Reviewing patient care notes for clinical data needed for approvals and care plan recommendations.
Monitoring patient adherence across all sites and disease categories.
Recommending alternative therapeutic drug regimens and disease specific treatments according to guidelines.
Shields Health Solutions provides integrated support to patients and physicians. They improve the quality of patient care by personalizing relationships with patients and prescribers to improve medication adherence and promote evidence-based care.
Communicate with patients over the phone about the benefits of the Shields Partner Pharmacy program.
Access patient EMRs to review charts and identify medication needs.
Identify necessary supplies for medications and ensure proper handling.
Shields Health Solutions partners with hospitals and health systems to create specialty pharmacy programs. They focus on improving medication access, adherence, and clinical outcomes for patients with chronic and complex conditions. The company is an equal opportunity employer that values diversity and inclusion.
Provides integrated off-site support to patients, pharmacists, and providers for total quality patient care.
Delivers medication adherence support utilizing various tools and applications.
Educates prospective pharmacy patients on how the hospital pharmacy improves their overall care.
Shields Health Solutions partners with hospitals to build and manage specialty pharmacies within their systems. They aim to improve medication access, adherence, and outcomes for patients with chronic conditions.
Collaborate with providers to individualize drug therapies promoting safe, effective and economical patient care.
Assume responsibility for monitoring and modifying the drug regimen when referred, to include the ordering and interpretation of laboratory testing.
Act as a drug information resource to providers, nursing staff, research staff and patients.
Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. They operate eight clinical care sites and have a reputation as one of the world’s leading biomedical research centers.
Provide service for inbound pharmacy phone calls and/or placing outbound patient refill calls.
Assist the patient through the entire refill process.
Respond to patient requests and inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy.
Shields Health Solutions partners with hospital leaders to build world-class specialty pharmacy programs. They offer solutions for hospitals to elevate care, improve financial outcomes, and streamline operations.
Communicate with patients and explain the Shields Partner Pharmacy program.
Access patient's EMR and review chart notes prior to outbound calls.
Identify medications requiring special storage and necessary supplies.
Shields Health Solutions proactively grows the specialty pharmacy patient population. They provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type.
Evaluate and review all appeals requests to render coverage determinations based on clinical criteria and medical necessity.
Perform scientific literature evaluation using primary, secondary, and tertiary drug resources to support decision-making and recommendations to providers.
Make clinical prior authorization determinations in accordance with medical necessity and covered benefit guidelines within established turnaround times.
Judi Health offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi® the industry’s leading proprietary Enterprise Health Platform (EHP). Together with our clients, they’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.