Advanced Pharmacy Tech/Prior Authorization Specialist

Legacy Community Health is a premium, Federally Qualified Health Center (FQHC) that provides comprehensive care to community members regardless of their ability to pay. Our goal is to treat the entire patient while improving their overall wellness and quality of life, in addition to providing free pregnancy tests, HIV/AIDS screening. At Legacy, we empower patients to lead better lives by promoting healthy behaviors and offering resources such as literacy classes, family planning services, and nutrition and weight management information.

Our roots began in 1981 as the Montrose Clinic, with specialization in HIV education, testing, and treatment. Since then, the agency has expanded to 10 clinics in Houston, one in Baytown, two in Beaumont, and one in Deer Park with extensive services that include: Adult primary care, HIV/AIDS care, pediatrics, OB/GYN and maternity, dental, vision and behavioral health. We also service students within KIPP and YES Prep schools. Legacy is committed to driving healthy change in our communities.

Job Description

The Pharmacy Technician/Medication Adherence ensures patients have access to medications by:

• processing medication renewal requests and prior authorization
• assist patient obtain medications from medication assistance programs
• provide outreach effort to those clients who are at risk of falling out of care by scheduling appointments and provide prescription refills as needed

Essential Functions

• Serves as liaison between Legacy client and the provider/pharmacy to minimize time between medication needs are met.
• Monitor all incoming requests for prescription renewals (i.e. from electronic renewal requests, pharmacies, and patients) and respond as per protocol within 48 hours of receipt.
• Identifies requests that fall outside prescription renewal guidelines and seeks assistance from pharmacist and providers, when appropriate.
• Demonstrates ability to understand provider’s plan for appropriate patient’s follow-up.
• Identifies patients (via report) and takes appropriate actions to ensure patients’ continued accessibility to prescriptions. These actions includes but not limited to making an appointment, providing refill, communicating with provider, and obtain lab orders when necessary.
• Provide last reminder to patient with medications that will soon return-to-stock.
• Document medication non-adherence in the EMR via “Phone Notes” for patients who have frequent incidences of RTS for chronic medications.
• Monitor for and respond to in-coming requests for prior authorization.
• Document prior authorization process per procedure and update status as appropriate.
• Stays abreast of available Pharma’s Patient Assistant Program (PAP) which provides medication access to those who have no other means to pay.
• Monitor for and respond to providers’ referrals for PAP assistance within 24 hours.
• Identify appropriate PAP programs applicable to patient’s needs.
• Maintains accurate and updated documentation for all related work, in Legacy’s EMR and Legacy Pharmacy system.
• Performs additional duties as assigned.

EDUCATION & TRAINING REQUIREMENTS

• High School Diploma or equivalent required
• Certification as a Pharmacy Technician or LVN
• Bilingual (Spanish) preferred

WORK EXPERIENCE REQUIREMENTS

• Minimum 5 years’ experience as a pharmacy technician or LVN

*Includes Medical/Dental/Vision/403b/PTO/Site Incentive/Shift Differential