Per Diem Pharmacist-Clinical

Kaweah Delta Health Care District•Visalia, CA

1d•Onsite

About The Position

Kaweah Health is a publicly owned community healthcare organization serving the greater Visalia area in central California. The organization has more than 5,000 employees, an eight-campus healthcare district, and 613 beds. The Clinical Pharmacist provides pharmaceutical care by performing medication-related distributive, clinical, and educational functions and directly overseeing discretionary tasks performed by pharmacy technicians. Work may be in inpatient or outpatient settings and may include specialty assignments such as emergency medicine, oncology, infectious disease, anemia management, pain management, critical care, NICU/pediatrics, home infusion, ambulatory care, family medicine, formulary management, or compounding. The pharmacist reviews medication orders or prescriptions for appropriateness, validates and dispenses medications and related supplies or equipment, and follows applicable laws and hospital policies. The role consults with healthcare providers, supports safe and effective medication therapy, documents patient care, provides education, and trains pharmacy personnel, interns, and residents. Specialty-specific duties and qualifications apply when assigned to a particular service.

Requirements

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

Nice To Haves

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

Responsibilities

Review inpatient medication orders or outpatient prescriptions for appropriateness, and profile, validate, and dispense medications and related supplies or equipment accurately and efficiently.
Follow federal and state laws and approved hospital policies and procedures regarding medication use.
Consult with healthcare providers and information resources to optimize therapy and medication safety, and respond to medication-related inquiries.
Perform or supervise medication compounding, review finished products for quality, and complete required records.
Guide, direct, and train pharmacy technicians, new pharmacists, interns, residents, and other personnel, and 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.
Participate in transitions of care for targeted patient populations, including medication reconciliation, education, and coordination with the interdisciplinary team.
Monitor and assess patients’ medication therapies and, where applicable, nutritional therapies; maintain complete and timely clinical documentation; and intervene to optimize pharmacotherapy.
Provide patient-specific dosing and monitoring information and participate in consultation and collaborative management of referred patients.
Offer cost-effective and safe medication alternatives when appropriate.
Participate in interprofessional patient care rounds where applicable and set and review annual goals with the manager.
When assigned to the hospital, respond to emergency alerts as a top priority; prepare ordered dilutions and IV medications; anticipate patient drug needs; fill narcotic requisitions after verifying accuracy; maintain required records; conduct required nursing station inspections; monitor drugs covered by pharmacokinetics; consult with physicians; and price patient charges under the manager’s direction.
When assigned to home infusion, provide information about services, assist with charges, reimbursement, billing, and case management as needed; maintain inventories and records; provide assigned after-hours on-call coverage; support timely deliveries and make patient deliveries as necessary; and promote home infusion services.
When assigned to outpatient oncology, coordinate medication regimen review before administration, review and profile oncology medication orders, conduct patient pharmacotherapy reviews, document recommendations in the EMR, identify cost-saving opportunities, support 340b compliance, measure service effectiveness, participate in formulary and policy work, and precept residents and interns.
When assigned to a specialty area, serve as a clinical expert, document interventions, evaluate clinical and economic outcomes, contribute to policies, procedures, order sets, guidelines, formulary reviews and medication-use evaluations, and represent pharmacy on assigned committees.
When assigned to formulary management, maintain the medication formulary, review requests and recommend changes, develop treatment guidelines and shortage strategies, conduct medication reviews and use evaluations, support cost-effective medication use, provide medication education, and report on program outcomes.
When assigned to compounding, oversee compounded preparation operations, quality assurance, personnel training and competency assessment, environmental and performance monitoring, outsourced pharmacy quality reviews, regulatory compliance, and continuous process improvement.
When assigned to ambulatory care, provide consultative and direct patient care, including services under collaborative practice agreements; order relevant labs and assessments; provide medication therapy management and transition-of-care services; manage high-risk patient populations; train assigned technicians; and participate in designated committees.
When assigned to family medicine, provide pharmacotherapy education and patient care, support integration of pharmacy and family medicine training, participate in interprofessional rounds, provide services under collaborative practice agreements, recommend or order relevant assessments, teach residents and students, participate in research as assigned, and serve on committees as assigned.
Provide care and services appropriate to the population served, accounting for patient and family cultural, linguistic, spiritual, gender, and age-specific needs.
Perform other duties as assigned.