Maricela Hernandez

• Provides LifeLong patients with medication resource support, information, and management.
• Helps patients determine the most appropriate sources for their prescription medications and referring patients to appropriate programs and resources- discount pharmacies, Patient Assistance Programs, Dispensary, or Lifelong contract pharmacies.
• Assist providers with prescribing, including formulary expertise and Prior Authorization technical assistance.
• Provides clinic-level 340B compliance and expertise.
• Maintains clinic drug management processes and records in accordance with CA Board of Pharmacy regulations, DEA, and FDA requirements.
• Helps manage clinic medication expenditures.
• Assists with regulatory audits

Manages Refill requests «««««

• Reviews incoming patient meds refill requests and makes recommendations regarding required patient care and refills based on written protocols.
• Refers refill requests to providers or RNs according to protocols.

Medication Access Support: ««««

• Assists Health PAC/FSFS/Medicare and uninsured patients including donut hole and patients whose meds are not covered despite other coverage to access Medication Programs:.
• Works with uninsured patients to determine the most appropriate sources for their prescription medications and referring patients to appropriate programs and resources-Patient Assistance Programs, discount pharmacies, Dispensary, or Lifelong contract pharmacy. This activity is for all patients, insured or uninsured.
• Determines Lifelong Health PAC formulary medications to be dispensed directly to patient from clinic by analyzing provider prescribing patterns
• Verifies eligibility for medication programs and updates/maintaining pharmacy data base with Lifelong contract pharmacies
• Works with providers to ensure adherence to Lifelong Health PAC formulary

Resolves pharmacy eligibility and medication issues: «««

• Assists patients, providers, and nursing staff in researching and resolving non-refill related -pharmacy issues, such as insurance issues, claims processing, adjudication, and formulary coverage.
• Interfaces with community pharmacies

Dispensary Management «««

• Assists Providers with dispensing and RNs with refills
• Keeps appropriate on hand supplies of all medications Ordering and receiving dispensary medications from multiple sources
  Managing samples
  Ordering and maintaining Direct Relief and other donated meds
• Tracking all categories of medications-purchased 340B meds, DAP, Samples, Direct Relief and other donated meds
• Reports monthly of utilization, inventory, and expenditures
• Completes monthly dispensary inventories and annual end of fiscal year drug inventories
• Disposes of expired/outdated medications according to state and federal requirements
• Environmental maintenance- refrigerator, room, software

Prior Authorizations (Provides technical expertise for Pas)«««

• Researches patient prescription plan and demographic information
• Researches prescription plan formulary alternatives (formulary lookups and alternative resources)
• Initiates paperwork and forwarding to prescriber for consideration
• Documents and tracks completed Prior Authorization request forms, approvals or denials of requests via EHR
• Contacts insurance/pharmacy and/or patient for any necessary follow-up
• Transfers Medicare Part D prior authorizations each insurance plan year

Drug Assistance Programs: ««

• Assists patients with DAP program applications and meds
• Initiating DAP applications
• Receiving medications
• Tracking patient eligibility
• Ordering refills for existing DAP patients
• Serve as patient advocate to Patient Assistance Program
• Maintains records in accordance with CA Board of Pharmacy regulations and other regulatory entities
• Monthly reporting of financial savings to clinic

Drug recalls:

• Monitors dispensary and clinic stock meds inventory for drug recalls, completing required activities and paperwork
• Serve as patient advocate to Patient Assistance Programs
• Maintains records in accordance with CA Board of Pharmacy regulations and other regulatory entities
• Monthly reporting of financial savings to clinic

Manages Refill requests «««««

• Reviews incoming patient meds refill requests and makes recommendations regarding required patient care and refills based on written protocols.
• Refers refill requests to providers or RNs according to protocols.

