PURPOSE AND SCOPE:

Promotes quality patient care,ongoingcustomer supportfor Fresenius Medical Care (FMCNA)renalpatient population (internal and external) by providing guidance, support, care coordination, education and other resource coordination functions as defined by the pertinent program. Manages the implementation of the pertinent program as assigned while acting as the subject matter expert and resource for patients, dialysis staff, and other healthcare professionals. Services are provided in person and telephonically. On-site visits to clinics are required. The position coordinates activities with physicians, dialysis facilities, and pharmacies to ensure that patients’ medication profiles are accurately completed and that patients receive their necessary medications and medication refills in a timely manner.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Ensures that patient medication profiles are accurate and reviewed in a timely manner.
• Ensures that patient prescription needs are met in a timely manner.
• Speaks with physicians, nurses, or dietitians to verify correct information about specific prescriptions.
• Periodically submits requests for prescription refills from patients, dialysis clinic staff, or physicians.
• Provides follow-up as necessary to ensure the timely receipt of prescriptions.
• Contacts pharmacies to execute patient medication fulfillment.
• Periodically engages with patients to determine how they manage their prescriptions and identify opportunities to provide them with support that ensures timely access to their prescribed medications, convenience of managing their prescriptions, and drives medication adherence to better achieve therapy goals.
• Familiar with pharmacy operations at all Fresenius Rx locations, including outsourcing operations.
• Coordinates the evaluation and enhancement of pharmacy enrollment and utilization tracking tools.
• Communicates regularly with other teams such as nutrition services, social work services, quality and operations, obtaining feedback and analyzing the recommendations made to contribute to the resolution of related issues and create positive outcomes.
• Adheres to company, department, program policies and clinical guidelines to identify, review, assess and allocate patients for program participation according to their identified needs.
• Maintains and updates the appropriate software/tracking logs of patients in the program to manage and record required information and data.
• Complies with departmental and program quality standards and quality assessment and performance improvement requirements.
• Maintains integrity of Protected Health Information (PHI).
• Complies with all company and departmental required data collections and auditing activities.
• Acts as a resource for the customer to address concerns and questions.
• Participates in process improvement activities.
• Participates in project-based assignments.
• Maintains current knowledge of the departmental program software and the company’s clinical information systems.
• Performs other related duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Routine travel and visits to clinics is required by the program.

SUPERVISION:   NONE

EDUCATION AND REQUIRED CREDENTIALS:

• High School Diploma required; associate degree desirable.