Specialty/Infusion Clinical Pharmacist (Outpatient) Full Time, Days

Holland Hospital•Holland, MI

About The Position

Under limited supervision, performs distributive and clinical pharmacy functions in accordance with regulatory requirements and organizational quality initiatives. Distributive functions include: performing the final check of appropriate medications prior to dispensing; maintaining the required security and control of medications; assuring the completion of appropriate documents and records; supervising pharmacy support staff. Clinical functions include: medication order review and computer entry; providing consultative drug information and recommendations to physicians and nurses; conducting patient assessments and making appropriate interventions; administering established clinical programs and medication management programs. This position must be able to demonstrate the knowledge and skills necessary to provide care and service appropriate to the age of the patients served in their area. As a member of the retail pharmacy team, the clinical pharmacist role will include specific tasks unique to this setting. Reporting to the Manager for Outpatient Pharmacy Services, this individual will work with limited supervision within the scope of licensure and any collaborative practice agreements necessary to ensure safe and appropriate patient care across a broader continuum of care. A familiarity with retail pharmacy software products, medication purchasing/receiving/shipping practices, 340B operations, and patient care practices unique to the outpatient setting are essential to this role. Close collaboration with other members of the retail pharmacy team is expected, in addition to providing representation for the outpatient practice model within the greater pharmacy team on committees and taskforces. Infusion Pharmacist Addendum (the following responsibilities are applicable to pharmacists serving in the Infusion Pharmacist capacity): Ensures compliance with applicable regulatory, accreditation, and organizational standards governing outpatient infusion services. Collaborates with multidisciplinary teams to support outpatient infusion services in alignment with licensure, credentialing, and accreditation standards. Coordinates care with providers, nurses, payers, and other interdisciplinary team members to ensure high‑quality, cost‑effective therapy. Supports sterile compounding operations in compliance with USP <797> and USP <800>, including verification of final compounded preparations. Supports infusion operations such as scheduling, device selection, and coordination with infusion nursing teams. Reviews infusion medication orders for appropriateness, dosing, compatibility, interactions, and patient‑specific considerations. Conducts ongoing clinical monitoring, including labs, therapy response, and adverse event evaluation. Educates patients on infusion therapy, expectations, and side‑effect monitoring. Participates in sterile compounding quality assurance activities such as environmental monitoring and competency assessments. Communicates with nurses, prescribers, and care coordinators to resolve medication‑related issues. Supports transitions of care related to initiation, continuation, or discontinuation of infusion therapy. Collaborates with authorization teams by providing clinical information for prior authorizations and appeals.

Requirements

Doctor of Pharmacy (PharmD)
Licensed to practice in the State of Michigan
Required Certification: Pharmacy-Based Immunization Delivery through APhA

Nice To Haves

2 years’ experience in the retail/specialty/infusion pharmacy settings
Experience with retail pharmacy operational and clinical management software, inventory management and medication-specific shipping/receiving practices.
Experience in working within payer guidelines, especially related to specialty and specialty-like medications.
Experience with using EHR; Cerner and e-ClinicalWorks a bonus.
Experience with Microsoft Office 365.
Working knowledge of 340B Program and its impact on acquisition/dispensing medication.

