Ambulatory Liaison

Ambulatory Liaison

Reports to Manager, Medication Access Program (MAP). Under the supervision of a pharmacist and direction of a Pharmacy Technician Supervisor or Technician Group Leader, the Ambulatory Liaison, utilizes established MAP processes to facilitate affordable, accessible, and reliable pharmacy services for patients. Interacts effectively and compassionately with patients and families. Acts as an agent of the provider to authorize refills in accordance with established practices, policies, and guidelines.

Interacts effectively and professionally with other health care providers at all levels including, but not limited to, providers, nurses, and support personnel. Utilizes the patient's electronic health record (EHR) to obtain accurate and necessary patient information needed to process prescriptions and payment transactions. Accesses, inputs, and retrieves information using multiple pharmacy system applications.

Exhibits a friendly, pleasant, and helpful nature demonstrating a strong customer service orientation when interacting with patients, their families, providers, nurses, and support personnel. Maintains and supports pharmacy interdepartmental relationships to ensure seamless transition of patient care from clinic to pharmacy. Protects and maintains patient confidentiality in accordance with Health Insurance Portability and Accountability Act (HIPAA) guidelines. Collects customer/patient personal information necessary for filling prescriptions, benefits investigation, prior authorization, and/or financial assistance applications.

Enters pertinent patient data into appropriate organizational systems to ensure accurate charging for services and processing of insurance billing, payments, and co-pay information.

Participates in the growth of the Brown University Health Pharmacy (LP) patient population through recruitment of ambulatory care patients. Responds to questions relative to cost and availability of medication and pharmaceutical supplies. Informs customers/patients, providers, and support personnel of wait times and any issues regarding drug availability, including advising on the refill authorization process for expired prescription orders. Encourages patient retention through the development of individual relationships with assigned patients.

Proactively contacts patients via phone, in-person, or other supervisor approved modality to assess patient need for medication, including estimations of patient adherence such as medication supply on hand. Assists patients/customers in resolving identified problems. Proactively identifies patients with clinical needs such as questions concerning medications and drug interactions and refers such patients to a pharmacist.

Participates in quality assessment and improvement activities. Assists in identifying improvement opportunities and in the development of new processes. Participates in medication safety initiatives related to LP and uses approved processes for reporting actual, prevented and near miss medication errors. Under the guidance of a pharmacist and direction of a Technician Supervisor or Group Leader assists in training, onboarding, and supporting fellow staff.

Conducts a benefits investigation for patients, identifies coverage details that the patient or patient's representative is unable to provide. Navigates the EHR to effectively answer questions and provide documentation as needed for prior authorizations and/or financial assistance application. Performs prior authorizations, appeals, and tier exceptions as necessary, on provider's behalf, and relays results to patients, families, providers, and pharmacies as appropriate.

Secures treatment related financial assistance for patients whenever possible including, but not limited to, manufacturer assistance programs, discount programs, and nationally recognized foundations. Refers patients to medication manufacturer assistance programs and assists with application to said programs, when applicable. Coordinates submission of financial assistance application between patient, clinic, and providers to ensure all paperwork is submitted appropriately for qualifying patients.

Acting as the agent of a provider, who is a licensed clinician, employed, or under contract with a Brown University Health affiliated entity and has agreed in writing to participate (Opt-in) in the Brown University Health Medication Access Program (MAP), hereinafter referred to as Provider, the Ambulatory Liaison authorizes prescription refills in accordance with the document entitled "Brown University Health Medication Access Refill Guideline".

Acting as the agent of a Provider communicates to Provider's patients or their pharmacy the Provider's approval of refills permitted under the Brown University Health MAP. Using the MAP and the conditions set forth in the "Brown University Health Medication Access Refill Standards" approves prescription refills under certain conditions while requiring further consultation with the…