Option Care Health

Pharmacist

• Under the direction of a licensed Pharmacist, assists with the preparation and dispensing of medications and supplies.
• Prepares medications so they are accurately compounded.
• Performs basic pharmaceutical calculations to obtain correct dosages of medications.
• Accurately labels and packages medications.
• Participates in the process for assessing, managing, and reporting medication-related incidents.
• Ensures pharmacy surfaces and laminar flow hoods are cleaned and sanitized.
• Inspects equipment and documents any equipment failures or defects.
• Assists with recording and maintaining pharmacy temperature & cleaning logs.

Compounding Pharmacy Technician I

Patient Access Specialist

• Engages with patient, referral source, sales, pharmacy, and nursing to coordinate discharge and secure nursing and delivery.
• Creates, communicates and obtains all required documentation for new referrals.
• Secures patient’s upfront payment including assisting patients to find avenues for payment where needed (identifies opportunities and directs patient to financial assistance program).
• Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing).
• Assist Supervisor and Manager with special assignments as needed.

Clinical Specialist

• Proactively maintains and grows relationships with referrals sources to increase sales and patient starts
• Serves as key point of contact and representative of Option Care to provide education, assistance, and service to referral sources
• Interacts with area service providers on a daily basis to sell Option Care services
• Conducts assessment of patients selected by the hospital for alternative site care
• Uses sales techniques to educate patients, families and facility staff about the services provided
• Provides hands-on, in-person education to patients and caregivers
• Effectively communicates with agency staff, medical team, patients and family throughout discharge
• Responsible for collecting, reviewing pre-admission information and securing related signoff
• Partners with Account Manager and Regional Sales Director to execute area business plan

Clinical Care Transition Specialist, Registered Nurse

• Proactively maintains and grows relationships with referrals sources to increase sales and patient starts.
• Serves as key point of contact and representative of Option Care to provide education, assistance, and service to referral sources.
• Interacts with area service providers on a daily basis to sell Option Care services that could assist in the care for discharging patients.
• Conducts assessment of patients selected by the hospital to ensure patient is a viable candidate for alternative site care.
• Uses sales techniques to educate patients, their families and the facility staff about the services and products provided by Option Care.
• Provides hands on, in person education to patients and their caregivers with the goal of timely discharge and therapy independence.
• Effectively communicates with agency staff, medical team, patients and family throughout the discharge process to implement an effective treatment plan.
• Responsible for collecting, reviewing and completing pre-admission information and securing related signoff.
• Partners with Account Manager and Regional Sales Director to create and execute area business and growth plan.
• Communicates frequently with Account Manager to discuss opportunities, assess progress, and provide feedback related to promoting the services of Option Care.
• Partners with Account Manager and marketing staff to deliver educational and promotional programs to patient/caregiver and referral sources.
• Reviews the patient’s medical record to obtain both pertinent medical history and primary/ secondary insurance payor information and communicates this to patient registration department.
• Proactively initiates care transition coordination with referral sources and internal partners to ensure seamless patient transitions to home or ATS.
• Participates with any data collection required for therapy start and patient tracking process. This may include facilitating the transfer of orders via phone, fax, and e-prescribing.
• Maintains confidentiality of patient and proprietary information and observes legal guidelines for safeguarding the confidentiality of patient and proprietary Option Care information.
• Provides oversight and input to the providers regarding the patient and proper assessment and treatment process and transition to home care.
• Serves as a point of contact, coordination, and communication with other providers.
• Makes arrangements for any special medical supplies or appliances to be available.

• Review/validate basic prescription drug refill requests and process according to OCH policies and procedures.
• Assists with preparing and dispensing medications & supplies.
• Assist with maintaining equipment through calibration, inspection, cleaning, testing, and informing supervisor of any defects.
• Collect & maintain basic patient information required to ensure accurate planning of needed materials/supplies, equipment, and prescriptions.
• Help ensure a positive patient experience through answering basic patient questions and responding to basic patient requests.
• Receives & verifies quantities of incoming supplies & materials.
• Stocks & stores new supplies & materials.
• Review expiration dates.
• Identifying shortages.
• Pick and pack materials & supplies.
• Create tickets.
• Tracking of inventory through accurate data entry into applicable system(s).
• Schedule routine patient deliveries.
• Clean & sanitize surfaces and laminar hood flows.
• Clean & organize supplies.

