Pharmacy Customer Care Specialist Resume Cincinnati, OH - Hire IT People

OBJECTIVE:

Secure a position within a company that has advancement opportunities with a mature and professional atmosphere.

PROFESSIONAL EXPERIENCE:

Confidential, Cincinnati, OH

Pharmacy Customer Care Specialist

Responsibilities:

Resolve member and provider concerns and provide guidance through the Humana Clinical Pharmacy Review prior authorization process.
Make determinations on the coverage of medications, if possible, via phone.
Refill mail order medications, document payments, provide shipping information, and answer non clinical questions the caller may have for Humana and Humana Specialty Pharmacies.Documented member experiences and concerns by use of surveys.
Process faxes that come in for prior authorizations for medications.
Took calls for the re - contracting process in 2009 for 2010.
Worked on a pilot to help eliminate address and refill-too-soon errors.Provided non-clinical advice to members.
Was a “team captain” for my team. I would assist in helping my fellow teammates with metric and other issues.
Completed any other duties delegated to me by a FLL.

Confidential, Cincinnati, OH

Residential Support Worker

Responsibilities:

Monitor and document the daily activities of all residents in the building
Monitor and document the medications and the times taken.
Refilling medications for clients that needed assistance.
Perform room inspections.
Preformed fire drills.
Learned each individuals’ case history.
Maintained the cleanliness and safety of the common areas by directing the clients.
Assist in meal preparations.
Preformed the intake for the new clients that came in from the Drop Inn Center or other facilities.
Intervene in resident altercations and alert case managers of incidents.
Prepared books for state audits.
Assisted clients in finding resources in the community for various personal reasons.
Interacted with the clients by playing games or organizing a movie night.
Listened to concerns and issues they may have and provided advice when asked.
Reminding clients of medical appointments, case manager and house meetings.
Perform any other duties at supervisor’s discretion.

Confidential, Cincinnati, OH

Direct Support Specialist

Responsibilities:

Administer medications at the correct times and document any reactions.
Escort individuals to appointments and activities.
Oversee and assist individuals as they perform various projects such as cooking, cleaning, and laundry.
Responsible for the day-to-day supervision and direction of the individuals to ensure their safety, health, and compliance with facility standards and rules.
Assist and instruct with toileting, personal hygiene, and changing individual.
Intervene in the altercations between individuals and attempt to de-escalate any issues.
Attend meetings to discuss behavioral issues regarding individuals to ensure their problems are appropriately resolved.
Document observation results for each individual.
Escort Individuals to meals and assist when necessary.
Wake individuals for work or day programs.
Spoke to individuals’ families about any concerns or issues they may have about their loved one.
Maintained books for state audits.
Perform any other work as assigned.

Confidential, Hebron, Ky

Team Leader

Responsibilities:

Confidential, Cincinnati, OH

Security Guard

Responsibilities: