Clinical Pharmacist Ambulatory, Specialty Pharmacy

Brown Medicine•Cranston, RI

3d•$105,019 - $173,264•Onsite

About The Position

The Clinical Pharmacist, Ambulatory, Specialty Pharmacy reports to the Director Brown University Health Pharmacy, Director Specialty Pharmacy, or Ambulatory Manager, as applicable. Under the supervision of the Pharmacist-In-Charge, Pharmacy Supervisor, Senior Clinical Pharmacist Specialist, or Clinical Coordinator, the pharmacist interprets, evaluates, prepares, and dispenses medications pursuant to legitimate orders or prescriptions, following established policies, procedures, standards of practice, and the scope of ambulatory pharmacy services. The pharmacist collaborates with multidisciplinary care providers to monitor and assess medication use and intervene as needed to support safe, appropriate, and cost-effective treatment. The position also oversees and closely reviews the work of pharmacy technicians, interns, and ancillary support personnel. The pharmacist provides patient-centered medication care across ambulatory, retail, specialty, medication access, and, where applicable, clinic-based services. Specialty pharmacy duties include supporting the Specialty Drug Patient Management Program through patient outreach, assessments, and Plans of Care. Medication Access Program duties include refill authorizations, benefit investigations, prior authorizations, medication reconciliation, financial assistance, technician workflow oversight, and process improvement. Clinic-based duties may include laboratory monitoring and protocol-based medication adjustments. Brown University Health employees are expected to model the organization's values of Compassion, Accountability, Respect, and Excellence, and demonstrate its core Success Factors: Instill Trust and Value Differences, Patient and Community Focus, and Collaborate. The position is based at Rhode Island Hospital in Providence, Rhode Island. Work is scheduled in eight-hour shifts Monday through Friday within the 6:30 a.m.–7:00 p.m. schedule, with every 12th weekend (8:00 a.m.–4:30 p.m.), overnight on-call coverage, and rotating holidays.

Requirements

Bachelor of Science in Pharmacy or Doctor of Pharmacy degree from an accredited college of pharmacy.
Before the start date, hold current unrestricted Rhode Island pharmacist licensure or a Rhode Island 90-day temporary pharmacist license; obtain full licensure before the temporary license expires and thereafter maintain current unrestricted Rhode Island pharmacist licensure.
For positions involving immunizations or medication administrations, obtain and maintain an ACPE-approved Immunization Certification and American Heart Association Basic Life Support (BLS) Certification within six months of the start date.
Knowledge of pharmacy information systems, electronic health records, automated dispensing technology, and personal computers.
Effective interpersonal and communication skills.
Ability to travel occasionally between facilities or sites as required.
Ability to spend extended periods standing and walking and to use the visual and manual dexterity needed to operate a computer.

Nice To Haves

Two to three years of progressively more responsible related experience, preferably in a similarly diverse and operationally complex healthcare environment.

Responsibilities

Apply pharmacotherapeutic and pharmacokinetic principles to promote safe and effective medication use for the populations served.
Ensure pharmacy services comply with established policies and procedures and applicable federal and state laws and regulations.
Receive outpatient medication orders and prescriptions, evaluate their therapeutic appropriateness in light of the patient's clinical status, other therapies, diet, age, and developmental stage, and contact prescribers when intervention is needed.
Remove barriers to medication access and support pharmacy growth through patient recruitment.
Educate patients and families on medication use, and provide healthcare practitioners with accurate drug information, including interactions, side effects, adverse reactions, incompatibilities, and administration instructions.
Participate in education and training for healthcare practitioners, physicians, nurses, pharmacy interns, technicians, students, and other care providers; may precept pharmacy residents and interns.
Participate in continuous quality assessment and improvement, including adverse drug reaction, clinical intervention, and medication incident reporting programs.
Maintain professional competence through staff development, independent study, professional activities, and affiliations.
Perform immunizations or medication administrations when required for the specific position and responsibilities, in accordance with Rhode Island Board of Pharmacy rules and regulations.
Review, approve, and enter medication orders into the computerized pharmacy information system, including appropriate formulation, dose, frequency, duration, and patient-specific parameters; review and approve entries delegated to technicians.
Dispense medications in the appropriate quantity, dosage, and form, ensuring the patient receives the correct medication at the proper time.
Review and approve formulations for medications requiring compounding or manipulation, and check the final product when preparation is delegated to technician staff.
Maintain required records and documentation for drug purchasing, storage, preparation, and distribution.
Follow Specialty Drug Patient Management Program policies and procedures, encourage patient participation, conduct patient outreach and assessments, and participate in developing and executing Plans of Care.
Provide Medication Access Program refill authorization services under applicable collaborative practice agreements and protocols.
Use the electronic health record to investigate and answer questions about Medication Access Program services; complete and document benefit investigations, prior authorizations, medication reconciliations, and financial assistance services, and recommend alternative therapies when appropriate.
Monitor Medication Access Program technician work related to refill processing, prior authorization submissions, denials and appeals, and medication delivery coordination; provide real-time feedback to improve case management and outcomes.
Identify operational trends and issues and help develop systems and workflows that improve productivity, efficiency, and Medication Access Program outcomes while meeting clinical and patient quality standards.
For clinic-based programs, monitor and interpret laboratory results and adjust medication regimens under applicable protocols and collaborative practice agreements; identify out-of-scope issues and refer them to the appropriate healthcare team member.
Perform other duties as assigned.