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Clinical Pharmacy Specialist MCC Infusion

Company

Corewell Health

Location

Grand Rapids, United States

Type

Full-time

About the Medication Care Coordination Infusion Team
The Medication Care Coordination Infusion (MCC) Pharmacy Team is a centralized team currently supporting 28 Infusion Departments across Corewell Health West (CHW), Corewell Health South (CHS) and Corewell Health East (CHE). Tasks within these areas of work include serving as the first-line resource for infusion pharmacy, scheduling, nursing, and provider teams for patient insurance benefit investigation, infusion pre-authorizations, navigating site of care restrictions, externally supplied medications, and insurance formulary preferences while troubleshooting infusion claim payment denials.


Scope of Work


+ Support pharmacy technicians with medication pre-authorization completion through review of relevant clinical patient information, health plan coverage criteria, local coverage determinations set forth by CMS, clinical guidelines, and literature for indications such as oncology and specialty condit...

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