Summary:This position provides specialty clinical pharmacy services with evidence-based care for patients that range in age from birth to 100+ years. Services include disease management, comprehensive medication review and management and all clinical needs for both patients and the healthcare team. The goal of the specialty clinical pharmacist is to optimize the care of outpatients who are receiving complex specialty medications and achieve therapeutic outcomes in specific chronic disease states as specified by the quality management committee, governing body, and accreditation standards Responsibilities:(50%) Review and interprets clinician's patient care notes/assessments accurately for supportive clinical data needed for prior authorization approvals and development of care plan recommendations. Completes standard work while in patient visits and during telephone calls. Documents all clinical activities and interventions accurately and completely. Develop and refine disease and drug specific clinical protocols to maximize patient adherence and promote evidence-based cost- effective care. Provide clinical consultation and clarification to patients, practitioners, and other healthcare providers. Collaborate routinely with practitioners regarding medication therapy changes and recommendations per current standards. Suggest appropriate, cost- effective therapeutic alternatives to medical staff as needed. Coordinate insurance issues, hospital follow-up visits, medication reconciliation, refills, referrals, prior authorizations, financial assistance, and any other specialty related task. Monitor on-going patient adherence, program metrics and performance across all sites and specialty disease states.(25%) Evaluation of EMR to review: drug/ disease and drug/drug interactions, appropriate medication selection including dosage, labs/vitals, allergies, RX orders/renewals and direct physician communication, and other relevant information important to maximize medication adherence and optimize patient outcomes. Recommend 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. Medication therapy management (MTM): including reviewing and monitoring of medication regimens, advising clinicians on evidence-based therapy, documenting interventions; and assessing patient adherence rates. Clinical interventions including but are not limited to comprehensive pharmacist consultation, motivational interviewing/coaching, drug regimen optimization, medicationreconciliation,medicationlistsorreminders,medicationsynchronization,coordinatehomenursevisits,coordinati on of care among all systems and all those involved in the care team.(25%) Provides physicians/office staff/patients and their families with accurate, adequate, and timely disease state and medication information. Clarifies any medication questions with the patient’s care team as appropriate. Collaborate with physicians, nurses, and other healthcare professionals regarding medication information and appropriate medication therapy and monitoring.OTHER DUTIES AND RESPONSIBILITIES:
Complies with established corporate and departmental policies, procedures, objectives, quality assurance methods, and safety codes. Demonstrates compliance with licensing, regulatory and accrediting agency provisions as required.
Consistently demonstrates appropriate and professional communication behavior toward patients, customers, and coworkers. Cooperates with Management and peers to promote an environment of teamwork and collaboration. Identifying and resolving insurance related issues, recognizing situations where financial assistance can be applied. 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.
Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
Other duties as assigned.
Certifications and Licensures:CSL PHARM - Controlled Substance - RequiredPHARM - Pharmacist - Required Required Education:Education: DoctorateComments: Completion of a Pharm. D. degree and current licensure in the State of Michigan required (active professional and controlled substance licenses). Other Information:EXPERIENCE TRAINING AND SKILLS:
Completion of a Pharm. D. degree and current licensure in the State of Michigan required (active professional and controlled substance licenses).
Specialties: Knowledge of complex/chronic disease states and therapies used within specialty pharmacy: Oncology, Multiple Sclerosis, Rheumatoid Arthritis, GI disorders, and many various inflammatory conditions preferred.
Completion of a Pharmacy Practice Residency accredited by the American Society of Health System Pharmacists (ASHP) and/or Certification from the Board of Pharmacy Specialties in a relevant area (Pharmacotherapy, Oncology), preferred.
Completion of any MyMichigan Health onsite training.
Training and competency assessment of the pharmacist occurs at a minimum yearly or more frequently, as determined by Specialty Manager
Quality assurance and review of services is completed at least yearly by pharmacist and physicians. Any concerns shall be immediately escalated to the Specialty Manager and Pharmacy Director.
Review the Collaborative Practice Agreement at least annually by the physicians, in conjunction with the pharmacist, and document review.
Attention to detail and strong organization skills, high-integrity, dependable, quality focus, empathetic. Analytical and clinical skills needed to interpret clinical data and research drug information. Knowledge and compliance with local/state/federal/contractual pharmacy regulations.
Strong written and interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner Deep knowledge of specialty medication pharmacology
MyMichigan Health is a technology driven organization and employees need to demonstrate competency with computers, other equipment and in Microsoft® Windows and other relevant software programs. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.
PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:
Exposure to stressful situations, including those involving public contact, as well as trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
Overall vision and hearing are necessary with or without assisted device(s).
Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health blood borne pathogen and TB testing as required.
Ability to handle multiple tasks, get along with others, working dependently, regular and predictable attendance and ability to stay awake.
Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
Physical Demand Level: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls.
Equivalent Experience and Other Comments (Education):Reports to Manager Pharmacy