Clinical Pharmacy Technician I

• Determines the suitability of individual patients for home care
• Collects and organizes all patient-specific information needed to determine the suitability of patients for home care
• Assesses patients' suitability for home care in accordance with Option Care policies
• Designs, recommends, monitors and evaluates patient-specific pharmacy care plans for the pharmacotherapy of home care patients
• When appropriate, makes suitable recommendations for modifications in the prescribed medication therapy
• Collects and organizes patient-specific information needed to prevent, detect, and resolve medication-related problems
• Completes nutritional assessment of patients and makes appropriate recommendation
• Modifies the pharmacy care plans for home care patients based on evaluation of monitoring data
• Provides medication-use education to Option Care staff and home care patients
• Prepares and dispenses medications using appropriate techniques and following Option Care policies and procedures
• Manages the use, maintenance, and troubleshooting of medication administration equipment

Clinical Pharmacist

• Process prescription refills for drugs, PN/high risk, heparin/saline
• Process new drug prescriptions
• Counts, pours, & mixes pharmaceuticals
• Packages products into appropriate containers and labels containers
• Provides training to Clinical Pharmacy Technician I's
• Ensures accurate inventory levels through validation & reporting of received incoming supplies
• Develop purchase orders to address shortages
• Validate removal of expired supplies/materials
• Schedule deliveries
• Collect & maintain patient data & information for assessments
• Respond to non-routine patient questions & requests
• Clean & sanitize surfaces and laminar hood flows
• Clean & organize supplies

Clinical Pharmacy Technician II

General

• Proactively maintains and grows relationships with referrals sources to increase sales and patient starts.
• Serves as key point of contact and representative of Option Care to provide education, assistance, and service to referral sources.
• Interacts with area service providers on a daily basis to sell Option Care services that could assist in the care for discharging patients.
• Works with clinical team to determine if the patient is a viable candidate for alternative site care.
• Uses sales techniques to educate patients, their families and the facility staff about the services and products provided by Option Care.
• Effectively communicates with agency staff, medical team, patients and family throughout the discharge process to implement an effective treatment plan.
• Responsible for collecting, reviewing and completing preadmission information and securing related signoff.
• Partners with Account Manager and Regional Sales Director to create and execute area business and growth plan.
• Communicates frequently with Account Manager to discuss opportunities, assess progress, and provide feedback related to promoting the services of Option Care.
• Partners with Account Manager and marketing staff to coordinate educational and promotional programs to patient/caregiver and referral sources.
• Proactively initiates care transition coordination with referral sources and internal partners to ensure seamless patient transitions to home or ATS.
• Participates with any data collection required for therapy start and patient tracking process. This may include facilitating the transfer of orders via phone, fax, and e-prescribing.
• Reviews the patient’s medical record to obtain both pertinent medical history and primary/ secondary insurance payor information and communicates this to patient registration department.
• Maintains confidentiality of patient and proprietary information and observes legal guidelines for safeguarding the confidentiality of patient and proprietary Option Care information.
• Provides oversight and input to the providers regarding the patient transition to home care.
• Serves as a point of contact, coordination, and communication with other providers.
• Makes arrangements for any special medical supplies or appliances to be available.

Care Transition Coordinator

• Determines suitability of patients for home care.
• Supervises monitors and evaluates the quality of patient care provided by pharmacy staff.
• Oversees daily activities regarding effective operations and communications.
• Oversees activities of the pharmacies in assigned locations.
• Schedules work activities of pharmacy staff.
• Develops and mentors staff through onboarding, communication, training, and performance management processes.
• Oversees product purchasing, inventory, budget, and equipment management.
• Assists SDO in preparing, securing approval for, and implementing operating and expenditure budgets.
• Evaluates and oversees the purchase, management, and security of medications and supplies.
• Provides support to sales professionals and general manager by educating on available services.
• Collects and organizes patient-specific information to prevent and resolve medication-related issues.
• Monitors clinical staff’s documentation for home care and ATS patients.
• Evaluates competency in pharmacokinetic principles.
• Coordinates and participates in on-call responsibilities of the pharmacy department.
• Manages the use of investigational drug products as per regulations.

Director of Pharmacy

Manager

• Manage the negotiation, preparation, financial analysis, business review, and implementation of assigned pharmaceutical contracts for Option Care.
• Resolve reimbursement issues arising from contract compliance issues.
• Manage performance reporting to clients.
• Handle day to day issues that may arise out of existing contractual relationships with accounts.
• Manage internal implementations of assigned agreements with corporate stakeholders, as well as regional intake, operations, and revenue cycle teams in order to ensure success of contract implementation and execution.
• Manage external implementations and foster ongoing relationships with assigned accounts.
• Manage communication with assigned accounts as it relates to demographic changes to Option Care Facilities to insure trade partner agreements are current in order to facilitate national continuity.
• Initiate and lead meetings with health plans and corporate teams, including Pharmaceutical Program Services and Operational leadership, to review provider agreement performance data and scorecards.
• Recommends course of action to reduce/minimize risk to the organization.
• Identifies, and assesses impact of potential changes in the industry or changes related to new state or federal legislation.
• Resolve pricing and service fee related issues identified by internal and/or external trader partners that may be related to contract compliance.
• Attends client meetings where appropriate and in collaboration with Pharmaceutical Program, Business Development or other representative.

