LOREDANA AGBOR

• Prepare and administer vaccines (APHA Certified Immunizer).
• Provide Medication Therapy Management (MTM) services to optimize medication use and reduce the risk of adverse events, as required by CMS.
• Provide prior authorization services (work with Doctors and patients)
• Analyze prescribing trends to monitor patient compliance to prevent excessive usage or harmful interactions.
• Dispense and review prescriptions to ensure accuracy, compliance with professional state and federal regulatory requirements.
• Collaborate with other healthcare professionals to monitor, review, and evaluate patient effectiveness.
• Educate patients on medication use, storage, and side effects.
• Solicit information from patients regarding past and current medication to prevent drug interactions.
• Recruiting, training, and managing staff.
• Ordering and selling medications and other stock.

Processed requests/cases for insurance coverage of formulary and non-formulary drugs that reject at the dispensing pharmacy based on pre-determined plan criteria.

Worked on appealing cases (after Prior Authorization denials) based on guideline criteria.

Worked in collaboration with Medical Directors to overturn or uphold Prior Authorization cases.

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