Clinical Pharmacist

Purpose: The Clinical Pharmacist will collaborate with primary care providers, clinic team members, and pharmacy team members to provide a cohesive care team to benefit the health of patients. The Clinical Pharmacist participates in day-to-day clinical pharmacy operations through collaborative practice agreements three days of the week and participates in the day-to-day operation of pharmacy activities two days of the week.  For clinical operations, activities may include, but are not limited to: patient counseling, consultations with provider and nursing teams, treatment adherence reporting and drug monitoring, administration of long acting injectables, and assisting the prescribers in the appropriate ordering of pharmaceuticals and supplies. For pharmacy operations, activities may include, but are not limited to: prescription processing, accurate patient 3^rd party billing, dispensing, patient counseling, clinical drug monitoring, customer service, and oversight of inventory. 

Key Job Responsibility Areas 

1. Provision of Direct Patient Care/Chronic Disease Management
2. Collaborative Care Team
3. Provision of Pharmacy Services
4. Preceptor/ Education
5. Committee Attendance
6. Miscellaneous

Detail of Key Job Responsibility Areas 

1. Provision of Direct Patient Care/Chronic Disease Management
   1. Provide and oversee chronic disease state management utilizing collaborative drug therapy management (CDTM) for clinic patients (minimum of 1 patient every hour, total of 8-10 patients a day while on clinic days). 

1. Upon referral, assess patient, adjust medications, screen for drug interactions and adverse effects, provide disease/medication education, and explore opportunities to simplify &/or decrease the cost of the medication regimen.  
2. Clinical pharmacist will utilize CDTM to prescribe medication adjustment, order labs and work collaboratively with patient’s primary care provider.  
3. Provide support to patients and providers and promote self-management for chronic disease states and/or pharmacologic management, with a focus on patients with commercial or Medicaid insurance, including but not limited to:

1. Diabetes
2. COPD, Asthma
3. Cardiovascular disease (hypertension, heart failure, hyperlipidemia)
4. Anticoagulation

1. Medication reconciliation (regularly scheduled and/or as ordered by provider) 
2. Recommend and administer appropriate vaccines
3. Implementation, coordination, and administration of long acting injectables for HIV, pre-exposure prophylaxis (PrEP), substance use disorder, etc.  Documentation in specialty pharmacy program as needed. 

1. Collaborative Care Team

1. Collaborate with pharmacy team and provider team to ensure access to medications, including completing data entry of prescriptions when feasible on clinic days. 
2. Work to improve the stewardship of the limited healthcare resources including assisting third party billing specialists with drug prior authorizations as needed. 
3. Collaborating on innovative projects and policies/procedures to improve the quality and cost-effectiveness of pharmacy-clinic operations and prescribing within the organization. Including being available during clinic days to answer any provider questions about appropriate prescribing/cost-effective prescribing.
4. During clinic days (Monday, Wednesday, and Friday), be liaison between clinic and pharmacy teams to ensure seamless patient care from check in to medication dispensing with a focus on completing required clinic responsibilities.
5. During pharmacy days (Tuesday and Thursday), be liaison between clinic and pharmacy teams with a focus on completing required non-dispensing functions and direct patient services within the pharmacy.