Contract Manager, Pharma

Attorney

• Acts as a resource for colleagues; audits work of non-senior colleagues, may direct the work of other staff members.
• Assists in training of new team members.
• Tracking and gathers metrics of projects, renewal and new applications.
• Responsible for completing licensing and provider enrollment applications and all activities surrounding those functions for new, renewal and update scenarios.
• Responsible for notifying states of de-activation or changes related to licenses.
• Participates in project progress calls, presenting progress success/failure information with plans of action.
• Responsible for assisting in the creating and evaluating of documentation and training materials.
• Assists branch offices with all tasks related to Licensing and Provider Enrollment activities.
• Supports legal department with corporate governance, real estate and other matters as assigned.

Senior Legal and Licensing Specialist

Accounts Receivable

• Submits timely, accurate invoices to payer for products and services provided.
• Understands the terms and fee schedule for all contracts for which invoices are submitted.
• Correctly determines quantities and prices for drugs billed.
• Verifies that the services and products are correctly authorized and that required documentation is on file.
• Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided.
• Evaluates payments received for correctness and applies payments accurately to the system.
• Verifies that payments received are correct according to the fee schedule.
• Applies the payment correctly to the patient account.
• Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment.
• Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service.
• Transfers payments belonging to other offices within 48 hours of receipt.
• Follows up on invoices submitted to ensure prompt and timely payment.
• Calls to verify that claims submitted were received and are in processing.
• Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame.
• Generates and mails statements and collections letters.
• Follows-up on all denials within 48 hours of receipt.
• Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule.
• Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.

Revenue Cycle Specialist – AR Specialist – Medical Biller

• Determines the suitability of individual patients for home care.
• Collects and organizes all patient-specific information needed to determine the suitability of patients for home care.
• Assesses patients' suitability for home care in accordance with Option Care policies.
• Medical condition and prescribed medication therapy suitable for home care services and prognosis with clearly defined outcome goals.
• Designs, recommends, monitors and evaluates patient-specific pharmacy care plans for the pharmacotherapy of home care patients.
• When appropriate, makes suitable recommendations for modifications in the prescribed medication therapy or monitoring parameters for a home care patient.
• Collects and organizes patient-specific information needed to prevent, detect, and resolve medication-related problems and to make appropriate medication therapy recommendations.
• Appropriate monitoring parameters are identified for each patient.
• Completes nutritional assessment of patients and makes appropriate recommendation.
• Modifies the pharmacy care plans for home care patients based on evaluation of monitoring data and other pertinent patient-specific information.

• Determines the suitability of individual patients for home care
• Collects and organizes all patient-specific information needed to determine the suitability of patients for home care
• Assesses patients' suitability for home care in accordance with Option Care policies
• Designs, recommends, monitors and evaluates patient-specific pharmacy care plans for the pharmacotherapy of home care patients
• Provides medication-use education to Option Care staff, other professionals, home care patients and/or their caregivers
• Participates in the process for assessing, managing, and reporting medication-related incidents and equipment error and/or failures
• Maintains confidentiality of patient and proprietary information

• Under the supervision of a licensed Pharmacist, assists with ensuring smooth and accurate pharmacy operations in accordance with Option Care Health policies & procedures, and the state's professional standards & regulations.
• Review/validate basic prescription drug refill requests and process according to OCH policies and procedures.
• Assists with preparing and dispensing medications & supplies.
• Assist with maintaining equipment through calibration, inspection, cleaning, testing, and informing supervisor of any defects.
• Collect & maintain basic patient information required to ensure accurate planning of needed materials/supplies, equipment, and prescriptions.
• Help ensure a positive patient experience through answering basic patient questions and responding to basic patient requests.
• Receives & verifies quantities of incoming supplies & materials.
• Stocks & stores new supplies & materials.
• Review expiration dates - Identifying shortages - Pick and pack materials & supplies.
• Create tickets - Tracking of inventory through accurate data entry into applicable system(s).
• Schedule routine patient deliveries.
• Clean & sanitize surfaces and laminar hood flows.
• Clean & organize supplies.