Rana Saleh -RPH
Orland Park
Summary
. Expert communicator when working closely with staff, numerous patients, administrators and healthcare professionals. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Detail-oriented Medical and Health Services Manager passionate about facilitating excellent patient care. Adept at designing and implementing policies and procedures. Motivated team builder and supervisor focused on driving team collaboration. Experienced Pharmacist with over 18 years working in diverse retail Skilled at analyzing doctor notes and prescriptions to ensure timely and effective processing of orders. Strongly committed to regulatory compliance and data accuracy.
Detail-oriented Prior Authorization Specialist proudly offering over 18 years' experience managing medical documents meticulously. Polished professional known for working closely with insurance companies to alleviate denied claims and obtain necessary prior approvals for services. Multitasks expertly in fast-paced environments.
Overview
21
21
years of professional experience
Work History
Staff Pharmacist
Walgreens
Mokena
09.2024 - Current
- Accurately dispensed medications to patients and healthcare providers.
- Conducted medication therapy management reviews for complex cases.
- Provided patient counseling on proper medication use, potential side effects, and drug interactions.
- Collaborated with healthcare professionals to optimize patient care plans.
- Maintained inventory for prescription and over-the-counter medications, ensuring compliance with regulatory standards.
- Administered vaccines, including flu shots and shingles vaccines, per state law.
- Secured drugs against theft and mismanagement by enforcing effective procedures.
- Resolved customer complaints efficiently while promoting a positive organizational image.
Certified Immunizer
CVS Pharmacy
Naperville
08.2008 - Current
- Administered vaccines to immunize patients against flu, pneumonia, shingles, hepatitis A and B, and tetanus.
- Modified treatment plans based on patient responses and conditions.
- Stocked clinical workstations and procedure rooms with essential supplies.
- Responded swiftly to emergency situations, providing optimal care and life-saving interventions.
- Coordinated with healthcare team to establish, implement, and evaluate patient care plans.
- Promoted health by administering immunizations to prevent communicable diseases.
- Ensured patient well-being through effective vaccination programs.
Pharmacy Manager
CVS Pharmacy
Aurora
02.2005 - 05.2023
- Communicated with patients compassionately while safeguarding confidentiality of medical information.
- Collaborated with store manager to ensure smooth daily operations.
- Established secure protocols for drug management to prevent theft and mismanagement.
- Discussed medication options with patients to address individual symptoms effectively.
- Coordinated audits to mitigate regulatory risks and ensure compliance.
- Trained individuals on device usage for optimal medical support.
- Informed patients about flu, DTAP, and HPV vaccine availability.
- Advised patients on drug interactions, side effects, and proper medication storage.
Prior Authorization Pharmacist
simply pure pharmaceutical inc.
Evanston
06.2020 - 02.2022
- As Clinical Pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications
- apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases.
- This role will work by supported systems and take inbound calls from physician or members regarding their pending, approved, or denied prior authorizations.
- Answered patient questions and data requests.
- Provided excellent customer service by assisting customers with medical-related issues and providing healthcare counseling.
- Worked with pharmacy technicians to expedite urgent requests.
- Analyzed prescribing trends to monitor compliance and prevent excessive usage.
- Detected and reported therapeutic incompatibilities.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
Preceptor
Chicago State University
Chicago
01.2008 - 06.2018
- Delivered pharmacological education to students by responding to and answering questions and explaining medication side effects.
- allowed students Interpreted and processed medication orders under my supervision
- advised and Discussed over-the-counter medication and equipment options to help patients deal with individual symptoms.
- teaches CSU internsEntered patient's information into computer system and updated existing data.
- Entered data and prescriptions into patient profiles
Education
Illinois State Board of Pharmacy License
02-2005
Pharmacy
Al Najah National University
06-2000
Immunization
American Pharmacist Association
05-2007
Skills
- Employee Recruitment and Hiring
- Financial Operations Oversight
- Operating Plans Development
- Operational Records Maintenance
- Service Utilization Improvements
- Budget Development
- Employee Supervision
- Employee Training Program
- Medical Condition Coding Software
- Verbal and Written Communication
- Expenditure Authorization
- Decision Making
- Employee Work Scheduling
- Information Systems Development
- Epic Systems
- Data Analysis
- Policy and Program Development
- Time Management
- Quality Assurance Controls
- Regulatory Requirements
- Patient Safety
- Health Information Systems
- HIPAA Guidelines
- Diagnostic Services Monitoring
- Utilization Management
- Accreditation Coordination
- Clinical Staff Management
- Medicare Compliance
- Understanding of Medical Terms
- Precertification Requirements
- Insurance Information Oversight
- Microsoft Office
- Drug Interaction Understanding
- Medication Assessments
- Medication Dispensing and Immunizations
- Prescribing Trend Analysis
- Prescription Review and Dosage
- Insurance Claim Processing Software
- Electronic Medical Records
- Drug Utilization Reviews (DUR)
- Vaccination Administration
- Team leadership
- Effective communication
- Conflict resolution
- Pharmacokinetics analysis
- Retail pharmacy procedures
- Insurance billing expert
- HIPAA regulations compliance
- Quality improvement initiatives
Timeline
Staff Pharmacist
Walgreens
09.2024 - Current
Prior Authorization Pharmacist
simply pure pharmaceutical inc.
06.2020 - 02.2022
Certified Immunizer
CVS Pharmacy
08.2008 - Current
Preceptor
Chicago State University
01.2008 - 06.2018
Pharmacy Manager
CVS Pharmacy
02.2005 - 05.2023
Illinois State Board of Pharmacy License
Pharmacy
Al Najah National University
Immunization
American Pharmacist Association