Clinical Review Coordinator

Amerita

Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals.

The Clinical Review Coordinator will ensure Specialty medication referrals and new orders meet clinical admission payer criteria. This role ensure that all assigned specialty patients are provided with timely and exceptional clinical service and an exceptional customer experience. This role requires a certified Pharmacy Technician with experience in specialty pharmacy, home infusion and/or home health.

MON - FRI 8A - 5P on site at Amerita Pharmacy location.

* Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance
* 401(k) Retirement Plan with Employer Match
* Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
* Employee Discounts
* Tuition Reimbursement
* Paid Time Off & Holidays

On-board all new specialty infusion referrals
• Manage relationships with internal customers to ensure effective workflow
• Reviews referral documents and updates information in the patient's demographics
• Reference clinical admission criteria for specialty therapies and navigate patient charts to locate documentation for admission criteria
• Works closely with sales partners to ensure completeness of submitted referral information
• Participates in the development of best practices for documentation supporting clinical care and reimbursement qualification for Specialty Patients
• Support patient retention efforts by ensuring all reasonable interventions are executed to retain a patient on service
• Supervisory Responsibility: No

EDUCATION/EXPERIENCE
* Pharmacy Technician background
* Recent three to five (3-5) years of experience in specialty pharmacy, home infusion and/or home health
* Experience in Microsoft BI. Experience in Outlook, Word, and PowerPoint desired

LICENSE/CERTIFICATION/OTHER SPECIAL REQUIREMENTS
* State pharmacy technician licensure
* PTCB certified technician credentials preferred

KNOWLEDGE/SKILLS/ABILITIES
* Ability to work effectively within a multidisciplinary team

TRAVEL REQUIREMENTS
Percentage of Travel: 0-25%

**To perform this role will require sitting, and typing on a keyboard with fingers for an extensive amount of time, and occasionally standing, walking, bending, and reaching. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**