Clinical Pharmacist Inpatient Transition of Care

University Hospitals•Cleveland, OH

About The Position

The Transitions of Care (TOC) Inpatient Pharmacist helps ensure safe, accurate, and patient-centered medication management across care transitions. The role focuses on obtaining admission medication histories, supporting providers with admission medication reconciliation, reviewing medications before discharge, and providing discharge medication education. The pharmacist collaborates with interdisciplinary teams to reduce medication-related errors and improve patient outcomes. The Clinical Pharmacist is responsible for the safe, effective, and fiscally responsible use of medications, applying clinical knowledge, skills, and professional judgment. The pharmacist advocates for patients when planning and implementing pharmacy care, taking their disease states and backgrounds into consideration. Across pharmacy practice areas throughout the enterprise, the pharmacist is legally responsible for reviewing and approving activities related to dispensing patient-specific medications under valid prescriptions or medication orders from authorized practitioners. The position also involves supervising and guiding pharmacy technicians, documenting clinical activities, maintaining inventory control, and following hospital formulary policies and applicable procedures. The pharmacist must protect patients' Protected Health Information (PHI) and comply with annual training, the UH Code of Conduct, and related policies.

Requirements

Bachelor's degree in Pharmacy or PharmD degree.
Registered Pharmacist (R.Ph) license in the State of Ohio.
Licensed practitioner of a health sciences profession in the State of Ohio.
Effective communication skills.
Proficiency with computers, office equipment, and automated compounding systems.

Nice To Haves

BCPS Certification.
Completion of an accredited residency.
Previous experience in the practice area, with emphasis on computerized unit dose, sterile products, and patient-focused clinical skills.

Responsibilities

Obtain, review, and verify the prior-to-admission medication history.
Document and analyze the compiled medication list, including possible drug interactions, patient compliance, and medication adherence barriers.
Implement and operate an evidence-based medication reconciliation system that optimizes available resources, and promote admission and discharge medication-list review as a focus of performance-improvement activities.
Support providers with admission order reconciliation and resolve discrepancies between home medications and admission orders.
Review discharge medication reconciliation for accuracy and ensure the discharge medication list is clear and error-free.
Provide individualized discharge medication education to patients and caregivers.
Supervise and guide pharmacy technicians, and review and cosign technician documentation and clinical notes.
Communicate with physicians, nurses, case managers, and other care transitions team members to support safe, coordinated post-discharge care.
Work productively and efficiently as a team member to meet daily goals and expectations.
Verify medication orders and dispense medications accurately.
Minimize order turnaround time.
Monitor medications and document monitoring and clinical activities.
Perform and document medication reconciliation.
Control inventory and adhere to Hospital Formulary policies.
Follow local and system policies and procedures.
Perform other duties as assigned and comply with applicable policies and standards.
Safely and securely maintain patient Protected Health Information (PHI).