Clinical Pharmacist - Transition of Care

Under limited supervision, the clinical pharmacist will work with an identified patient population to assure medication adherence and appropriate utilization of medications. Works within a multidisciplinary team and does their part to assist these patients achieve their optimal health status.

Education:

• Pharm D from an accredited college or university or BS in Pharmacy from an accredited pharmacy school, college or university
• Completion of an ASHP accredited pharmacy practice residency, specialty residency or a fellowship; or five years relative clinical experience required. Completion of a PGY2 Residency is preferred

Licensures/Certifications:

• Licensure as a Pharmacist by the State of Maryland
• Certification from the Board of Pharmacy Specialties is preferred

Experience:

• Experience in inpatient and ambulatory clinical pharmacy practice
• Board Certified in Pharmacotherapy (BCPS), Ambulatory Care (BCACP), but not required

Physical Requirements

• Ability to travel different locations, includes ability to drive, negotiate stairs and walkways

Working conditions

• Normal office environment
• Normal hospital environment
• Must have reliable transportation

Skills:
• Demonstrated ability to collaborate clinical care ideas across multiple patient care services and to communicate effectively as a patient advocate
• Demonstrated commitment to adhering to a high standard of personal and professional conduct and possess excellent interpersonal and communication skills and problem-solving skills
• Demonstrated ability to interact with a diverse population and work effectively with a multidisciplinary team, handling multiple responsibilities in a fast-paced environment

Patient & Workplace Safety: 

• Employee has knowledge and understanding of patient and workforce safety as it relates to job duties. ​

Patient Population: 

• Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable. 

Principal Duties and Responsibilities:
• Develop a transition of care program (focusing on the transition from hospital discharge to outpatient primary care follow-up) that provides medication reconciliation, medication assessments/recommendations, and medication education to identified patients
• Under a collaborative agreement, provide ambulatory clinical pharmacy services including, but not limited to, disease management and comprehensive medication review for identified high-risk patients transitioning from inpatient to outpatient
• Design and implement workflows and EMR functionality that supports patient identification, patient referral, patient scheduling, patient assessment and documentation; review patient claims and electronic medical record data to tailor patient & provider interventions
• Participate in patient care in the inpatient and outpatient settings; assess and make recommendations to optimize individual’s medication therapy, and provide personalized education and information, through virtual and telephonic interactions with patients and their providers, as relevant
• Provide direct and indirect patient services as part of a broader program focused on empowering patients through self-management principles; use motivational interviewing techniques to promote self-management principles and empower patients to achieve optimal medication-related outcomes in conjunction with their health care providers
• Develop patient and provider educational interventions for medication - related problems and create materials to ensure providers have the most current drug information.
• Provide regulatory assistance with medication management policy and procedures
• Design, implement and monitor patient-specific pharmacotherapy; promote safe, evidence-based, and cost-effective use of drug therapy; review medical records and consult with patients to improve their health outcomes through optimized pharmaceutical care.
• Develop and implement clinical programs for high-risk patients
• Develop and implement patient outcome tracking reports and monitor and present data to internal stakeholder groups; present and provide clinical program information and outcomes to management team
• Assist in the development and implementation of quality improvement processes to monitor the effectiveness and quality of pharmacists’ services; evaluate clinical program results and adjust programs accordingly
• Collaborate with internal stakeholder groups including but not limited to Health Partners, Inpatient Pharmacy, and the Population Health Department
• Attend meetings, participate in Committees
• Provide educational in-services for fellow pharmacists and clinic team members, mentor students, and conduct regular education sessions/grand rounds for medical community on TOC topics
• Regularly evaluate evidence based guidelines and implement the recommendations into daily practice