Pharmacist-Clinical

Kaweah Health•Visalia, CA

7d•$79 - $118

About The Position

Kaweah Health is a publicly owned community healthcare organization serving the greater Visalia area in central California. It has more than 5,000 employees, an eight-campus healthcare district with 613 beds, and provides services through an acute care hospital, specialized health centers, and clinics. The Clinical Pharmacist provides pharmaceutical care through medication-related distribution, clinical and educational functions, and direct oversight of discretionary tasks performed by pharmacy technicians. Depending on assignment, the pharmacist works in inpatient or outpatient care and may serve in a specialty area such as emergency medicine, infectious disease, anemia management, home infusion, critical care, ambulatory care, family medicine, outpatient oncology, formulary management, or compounding. The role includes reviewing medication orders or prescriptions for appropriateness, validating and dispensing medications and related supplies or equipment, consulting with healthcare providers, monitoring and documenting patient therapy, and intervening to optimize medication safety and effectiveness. The pharmacist also supports education and training, supervises or guides pharmacy personnel and trainees, and participates in care coordination, quality activities, and specialty-specific services as applicable. This is a full-time, benefits-eligible position with a variable 10-hour shift in the Pharmacy-Primary Operations department. The stated pay range is $78.85–$118.27.

Requirements

Current California Registered Pharmacist license.
Pharm.D. degree.
For inpatient assignments: completed PGY-1 residency, or at least two years of clinical hospital pharmacist experience, or current Kaweah Health Pharmacy Resident status.
For outpatient assignments: completed PGY-1 residency, or at least two years of clinical pharmacist experience, or current Kaweah Health Pharmacy Resident status.
Emergency Medicine or Emergency Medicine Mid-shift Specialist assignment: one year of emergency department pharmacy experience and/or one year of hospital-based clinical pharmacist experience in critical care or an equivalent setting.
Infectious Disease Specialist assignment: one year of hospital-based clinical pharmacist experience.
Anemia Management Specialist assignment: one year of hospital-based clinical pharmacist experience.
Home Infusion assignment: Pharm.D. and one year of home infusion pharmacy experience and/or one year of hospital-based clinical pharmacist experience; alternatively, five or more years of home infusion pharmacy experience.
Critical Care Medicine Pharmacist Specialist assignment: one year of hospital-based clinical pharmacist experience and/or one year of hospital-based clinical pharmacist experience in a critical care setting.
Ambulatory Care Pharmacist Specialist assignment: one year of ambulatory care pharmacy experience and/or completion of an ambulatory care or general practice pharmacy residency with strong ambulatory care experience, plus certification or eligibility to sit for a relevant certification examination.
Family Medicine Pharmacist Specialist assignment: completion of a general practice pharmacy residency with strong ambulatory care experience, plus certification or eligibility to sit for a relevant certification examination.
Outpatient Oncology Pharmacist Specialist assignment: completed PGY-1 residency or at least two years of acute inpatient hospital pharmacist experience.

Nice To Haves

Three years of experience.
Emergency Medicine Specialist assignment: completion of a pharmacy residency program in Emergency Medicine.
Infectious Disease Specialist assignment: completion of a pharmacy residency program in Infectious Diseases.
Anemia Management Specialist assignment: hospital- or ambulatory-care-based anemia management experience.
Home Infusion assignment: completion of a residency program in home infusion pharmacy.
Critical Care Medicine Specialist assignment: completion of a pharmacy residency program in Critical Care.
Family Medicine Specialist assignment: PGY-1 General Practice and PGY-2 Ambulatory Care, and BCPS, BCACP, and/or CGP certification, with at least one year of clinical practice in an academic healthcare institution with interprofessional care teams.
Outpatient Oncology Specialist assignment: completion of a pharmacy residency in Oncology.

Responsibilities

Review inpatient medication orders or outpatient prescriptions for appropriateness, validate and dispense medications, and handle related supplies or equipment orders accurately and efficiently.
Follow federal and state laws and approved hospital policies and procedures governing medication use.
Consult with healthcare providers and information resources to optimize medication therapy and promote safe administration.
Respond to medication-related inquiries from physicians and other staff.
Oversee or perform compounding, assess finished products for quality, and complete required records in accordance with department procedures.
Guide, direct, and train pharmacy technicians, pharmacists, interns, residents, and other personnel as applicable; assume responsibility for the quantity and quality of their work.
Provide professional education and in-service training to healthcare providers, trainees, and staff when appropriate.
Monitor and assess patients’ medication therapies and, in inpatient areas, nutritional therapies; maintain complete and timely clinical documentation and intervene when indicated to optimize pharmacotherapy.
Participate in transition-of-care services for targeted patient populations, including medication reconciliation, education, care coordination, and discharge-related support as assigned.
Participate in interprofessional patient-care rounds where applicable and provide patient-specific dosing, monitoring, and consultation as appropriate to the assignment.
Offer cost-effective and safe medication alternatives when appropriate.
Set and review annual goals with the manager.
When assigned to hospital duties, respond to assigned emergency alerts as a top priority; prepare ordered dilutions and IV medications; anticipate patient drug needs; process narcotic requisitions; maintain required records; conduct nursing-station inspections; support pharmacokinetic monitoring; consult with physicians; and price patient charges under manager direction.
When assigned to home infusion, provide information about services, support charges and reimbursement activities, maintain medication and supply inventories and records, assist billing, comply with controlled-substance requirements, provide assigned after-hours on-call coverage, maintain delivery service, make patient deliveries as necessary, and promote home-infusion services.
When assigned to outpatient oncology, coordinate medication-regimen review and preparation with providers and clinical staff; review and profile oncology orders; conduct patient pharmacotherapy reviews; document in the EMR; identify cost-saving opportunities; support 340b compliance; document interventions; measure service outcomes; contribute to formulary reviews, policies, procedures, order sets, and guidelines; participate in committees; and precept residents and interns.
When assigned to a specialty area, serve as a clinical expert, review and profile relevant medication orders, document interventions, assess clinical and economic outcomes, contribute to formulary reviews and medication-use evaluations, develop or implement policies and guidelines, participate in committees, and support quality, regulatory, and safety outcomes.
When assigned to formulary management, maintain the medication formulary, review addition and deletion requests, recommend changes to the Pharmacy and Therapeutics Committee, support treatment guidelines and protocols, manage medication shortages, evaluate medication use and costs, provide medication education, and report on strategy and outcomes.
When assigned to compounding, oversee compounding operations and quality assurance, develop and maintain policies, workflows, staff training and competency assessment, monitor environmental and personnel performance, review outsourced-compounding quality records, and lead continuous improvement and survey-readiness efforts.
When assigned to ambulatory care, provide consultative and direct patient care under collaborative practice agreements; order relevant labs and assessments; provide medication therapy management and transition-of-care services; review high-risk patient medication profiles; coordinate with prescribers and allied health staff; support population management; document and measure outcomes; train assigned technicians; precept trainees; and represent pharmacy on designated committees.
When assigned to family medicine, provide pharmacotherapy education and direct care under collaborative practice agreements; participate in interprofessional care and training-program development; recommend or order relevant labs and assessments; deliver lectures and case discussions; document and assess clinical, fiscal, and educational outcomes; participate in assigned research; develop policies and guidelines; precept trainees; and serve on assigned committees.
Provide care appropriate to the population served, with awareness of patients’ and families’ growth, development, cultural, linguistic, spiritual, gender, and age-specific needs.
Perform other duties as assigned.