Responsibilities

Performs medication order interpretation, evaluation, and processing in accordance with organizational expectations.
Monitors drug therapy regimens for contraindications, drug-drug interactions, allergies, therapeutic duplications, and appropriateness of drug/dose; addresses discrepancies in accordance with departmental expectations.
Applies pertinent medication management programs (High risk medications, therapeutic interchanges, restricted dose limits, clinical dosing, etc.) at the time of interpreting/evaluating orders as evidenced by lack of physician / peer complaints or occurrences.
Appropriately communicates with physicians and nurses to resolve medication related problems, clarify questionable orders, and provide medication therapy recommendations.
Provides and documents appropriate modifications to medication orders prior to preparation and dispensing.
Transcribes medication orders into electronic medication record profiles accurately and in a timely fashion as evidenced by lack of nursing/peer complaints or occurrences.
Oversees medication preparation, distribution, security, and management in accordance with regulatory requirements and organization expectations.
Maintains responsibility for the accuracy and timeliness of daily medication (sterile and non-sterile) preparation practices as evidenced by countersignatures and lack of peer complaints or occurrences and patient satisfaction surveys.
Maintains daily oversight responsibility of the accuracy and timeliness of medication distribution processes.
Maintains oversight accountability for security, control, distribution, and documentation of medications (including controls).
Assures complete documentation of medication preparation, distribution and medication security documentation as evidenced by logs and co-signatures.
Performs clinical pharmacy functions and administers established clinical programs.
Performs, accurately and completely, established clinical medication protocols and initiatives (demerol restrictions, clozaril and warfarin use oversight, antibiotic reviews, core measure follow-up, etc.) in accordance with departmental expectation.
Administers accurately and completely, medication dosing programs (including renal, heparin, aminoglycoside and vancomycin, pneumonia antibiotics, etc.) as evidenced by clinical documentation.
Provides clinical medication consultation, clarification, and education to physicians, nurses, and patients.
Assesses patient status and medication regimen in order to make recommendations which maximize the value of drug therapy and achieve desired patient outcomes.
Completes required documentation of clinical activities and interventions in accordance with departmental practices.
Supports the department managers and physician offices with the development and monitoring of clinical initiatives as needed.
Contributes to the continued development and improvement of pharmacy services.
Supports the quality and effectiveness of the department practices.
Contributes to the continued development and improvement of pharmacy services.
Participates on committees, teams, taskforces and projects to improve or maintain pharmacy services as requested by the organization or pharmacy leadership.
Develops and maintains pharmacy-related services, support, and technologies (examples include newsletter, EMR, policy/procedures, pharmacy management software).
Participates in quality assurance and improvement activities (occurrence report generation, core measure follow-up, ADR reviews, etc.).
Supports departmental quality initiatives, patient safety practices and hospital core values as evidenced by lack of peer complaints and occurrences.
Maintains good customer relations with physicians, nurses, patient, and fellow staff members in the provision of pharmacy services as evidenced by lack of complaints or occurrences.
Provides daily oversight of adherence to organizational "medication management" policies .
Supervision of technical support personnel.
Responsible for the daily adherence to "medication management" policies, procedures, and best practices in accordance with regulatory requirements and organizational expectations.
Supervises pharmacy technicians.
Supervises the daily operational tasks of the technical staff in their provision of pharmacy services.
Appropriately redirects technical staff activities to meet changing workload.
Provides education, training and oversight to students and volunteers.
As authorized by the Pharmacy Manager to serve in their absence as their designated alternate, assumes responsibility for the overall Specialty Pharmacy Program’s operation and services, including pharmacy performance, personnel, and patient management oversight.
When appropriate, utilizes support systems in place to maintain leadership continuity, not limited to: the Director of Pharmacy, the Compliance Officer, the Human Resources Department, and the Finance Department.
Upon the Pharmacy Manager’s return, provides relevant updates and handoffs to ensure continuity of leadership activities.
Ensures compliance with applicable regulatory, accreditation, and organizational standards governing outpatient infusion services.
Collaborates with multidisciplinary teams to support outpatient infusion services in alignment with licensure, credentialing, and accreditation standards.
Coordinates care with providers, nurses, payers, and other interdisciplinary team members to ensure high‑quality, cost‑effective therapy.
Supports sterile compounding operations in compliance with USP <797> and USP <800>, including verification of final compounded preparations.
Supports infusion operations such as scheduling, device selection, and coordination with infusion nursing teams.
Reviews infusion medication orders for appropriateness, dosing, compatibility, interactions, and patient‑specific considerations.
Conducts ongoing clinical monitoring, including labs, therapy response, and adverse event evaluation.
Educates patients on infusion therapy, expectations, and side‑effect monitoring.
Participates in sterile compounding quality assurance activities such as environmental monitoring and competency assessments.
Communicates with nurses, prescribers, and care coordinators to resolve medication‑related issues.
Supports transitions of care related to initiation, continuation, or discontinuation of infusion therapy.
Collaborates with authorization teams by providing clinical information for prior authorizations and appeals.