About The Position

This ambulatory pharmacist works with pharmacists and multidisciplinary healthcare teams in adult specialty clinics, including Neurology, Transplant, Cardiology, Hepatology, TelePrEP, and Virology. Patient populations include people receiving care for Hepatitis C, HIV, HIV pre-exposure prophylaxis (PrEP), Multiple Sclerosis, Migraine, Movement Disorders, Epilepsy, hyperlipidemia, cardiomyopathy, heart failure, and Solid Organ Transplant. Patient care is delivered through in-person and virtual visits and may be provided under collaborative practice protocols. The pharmacist answers medication questions, educates patients about therapies and medication devices, coordinates dispensing, and monitors and manages specialty medications through UI Health Care Specialty Pharmacy Services. The role also includes serving as a practitioner-educator for Doctor of Pharmacy students and pharmacy residents and carrying out clinical practice responsibilities for the Department of Pharmaceutical Care. The position is eligible for hybrid work within Iowa, subject to a work arrangement form and applicable policies. A flexible schedule is required, including some evenings, typically less than one evening per week. On-call rotation for ambulatory drug-therapy issues occurs approximately one to two weeks per year and historically has low usage.

Requirements

  • Bachelor of Science degree in Pharmacy or Doctor of Pharmacy degree.
  • Eligibility for or current license by the Iowa Board of Pharmacy Examiners, required before starting.
  • Completion of an ASHP-accredited PGY1 pharmacy practice residency or two years of experience in a complex multidisciplinary healthcare environment.
  • Excellent written and verbal communication skills.
  • Job-related experience with and/or commitment to service excellence.
  • Job-related experience fostering or promoting a welcoming and respectful work or academic environment where people of all backgrounds and perspectives feel welcomed and appreciated, or demonstrated ability to do so.
  • Ability to work a flexible schedule, including some evenings, typically less than one evening per week.
  • Ability to work independently, prioritize multiple stakeholders and tasks, manage details, and deliver results amid competing demands.
  • Strong interpersonal skills and demonstrated ability to work with others.

Nice To Haves

  • Satisfactory completion of an ASHP-accredited PGY2 residency in Ambulatory Care.
  • Employment in an outpatient clinic environment.
  • Active board certification in an applicable Pharmacy Specialty.
  • Active board certification in a Pharmacy Specialty.

Responsibilities

  • Provide pharmaceutical care in select clinics and be present when patients are scheduled to see the clinical pharmacist or clinical pharmacy services are required.
  • Complete comprehensive patient assessments, including medication histories, pertinent physical assessments, relevant laboratory values, patient interviews, and review of past medical history as appropriate.
  • Work with physicians, nurses, pharmacists, and other healthcare providers as a member of multidisciplinary teams.
  • Provide disease-state management and medication therapy management through collaborative practice agreements and protocols.
  • Conduct patient medication assessments and education, and follow up on therapeutic recommendations by telephone or return clinic visits as appropriate.
  • Identify, evaluate, and prevent adverse drug events through appropriate interventions.
  • Communicate therapeutic recommendations to healthcare providers and document relevant clinical information in the electronic medical record.
  • Coordinate medication planning, including prescription facilitation, patient education, and coordination with family members or home health providers.
  • Collaboratively address financial issues to help patients obtain needed medications.
  • Provide drug information and education to healthcare professionals and serve as a liaison for ambulatory pharmacy staff regarding patient medication therapy.
  • Evaluate patient-specific medication regimens for indication, dose, administration route, interactions, efficacy, adherence, organ dysfunction dose adjustments, adverse reactions, potential misuse or abuse, cost-effectiveness, and formulary availability as applicable.
  • Provide staffing support in Specialty Pharmacy Services when needed and conduct patient follow-up calls regarding side effects and adherence.
  • Develop goals and objectives for pharmacy residency programs and Doctor of Pharmacy practice experiences; prepare and administer student and resident rotation evaluations; participate in training, teaching, and residency recruitment.
  • Communicate and follow up daily with clinical pharmacists, pharmacy areas, healthcare professionals, and patients as needed; provide in-service education and assist with medication questions, access, and continuity-of-care issues.
  • Document patient care activities, assessments, therapeutic recommendations, medication errors, adverse drug reactions, allergies and height/weight as needed, counseling, provider interventions, and clinic and telephone encounters in required systems.
  • Develop or contribute to department clinical service initiatives, specialty medication protocols, drug information resources, practice guidelines, and pharmacy or hospital information-system clinical components.
  • Participate in an ambulatory care specialist on-call rotation for drug-therapy problem solving approximately one to two weeks per year.
  • Provide leadership on department or interdisciplinary committees addressing drug therapy and coordinate therapeutic decisions when literature or experience is limited.
  • Serve as a primary reference source for new drug therapy advances in the specialty area; identify and resolve significant or unusual patient drug-therapy problems; and develop departmental goals, policies, procedures, and clinical reference documents.
  • Manage and analyze medication-error events, including participation in informal multidisciplinary sentinel-event review teams; interview and evaluate prospective professional pharmacy practitioners; and adhere to department policies and procedures.
  • Contribute to budget processes and participate in implementation and monitoring of department or other programs, including those developed through the P&T Committee.
  • Lead or contribute to quality improvement and university committee activities; develop and conduct measurement activities demonstrating Specialty Pharmacy Service value, including adherence and outcomes; and perform quality assurance monitoring.
  • Develop educational programs to certify pharmacists' clinical competence and improve technicians' understanding of treated medical conditions.
  • Conduct research in the area of expertise and present or publish results at professional meetings or in professional journals.
  • Demonstrate UI Health Care WECARE values and Service Excellence culture and maintain required competencies and educational compliance.
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