Clinical Pharmacist North Carolina license required

Job Duties

• Reviewing and interpreting clinician's patient care note/assessments for supportive clinical data needed for prior authorization approvals and development of care plan recommendations.
• Developing and refining disease and drug specific clinical protocols to maximize patient adherence and promote evidence-based cost-effective care.
• Monitoring ongoing patient adherence (PDC reports, patient assessment data, and mobile platform data) across all sites and disease categories with a focus on oncology and other specialty-specific disease states.
• Evaluating electronic medical records (EMR) to review: drug and disease interactions, medication selection, labs/vitals, allergies, RX orders/renewals, and direct MD communication, and other relevant information to maximize medication adherence and optimize patient outcomes.
• Recommending alternative therapeutic drug regimens and disease-specific treatments according to guidelines as appropriate.
• Monitoring and evaluating therapies for side effects or other medication-related issues, recommending drug therapy changes to prescribers as necessary.
• Medication therapy management (MTM): including reviewing and monitoring of medication regimens, advising clinicians on evidence-based therapy as indicated, documenting interventions; assessing patient adherence rates.
• Clinical interventions including but not limited to comprehensive pharmacist consultation, motivational interviewing/coaching, drug regimen optimization, medication reconciliation, medication lists/reminders, medication synchronization, coordinating home nurse visits, transitions between liaison/PSC, utilizing mobile apps or other technologies.
• Productivity monitoring and reporting weekly statistics for growth and development.
• Overseeing support personnel's daily activities and verifying accuracy on: delivery coordination slips, prior authorizations submitted, ongoing PA logs activity, and proactive management of care utilization within each specialty as per protocol.
• Identifying and resolving insurance-related issues, recognizing situations where financial assistance can be applied.
• Supervising communication of support personnel compliant with HIPAA rules and regulations.
• Maintaining current registration and all remote pharmacist activity to comply with local, state, and federal drug laws as regulated by each state board of pharmacy and the DEA.
• Direct communication with other healthcare professionals as necessary regarding patient care.
• Developing own knowledge by participating in education programs; training pharmacy staff, students, interns, externs, and healthcare professionals.
• Managing, organizing, and updating relevant data using database applications.
• Applying observations and recommendations to operational issues, increasing productivity, quality, and customer service standards.
• Aiding in research projects and peer reviewing articles as needed.
• Identifying trends, resolving problems; recommending improvements; implementing change.
• Actively participating in process improvement initiatives.
• Protecting organization's value by keeping information confidential.
• Updating job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
• Willingness to do whatever is necessary for the betterment of the company.

Skills

• Analyze information
• Exercise good judgment
• Possess strong verbal and written communication skills
• Have deep knowledge of specialty medication pharmacology
• Local/state/federal pharmacy regulations
• Manage processes
• Exhibit strong technical and clinical skills
• Excellent leadership and management of people
• Constant focus on legal compliance
• Highly productive
• Quality-focused and attention to detail
• Knowledge of complex/chronic diseases states and therapies used within specialty pharmacy: Oncology, Transplant, Hepatitis C, Infectious Disease (including HIV), Multiple Sclerosis, Rheumatoid Arthritis, GI disorders (including IBD), Cystic Fibrosis, Psoriasis, Hyperlipidemia, and many various inflammatory conditions (including Lupus)
• Computer literacy with proficiency and working knowledge of database and reporting tools such as: Microsoft Word, Excel, and PowerPoint
• Ability to identify barriers to medication adherence and implement and monitor plans to improve adherence
• The ability to motivate and coach patients to help them achieve better outcomes and identify goals of therapy

Traits

• Organized
• High integrity
• Attention to detail
• Dependable
• Quality-focused
• 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
• Computer skills required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms
• Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process
• 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.