departmental drug utilization review efforts and other process improvement activities as assigned.
- Ensures that processes and services are continuously monitored for quality cost effectiveness and efficiency. Engages in process and quality improvement activities. Makes and implements recommendations to improve operational efficiency and to implement new services for areas of responsibility.
- Facilitates applicable Pharmacy Committee activities in area of specialty and participates on other committees / task forces as member consultant and/or chair as assigned.
- Engages in continuous study of the entire professional field to maintain the professional competence knowledge and skills necessary for satisfactory performance of all assigned responsibilities. Completes required continuous training and education including department and Corewell Health specific requirements on a timely basis.
- Coordinates the development editing and dissemination of departmental publications for physicians and hospital staff.
- Precepts pharmacy residents and students as assigned.
- Required Bachelors Degree Science of Pharmacy or Doctor of Pharmacy degree from an accredited College of Pharmacy
- 2 years of relevant experience pharmacy experience or an American Society of Health-System Pharmacists (ASHP) Pharmacy Practice Residency Required
- 2 years of relevant experience hospital pharmacy experience or an American Society of Health-System Pharmacists (ASHP) Pharmacy Practice Residency Preferred
- ASHP accredited postgraduate year 2 (PGY2) residency in area of specialty Preferred
- LIC-Clinical Pharmacist - STATEMI State of Michigan 90 Days required
- LIC-Pharmacist Controlled Substance - STATEMI State of Michigan 90 Days required
- CRT-Basic Life Support (BLS) - AHA American Heart Association 90 Days required Or
- CRT-Basic Life Support (BLS) - ARC American Red Cross 90 Days required
- CRT-Pediatric Adv Life Support (PALS) - AHA American Heart Association Excludes Ambulatory Sites 180 Days required Or
- CRT-Adv Cardiovascular Life Support (ACLS) - AHA American Heart Association Excludes Ambulatory Sites 180 Days required
- CRT-Board Cert Pharmacotherapy Specialist (BC-PS) - ASHP American Society of Health-Systems Pharmacists Upon Hire preferred Or
- CRT-Board Cert Pharmacotherapy Specialist (BC-PS) - BPS Board of Pharmacy Specialties Upon Hire preferred
- Ideal candidate will be a Pharmacist possessing PharmD Degree and PGY1 or PGY2 Residency
- Prior experience in Managed Care Medication Care Coordination Infusion or Specialty Pharmacy would be a great plus
- Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
- Optional identity theft protection home and auto insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Corewell Health Care Center - 1900 Wealthy St SE - Grand RapidsDepartment Name
Pharmacy Corp Medication Care Coordination - CorporateEmployment Type
Full timeShift
Day (United States of America)Weekly Scheduled Hours
40Hours of Work
7:30 a.m. to 4 p.m.Days Worked
Monday to FridayWeekend Frequency
N/ACURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.
An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Required Experience:
IC
About Company
Corewell Health is committed to granting equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status