1. Provision of Pharmacy Services
   1. Non-dispensing functions

1. Perform all duties in accordance with the present laws, rules and regulations
2. Maintain all required documentation relating to the purchase and dispensing of all pharmaceuticals, including controlled substance requirements
3. Ensure proper packaging and storage requirements for all medications/supplies
4. Keep and help maintain all record as required by law and regulation that pertain to the purchase and dispensing of all prescription drug products, including controlled substances
5. Help to maintain pharmacy supply inventory at designated inventory levels, and remove from stock all outdated or otherwise non sellable products 
6. Ensure security policies and procedures are followed at all times to guard against unauthorized entry into the pharmacy’s dispensing and compounding area
7. Assist in pharmacy marketing
8. Participate in clinical pharmacy initiatives in clinic operation
9. Participate in pharmacy department’s continuous quality improvement (CQI) Initiatives
10. Be a drug information resource for the community
    1. Direct Patient Services
11. Fill and dispense prescriptions to pharmacy customers in accordance with all Federal, State and local laws and statutes, all accrediting body requirements, and all internal pharmacy policies and procedures
12. Triage prescription requests to meet any time constraints and deadlines
13. Comply with all OBRA regulations for patient counseling including but not limited to administration instructions, side effects, proper storage and potential drug-drug and drug-nutrient interactions
14. Prevent unauthorized fills/refills of prescriptions and unauthorized sale of legend drugs and devices 
15. Ensure for the proper storage, sale, dispensing or compounding of drugs, poisons and restricted devices (e.g. hypodermic needles and syringes)
16. Input and/or verify all patient demographics, including allergy information, OTC and herbal usage, and all insurance information required for reimbursement
17. Ensure accurate prescription claim processing /adjudication before dispensing and utilize Third Party Specialists support for any rejected claims or prior authorizations 
18. Collect appropriate co-payment as indicated by customer’s health plan and refer patient for extra assistance as needed
19. Package prescription for shipping and assure timely courier pick-up and subsequent delivery 
    1. Supervisory
20. Responsible for oversight of work activities for all pharmacy support personnel and pharmacy interns as required by state and federal regulations
21. Acts as Supervising Pharmacist when Supervising Pharmacist is not available

1. Preceptor/Educator
   1. Provide education to patients, providers, and medical staff in written and verbal formats that include formal and informal presentations. 
   2. Create opportunities for patient-focused educational workshops and/or pop-up events to educate on chronic disease states and advocate for use of clinic and pharmacy services.
   3. Drug therapy resource to providers and other members of the health care team. 
   4. Precept other pharmacy residents and students.

1. Committee Attendance 

1. Pharmacy Services Committee (PSC)
2. QAPI Primary Care committee
3. Quality Management Committee (pharmacy)
4. Medical Staff Meeting, Internal Medicine Meeting, and any other clinic wide meetings

1. Miscellaneous 
   1. Requires the ability and commitment to respect and support inclusiveness and diversity including but not limited to individuals of different backgrounds, cultures, races, ages, sexual orientations, gender identities or expressions, experiences, opinions, etc.
   2. Requires individual demonstration of commitment to the One Trillium behaviors and business impacts and modeling them in the organization
   3. Responsible for maintaining confidentiality of all patient, client, proprietary, and protected information. 
   4. Employees are accountable for meeting performance standards of their departments. They participate in compliance audits process improvement, and quality improvement plans. 
   5. Must have a reliable vehicle and meet the agency driving policy requirements for this position, including a valid NYS driver’s license and proof of required automobile insurance.
   6. Other specific duties as assigned.

Qualifications

Required:

-Doctor of Pharmacy or BS Pharmacy degree

-Completion of PGY-1 residency or 3 years clinical experience 

-Current NYS pharmacist license with immunizer credential

-Current NYS Collaborative Drug Therapy Management credential, or ability to obtain within 3 months of hire   (https://www.op.nysed.gov/sites/op/files/prof/pharm/pharmCDTMCredentialsSummary.pdf)

-Minimum of 1 year experience in primary care pharmacy involving direct, collaborative patient care

-Experience precepting students and/or residents

Preferred:

-Current Board of Pharmacy Specialties credential

-Current American Academy of HIV Medicine Pharmacist (AAHIVP) credential

-Certified Diabetes Educator (CDE) or Board Certified-Advanced Diabetes Management (BC-ADM)

-Completion of PGY-2 residency in primary care, ambulatory care or similar experience 

-Experience working in community-based health care setting

An understanding of EMRs is helpful. The ability to demonstrate teamwork and effective interpersonal relations skills is imperative. Excellent written/oral communication and computer skills are required.

Physical Requirements

While performing the duties of this job the employee is required to stand, sit, walk, use hands to finger, handle, or feel; reach with hands and arms, talk and hear.  Occasionally the employee must stoop, bend and lift or move up to 25 lbs.  Specific vision abilities required include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.  

In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.