Pharmacy Technician On Site in Iwakuni, Japan

Arcetyp LLC is a growing small business that provides a broad range of consulting services to US Federal Government, US Military, and Commercial clients. Services include Management & IT Consulting, Program & Project Management, and Professional & Admin Services. We accept direct hire candidates only, W2 employee hires. We do not accept 1099 independent consultants. We do not accept staffing firms. We do not accept corp-to-corp (C2C) candidates. We can't sponsor H1B.Arcetyp LLC is looking for a Pharmacy Technician to support the Government in Japan. This will be an on-site, in-office position with one position located in Iwakuni, Japan.POSITION DUTIES:The Pharmacy Technician will assist in developing and refi ning referral management (RM) to support medical management initiatives at the military treatment facility (MTF).ESSENTIAL JOB FUNCTIONSAssess, monitor and evaluate and assist in processing referrals for authorization. The contractor shallreview specialty care referrals for clinical appropriateness, covered benefit, and administrative andmedical completeness following MTF, DHA, BUMED guidelines and TRICARE policy.The HCW shall input and retrieve patient information for each referral, through the use of variouscomputer systems include Electronic Health Record (EHR), Defense Enrollment Eligibility ReportingSystem (DEERS) and other work programs that are in use in the Referral Management Center.Refer to a physician advisor for clinical review if the HCW and physician cannot reach an agreementon the processing of a referral within one business days. Timelines shall be monitored throughcomputer reporting systems such as Electronic Health Record and TRICARE Reports.Elevate referrals to the medical manager, utilization nurse, and physician advisor for higher level ofreview when there is uncertainty in medical necessity and covered benefit. All referrals for routinecontinental US care will be elevated to the medical manager and director of medical services.Communicate between physician reviewer and the requesting provider in regard to preauthorization.Submit monthly, quarterly, and yearly utilization reports using Electronic Health Record and TRICAREReports. The HCW will report on referral trends, patterns or incidents of under- and/ over- utilizationof resources, network leakage, purchased care costs, network care recapture, continuity of care, andcustomer satisfaction for all beneficiaries. The HCW will discuss patterns and trends with MTFproviders and the Directorate of Healthcare Business leadership to educate and improve processes.The HCW shall present these reports to all medical staff with recommendations for efficient use ofresources.Evaluate monthly through prospective, concurrent, retrospective review, focused reviews, clinicalpathways and clinical practice guidelines for performance outcomes of clinical care. The HCW willreview ten defer to network consults per month to determine consult outcome and if clinical practiceguidelines were met. If not met, the HCW will develop and implement a plan of action for consultmanagement to ensure clinical practice guidelines are met.Identify and communicate all adverse trends and referral management discrepancies in a writtenreport via the chain of command and effectively communicate both verbally and in writing with therequesting physician(s) for clarification and correction. The report is to be submitted whentrend/discrepancies identified.Manage the referral processing center for all beneficiary categories (Active Duty, Active Duty FamilyMembers, Retirees, and their family member, survivors, Department of Defense Civilians, Contractors)of patient clinical referrals and care authorizations to health care specialists in either the direct careor purchased care systems.Provide departmental, directorate, and command performance improvement processescommensurate with this position. The HCW will be responsible for participating in monthly educationprograms, quality assurance functions and process action teams to improve the operations of thereferral management center.Referral management services will be performed in a managed care environment. The RN referralmanager shall adhere to clinical practice guidelines, DHA policies, BUMED Referral ManagementGuidelines; Referral Management policies; TRICARE policies and procedures; and ICD and DRG codes.The contractor shall participate in monthly in-service training for healthcarepractitioners and administrative staff on subjects of referral management and utilization managementservices.Provide the MTF with a report on internal referral management bi-weekly using approved tools andelectronic health record. This report will be disseminated to the medical staff and directorate ofhealthcare business leadership. The RN referral management will manage discrepancies andcollaborate with clinic managers to ensure access to clinical care is delivered according to BUDMED,TRICARE, and DHA policies.Provide education and training on the referral management process, specialty referral guidelines, andrelated policies to beneficiaries, providers, and host nation partners.NECESSARY SKILLS AND KNOWLEDGE:Maintain a level of productivity comparable with that of other individuals performing similar services.Adhere to and comply with the Department of the Navy, Bureau of Medicine and Surgery, and localinstructions and notices in effect during the term of the contract.Practice aseptic techniques as necessary; comply with infection control guidelines to include theproper handling, storage, and disposal of infectious wastes, and the use of universal precautions toprevent the spread of infection.Function with an awareness and application of safety procedures.Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in areduced risk manner.Exercise awareness and sensitivity to patient/significant others' rights, as identified within the MTF.Maintain an awareness of responsibility and accountability for own professional practice.Maintain DoD email account as directed by government supervisor.Exercise appropriate delegation of tasks and duties in the direction and coordination of health careteam members, patient care, and clinic activities.Each HCW providing service under this contract or resultant task orders shall undergo an orientationand shall complete mandatory Navy and DoD on-line training as required.Be able to comply with all applicable Federal, State, and local laws, Department of Defense,Department of Navy, Bureau of Medicine and Surgery, and MTF instructions and policies.Proficiency in Microsoft Office software applications including Word, Excel, Access, PowerPoint, andOutlook.MINIMUM QUALIFICATIONS:Possess and maintain a current certification and registration by the Pharmacy Technician CertificationBoard (PTCB).HCW shall be in good standing, and under no restrictions, with the state licensure board in any statein which a license is held or has been held within the last 10 years.HCW shall be in good standing and under no sanction or suspension by the Federal Government.Possess and maintain current certification in either the American Heart Association BLS for HealthcareProviders or American Heart Association Healthcare Provider Course.Able to read, write, speak, and understand the English language fluently and maintain goodcommunication skills with patients and other health care personnel.Ability to pass all background/suitability checks.A valid driver's license and ability to travel locally as needed.Ability to work some night, weekend, and holiday shifts.PREFERRED QUALIFICATIONS:A thorough understanding of the military lifestyle and experience working with military familymembers.Working knowledge of relevant military, state, federal, and local laws and resources.Highly developed written, oral, and presentation communication skills.Min. Citizenship Status Required: U.S Citizenship.LOCATION: Iwakuni, JapanCOMPENSATION: Pay and benefits information for this position will be provided to interested candidates that apply. Arcetyp offers a package of compensation and benefits to full-time salaried employees.