Shields Health Solutions

Pharmacist

• Provides integrated off-site support to patients, pharmacists, and providers.
• Works closely with patients to deliver medication adherence support.
• Provide “legendary” care to hospital patients by offering custom medication management services.
• Serve as an off-site member of the clinic team providing prior authorization, and financial assistance.
• Educate prospective pharmacy patients on the hospital pharmacy’s services.
• Handle all medication needs of patients.
• Grow the specialty pharmacies patient population by adhering to Shields’ programs.
• Resolve insurance related issues and complete benefit investigations.
• Review patient’s need for financial assistance and secure it when needed.
• Document patient information within the hospital EMR and other tools required.
• Ensure that patients remain on track with medication regimens.
• Secure prescription renewals and assist patients with the awareness of their medications.
• Identify medications requiring special storage and handling.
• Answer, resolve and triage inbound inquiries.
• Achieve operational objectives by inputting data and preparing action plans for follow-up.
• Actively participate in process improvement initiatives.
• Protect organization's value by keeping information confidential.
• Update knowledge through educational opportunities and professional publications.
• Other duties as assigned.

Specialty Pharmacy Technician – Russian Speaking

• Provide integrated off-site support to patients, pharmacists, and providers
• Deliver medication adherence support
• Handle medication needs of patients
• Educate patients on pharmacy services
• Resolve insurance-related issues and assist in obtaining financial aid

Specialty Pharmacy Technician

• Provide patient care by removing the barriers to medication access
• Work with insurance companies and clinician offices to facilitate approval of medications through prior authorizations
• Provide phone support to patients by navigating pharmacy dispensing systems to adjudicate claims, refill medications, and increase adherence in patients
• Directly communicate with insurance companies to facilitate the approval of medications
• Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action plans for follow-up
• Effectively communicate across databases, electronic medical records and emails to document patient concerns, prior authorization status, and financial assistance needs
• Review prescriptions with doctors' offices to ensure optimal care of the patient
• Keep complete and accurate records of patient communications
• Assist patients in the management of their pharmacy insurance claims
• Work closely with pharmacists and pharmacy liaisons to provide an integrated approach quality patient care
• Communicate directly with patients over the phone to assist them in all aspects of medication compliance
• Research and investigate information to enable strategic decision-making by others
• Manage, organize, and update relevant data using database applications
• Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards
• Identify trends, resolve problems; recommend improvements; implement change
• Actively participate in process improvement initiatives
• Act as a value-added business partner to stakeholders throughout the organization
• Protect organization's value by keeping information confidential
• Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations
• Minimal in or out of state travel may be required
• Perform other duties as assigned

Prior Authorization Technician – Pharmacy Technician

• Coordinate and process medication refills, including data entry and claim adjudication
• Place outbound refill calls and assist patients through the refill request
• Respond to and resolve inbound patient and provider inquiries
• Clarify prescription orders with pharmacists or clinical staff
• Maintain and update patient and prescription data in software systems
• Spot trends, recommend improvements, and support process-improvement initiatives
• Partner with cross-functional teams to deliver a seamless patient experience
• Maintain confidentiality and uphold high-quality service standards

Pharmacy Technician

• Always show kindness and compassion while providing knowledgeable and courteous assistance to patients, providers and pharmacy team members.
• Make assigned outbound patient refill phone calls and complete the patient refill requests in a timely manner.
• Answer, resolve and triage inbound inquiries appropriately.
• Clarify prescription orders with pharmacist and/or clinician as appropriate.
• Proactively coordinate medication refills including data entry and ensuring correct days supply is entered for all fills.
• Following through with claim adjudication and troubleshooting and reject codes.
• Partnering with pharmacy to ensure proper in-stock of medications.
• Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication.
• Identify supplies necessary for select medications such sharps containers, needles/syringes, alcohol swabs, Band-Aids.
• Properly discontinuing patients off service when appropriate.
• Documenting work appropriately across all systems.
• Manage, organize, and update relevant data using database applications.
• Other duties that facilitate patient access to medications as assigned
• Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.
• Identify trends, resolve problems, recommend improvements, implement change.
• Actively participate in process improvement initiatives.
• Act as a value-added business partner to stakeholders throughout the organization.
• Protect organization's value by keeping information confidential.
• Maintain updated knowledge by participating in educational opportunities; reading professional publications; maintaining networks; participating in professional organizations.

