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Ambulatory Clinical Pharmacist
2 months ago
Improving lives and elevating performance are at the heart of everything we do. That's why more health system leaders trust Shields to elevate access, outcomes and growth within specialty pharmacy - delivering value throughout the entire health system. Leveraging our proven Shields Performance Platform - we deliver the financial results that health systems demand and the superior outcomes patients deserve. With the foremost leaders in specialty pharmacy on our team; proven success partnering with more than 70 health systems; and a vested interest in delivering measurable results - we are the partner health systems trust to transform their specialty pharmacy into a powerful growth engine and elevate performance where it matters most.
Job Purpose:
This person will prepare and dispense retail and specialty medications to patients at the University Hospital Community Pharmacy, provide clinical support to the physicians and ambulatory care pharmacists, and oversee pharmacy operations. This role is 100% onsite.
Job Duties:
The Clinical Pharmacist will help advance quality pharmacotherapy care by actively assuring the provision of safe, efficacious, and cost-effective drug therapy for all Specialty patients. The clinical pharmacist works in the outpatient Specialty Pharmacy call-center and collaborates with all team members utilizing a collaborative practice-based care team model. The pharmacist provides face-to-face and one-on-one phone-based disease management with patients. Responsible for the review of prior authorization requests for medications requested under the pharmacy benefit. The pharmacist will utilize integrated and routine communication with all health care professionals and the patients concerning medical care and quality of life with the emphasis placed on the monitoring and documentation of specific pharmacotherapy outcomes. The clinical pharmacist will consult with the patient to identify, resolve and prevent medication related problems. The clinical pharmacist assesses each of the patient's medications for indication, effectiveness, safety and adherence issues
Medication therapy management, including reviewing and monitoring of medication regimens, advising clinicians on evidence-based therapy as indicated, documenting interventions;
Have the ability to review patients' clinical chart information and determine the appropriateness of requested treatment
Prepares and dispenses medications by reviewing and interpreting physician orders; detecting therapeutic incompatibilities;
Reviewing and interpreting clinician's patient care note/assessments for supportive clinical data needed for prior authorization approvals and development of care plan recommendations.
Develop and refine disease and drug specific clinical protocol to maximize patient adherence and promote evidence-based cost-effective care.
Monitor on-going patient adherence (PDC reports, patient assessment data, and mobile platform data) across all sites and disease categories with focus on oncology and other specialty specific disease states.
Evaluation of EMR to review: drug and disease interaction, medication selection, labs/vitals, allergies, RX orders/renewals and direct MD communication, and other relevant information important to maximize medication adherence and optimize patient outcomes.
Recommending alternative therapeutic drug regimens and disease specific treatments according to guidelines as appropriate.
Monitor and evaluate therapies for side effects or other medication related issues, recommend drug therapy changes to prescribers as appropriate.
Monitor and review prior authorization requests for medications;
Develop clinical criteria and medical policies for the review of medications;
Ensure all clinical criteria is in regulatory compliance with Center of Medicare and Medicaid Services (CMS) and the NJ Division of Consumer Affairs
Ensure all clinical criteria is in clinical compliance with guidance from the Food and Drug Administration (FDA), clinical guidelines, and appropriate evidence-based literature.
Manage, organize, and update relevant data using database applications;
Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards;
Identify trends, resolves problems; recommend improvements; implements change;
Actively participates in process improvement initiatives;
Protects organization's value by keeping information confidential;
Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations;
Willing to do whatever is necessary for the betterment of the Company;
Other duties as assigned;
Experience/Education:
Required Licensure/Certification: Applicant must hold a Doctor of Pharmacy (PharmD) and be a licensed Pharmacist in the state of New Jersey .
Years of Experience: Required 1+ years' experience as a clinical pharmacy manager, preferred 5+ years' experience. Completion of a PGY2 residency specializing in oncology, organ transplant or infectious diseases preferred
Skills: Ability to analyze information, exercise good judgment, possess strong verbal communication skills, have deep knowledge of pharmacology developments and FDA health regulations. Ability to manage processes, exhibit strong technical and clinical skills, maintain constant focus on legal compliance, while being highly productive with a focus on quality and details. Must be computer proficient (knowledge of the Epic and Epic Willow Ambulatory software systems a plus). Strong clinical knowledge of pharmaceuticals and disease states in order to conduct prior authorization reviews. Knowledge of specialty pharmaceuticals and billing practices in the medical and pharmacy benefits.
Traits: Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, good listener/communicator
Other: Energetic, highly motivated, team player with strong personal and communication skills; discretion and confidentiality essential as position deals with highly sensitive and private data
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Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