Medication Access Support: ««««

• Assists Health PAC/FSFS/Medicare and uninsured patients including donut hole and patients whose meds are not covered despite other coverage to access Medication Programs:.
• Works with uninsured patients to determine the most appropriate sources for their prescription medications and referring patients to appropriate programs and resources-Patient Assistance Programs, discount pharmacies, Dispensary, or Lifelong contract pharmacy. This activity is for all patients, insured or uninsured.
• Determines Lifelong Health PAC formulary medications to be dispensed directly to patient from clinic by analyzing provider prescribing patterns
• Verifies eligibility for medication programs and updates/maintaining pharmacy data base with Lifelong contract pharmacies
• Works with providers to ensure adherence to Lifelong Health PAC formulary

Resolves pharmacy eligibility and medication issues: «««

• Assists patients, providers, and nursing staff in researching and resolving non-refill related -pharmacy issues, such as insurance issues, claims processing, adjudication, and formulary coverage.
• Interfaces with community pharmacies

Dispensary Management «««

• Assists Providers with dispensing and RNs with refills
• Keeps appropriate on hand supplies of all medicationsOrdering and receiving dispensary medications from multiple sources
  Managing samples
  Ordering and maintaining Direct Relief and other donated meds
  
• Tracking all categories of medications-purchased 340B meds, DAP, Samples, Direct Relief and other donated meds
• Reports monthly of utilization, inventory, and expenditures
• Completes monthly dispensary inventories and annual end of fiscal year drug inventories
• Disposes of expired/outdated medications according to state and federal requirements
• Environmental maintenance- refrigerator, room, software

Prior Authorizations (Provides technical expertise for Pas)«««

• Researches patient prescription plan and demographic information
• Researches prescription plan formulary alternatives (formulary lookups and alternative resources)
• Initiates paperwork and forwarding to prescriber for consideration
• Documents and tracks completed Prior Authorization request forms, approvals or denials of requests via EHR
• Contacts insurance/pharmacy and/or patient for any necessary follow-up
• Transfers Medicare Part D prior authorizations each insurance plan year

Drug Assistance Programs: ««

• Assists patients with DAP program applications and meds
• Initiating DAP applications
• Receiving medications
• Tracking patient eligibility
• Ordering refills for existing DAP patients
• Serve as patient advocate to Patient Assistance Program
• Maintains records in accordance with CA Board of Pharmacy regulations and other regulatory entities
• Monthly reporting of financial savings to clinic

Drug recalls:

• Monitors dispensary and clinic stock meds inventory for drug recalls, completing required activities and paperwork
• Serve as patient advocate to Patient Assistance Programs
• Maintains records in accordance with CA Board of Pharmacy regulations and other regulatory entities
• Monthly reporting of financial savings to clinic
• Receives, stores, and helps dispense medication samples

Administrative

• Utilize an Electronic Health Record system to document patient registration, chief complaint, vital signs, review of systems, medication and health history, community health measures, including tobacco use and patient tracking.
• Assist in patient flow by timely rooming of patients and maintaining an awareness of exam room availability and timing.
• Perform patient discharge activities, including but not limited to completion of referral forms, instructions regarding filling prescriptions, making appointments, copying forms and other activities as needed.
• Willingness to cross-train and perform the functions of financial eligibility, cashiering and telephone operations.

Clinical

• Prepare exam rooms before and after patient examinations according to clinic infection control procedures.
• Perform injection of vaccines and basic in-clinic lab tests including but not limited to urine dipstick, hemoglobin A1C, regular hemoglobin, rapid strep, pregnancy test and glucose level tests as ordered by provider.
• Perform phlebotomy as needed.
• Perform EKG, ear lavage, audiometry testing and other tests as necessary.
• Assist practitioners during examinations as needed.
• Provide patient education and information as instructed by clinic practitioners and clinic protocols.

Medical Office Maintenance

• Maintain adequate stock of medical supplies and forms in clinic areas and at the MA Station, checking supply levels regularly.
• Clean, sterilize and stock reusable instruments, as needed.
• Keep all clinic areas neat and clean at all times.