Clinical Pharmacist (TN or GA 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 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 appropriate.
• 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.
• Implementing clinical interventions including comprehensive pharmacist consultations, 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.
• Monitoring and reporting weekly stats for growth and development, overseeing tech'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 health professionals as necessary regarding patient care.
• Participating in education programs; training pharmacy staff, students, interns, externs, and health care 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.
• Willing to do whatever is necessary for the betterment of the Company.

Skills

• Analyzing information, exercising good judgment.
• Possessing strong verbal and written communication skills.
• Holding deep knowledge of specialty medication pharmacology, local/state/federal pharmacy regulations.
• Managing processes, exhibiting strong technical and clinical skills.
• Exhibiting excellent leadership and management of people.
• Having a constant focus on legal compliance.
• Being highly productive, quality-focused, and attentive to detail.
• Being computer literate with proficiency and working knowledge of database and reporting tools such as: Microsoft Word, Excel, and PowerPoint.
• Having the ability to identify barriers to medication adherence and implement and monitor plans to improve medication 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 focus.
• Empathetic.
• Good listener/communicator.

Specialties

• 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).

Education and Licensure

• Required: PharmD or equivalent advanced degree and be a licensed Pharmacist.
• Additional licensure may need to be obtained within a mutually agreed-upon timeframe.
• Continued employment is contingent upon meeting these requirements.