Brown Medicine
Brown Medicine
Posted 2 months ago
Internship
East Providence, Rhode Island
In Person
Smart Summary
Responsibilities
The Pharmacy Intern assists with the refill and prior authorization process by reviewing insurance formularies and electronic health records. They also communicate status updates to providers, patients, and pharmacies while maintaining accurate documentation.
Qualifications
You are a pharmacy student in years 2 through 4 (P2-P4) with a Rhode Island State Board of Pharmacy Intern license. You have knowledge of medical terminology, medication names, and insurance coverage, along with proficiency in computer skills including Microsoft Word, Excel, and web-based applications.
Must Have Skills for ATS
Medical terminology
Medication names
Insurance formularies
Electronic health record
Microsoft Word
Microsoft Excel
Web-based applications
Medicare Part B
Medicare Part D
Controlled substance dispensing law
Job Description
SUMMARY:
The Pharmacy Intern is responsible for assisting with the refill and prior authorization process in accordance with organizational policies and procedures. The Pharmacy Intern uses technical skills, education, experience, and interpersonal skills to meet organizational needs and priorities. This individual should be flexible and adaptable to meet changing priorities of the organization and fulfill other duties and projects as assigned.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Transmits refill authorizations of non-controlled medications and durable medical equipment supplies (under the auspices of the prescriber) in accordance with policies and procedures.
Assists with medication prior authorization submission by reviewing insurance formularies, the patient’s electronic health record, and when appropriate, completing third party authorization forms.
Tracks prior authorization outcomes and updates providers, patients, and pharmacies of prior authorization status.
Uploads medication-related documents into the electronic health record, as needed.
Communicates effectively on the status of refill or prior authorization requests through the electronic health record or in person. Conversations and work performed are succinctly and accurately documented in the record.
Works directly with the patient’s pharmacy and/or pharmacy benefit management company to resolve prescription-related issues.
Maintains and enhances professional expertise through appropriate education activities. May attend training for specific areas of responsibility.
Performs other duties as assigned.
MINIMUM QUALIFICATIONS
BASIC KNOWLEDGE
Medical terminology, brand and generic names of medications, general pharmacy terminology
Ability to understand both metric and avoirdupois measures
Knowledge of appropriate dispensing amounts for prescriptions in a measurement format anticipated by the pharmacy
Knowledge of common quantity limited or step-edited medications and strategies to manage these barriers
A general understanding of which medications may be preferred or required prior to coverage of medications that commonly require prior authorization
Familiarity with cost burden of different classes of medications
Familiarity with local prescription insurance coverage benefit designs. Understanding of Medicare coverage as it pertains to medications, including an ability to distinguish coverage of a medication under Medicare Part B versus Part D
Good understanding of controlled substance dispensing law
Ability to identify and triage medication priorities/emergencies
Effectively interacts with patients, families, and other healthcare professionals
Ability to work independently and flex priorities based on the needs of the department
Proficiency with computer skills (i.e. Microsoft Word, Excel, and web-based applications)
EDUCATION & EXPERIENCE:
Must be a professional pharmacy student in years 2 through 4 (P2-P4)
Rhode Island State Board of Pharmacy Intern license in good standing required
Pay Range:
$18.00-$27.13EEO Statement:
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
Location:
East Providence-375 Wampanoag Trail - 375 Wampanoag Trail East Providence, Rhode Island 02915Work Type:
per diemWork Shift:
DayDaily Hours:
Per Diem - As requiredDriving Required:
NoBrown Medicine
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