Provides specialized care for medication management by reviewing medication regimens and pharmaceutical needs for patients in an ambulatory clinical setting. Contributes expertise to multidisciplinary committees/teams in developing protocols/guidelines, pharmacy formulary reviews, and order sets. Reviews literature and delivers evidence-based drug information and education to multi-disciplinary teams and patients. Serves as a subject-matter expert and contributes expertise to inter-professional teams. Provides drug information and education to providers and staff via presentations, newsletters, formal utilization reviews, and one-on-one interactions. Educates and counsels patients on medications and explains in detail any and all changes to their regimen. Addresses and resolves potential barriers to patient understanding or medication access and provides patients with a written medication plan. Serves as a patient advocate, ensuring quality care is given. Provides enhanced patient care through detailed counseling on medications, disease states, and adherence. Monitors patients for the purpose of evaluating and optimizing therapeutic outcomes, drug utilization and patient compliance, detecting and/or minimizing ADR's, eliminating unnecessary drug use and duplication. Participates in continuous quality improvement activities and outcomes research. Serves as a preceptor and resource to pharmacy residents, students, and interns. Actively participates in the development, implementation, and ongoing coordination of pharmacy residency research projects and/or mentors the resident in the preparation of posters, and/or national presentations and/or publications. Reviews medication orders for appropriateness and monitors laboratory parameters to ensure optimal therapy in collaboration with prescribers. Communicates directly with prescribers to optimize therapeutic outcomes, resolve patient’s medication-related issues, and give recommendations for changes in drug therapy based on information obtained through patient interviews and objective monitoring parameters. Coordinates a transitions of care medication plan for patients transitioning across the continuum of care. Obtains and reviews medication histories and assists in the medication reconciliation process to assess for potential duplicate therapy, inappropriate dosing, or medication omissions and coordinates the dispensing of medications if necessary.
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Job Type
Full-time
Career Level
Mid Level