Pharmacy Refill Technician

• Provide "legendary" care to hospital patients with medication management services
• Work alongside hospital clinicians face-to-face and over the phone
• Educate prospective pharmacy patients on hospital services
• Ensure patients remain on track with medication regimens
• Communicate effectively with the centralized Patient Service Center
• Help develop new processes for smooth operations

Pharmacy Liaison

• Collaborate with clinic teams to deliver hands-on patient care.
• Educate patients on pharmacy services and assist with specialty prescriptions.
• Submit prior authorizations, conduct refill reminders, resolve insurance issues, and support financial assistance.
• Maintain accurate documentation and contribute to process improvements.

• Provide comprehensive medication management, including reconciliation, dose optimization, adherence support, and drug-level assessments aligned with evidence-based standards.
• Partner with physicians, specialists, and interdisciplinary teams to order individualized care plans under a CPA and promote seamless medication coordination.
• Monitor therapy effectiveness and safety, identify optimization and intervene as appropriate.
• Support quality-improvement and REMS initiatives.
• Provide recommendations to operations by supporting teammates as needed with complex prior authorizations, improving workflows, educating patients, and maintaining ongoing clinical development.

Oncology Clinical Pharmacy Specialist

Clinical Pharmacy Specialist

• Provide comprehensive medication management, including reconciliation, dose optimization, adherence support, and drug‑level assessments aligned with evidence‑based standards.
• Partner with physicians, specialists, and interdisciplinary teams to order individualized care plans under a CPA and promote seamless medication coordination.
• Monitor therapy effectiveness and safety, identify optimization and intervene as appropriate.
• Support quality‑improvement and REMS initiatives.
• Provide recommendations to operations by supporting teammates as needed with complex prior authorizations, improving workflows, educating patients, and maintaining ongoing clinical development.

• Make outbound calls to eligible patients and enroll them with Shields Partner Pharmacy
• Educate patients on the services offered by the Shields Specialty Pharmacy Program

Outbound Call Specialist – Specialty Pharmacy

• Provide integrated support to patients and physicians
• Review and interpret clinician's patient care notes
• Develop and refine disease and drug-specific clinical protocols
• Monitor ongoing patient adherence across all sites
• Recommend alternative therapeutic drug regimens
• Medication therapy management
• Direct communication with health professionals
• Supervise support personnel compliant with HIPAA rules

Clinical Pharmacist, NY License Required

• Provide integrated support to patients and physicians
• Review and interpret clinician's patient care notes
• Develop and refine clinical protocols
• Monitor ongoing patient adherence
• Evaluate EMR for medication adherence
• Recommend therapeutic drug regimens
• Medication therapy management (MTM)
• Clinical interventions including comprehensive pharmacist consultation
• Productivity monitoring and reporting
• Identifying and resolving insurance related issues
• Communicating with support personnel compliant with HIPPA rules
• Updating job knowledge by participating in educational opportunities

Clinical Pharmacist – LA & MS License Required

• Provide integrated support to patients and physicians
• Develop personalized relationships with patients and prescribers
• Review and interpret clinician's patient care notes for supportive clinical data
• Develop disease and drug specific clinical protocols
• Monitor ongoing patient adherence across all sites
• Evaluate EMR to review interactions, medication selection, labs, allergies, and communication
• Recommend alternative therapeutic drug regimens
• Monitor therapies for side effects and recommend changes
• Manage and document medication therapy management
• Oversee tech's daily activities
• Identify and resolve insurance related issues
• Maintain HIPPA compliance
• Train pharmacy staff, students, interns, and healthcare professionals
• Assist with research projects and peer reviewing articles