Sutter Clinical and Quality Pharmacist

SCAN Health Insurance•Yountville, CA

2d•$60 - $87•Remote

About The Position

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 277,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 45 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter. Job Description: The clinical pharmacist – will provide targeted medication and chronic disease management services, address polypharmacy and deprescribing, improve medication adherence, and support transitions of care. They will collaborate with care teams to improve clinical outcomes, preventative care, and reduce preventable hospitalizations. Responsible for working within a multi-disciplinary clinical team to promote effective, safe, and cost-conscious drug therapy to members.

Requirements

Graduate or Advanced Degree required
Doctor of Pharmacy Degree required (PharmD)
Minimum of two years of strong clinical pharmacy experience (required)
Responsible for having a strong clinical background and knowledge of chronic disease states such as diabetes, heart failure, hypertension, Asthma and COPD (required)
CA Pharmacy Licensure or willingness to apply for California pharmacy license.
Basic Life Support Certification
Vaccine Training Certification
Technical expertise - Strong analytical skills
Problem Solving - Basic problem-solving skills
Communication - Good communication and interpersonal skills
Proficient with MS Office (Access or SQL, Word, Excel, PowerPoint) and e-mail.
Demonstrates critical thinking and problem-solving skills.
Ability to work independently and in a team environment.
Strong team player.
Strong analytical skills.
Ability to work under tight deadlines & manage multiple responsibilities independently.
Strong interpersonal skills, including excellent written and communication skills.

Nice To Haves

Board Certification- Pharmacotherapy, Ambulatory Care, Geriatrics
Advanced Practice Pharmacist (APP)
Completion of a PGY1 and/or PGY2 residency or equivalent clinical practice experience.

Responsibilities

Work within a multi-disciplinary team to provide collaborative chronic disease management through direct patient care or through consultation with the primary care team (PCP and/or NP)
Disease states include but are not limited to Diabetes, Heart failure, Hypertension, Asthma, COPD, Dementia
Comprehensive Medication Management (CMM)
Review and optimize complex medication regimens
Identify drug therapy problems and recommend alternatives
Monitor for efficacy, safety, adherence, and cost-effectiveness
Promote utilization of CPT II & Procedural codes
Complete comprehensive medication reviews for patients with specific high-risk medication concerns high risk disease states, members who are at high risk for rehospitalization, or during transitions of care including post hospital discharge
Responsible for ensuring compliance with regard to operations and enhanced member/provider experience
This includes review for clinical appropriateness, drugdrug interactions, adverse drug reactions, clinical efficacy, and response, reviewing corresponding labs, etc
Make recommendations to the primary care team (PCP and/or NP).
Transitions of Care (TOC)
Perform medication reconciliation post-discharge as required
Identify and resolve medication discrepancies
Coordinate follow-up care and prevent high risk readmissions (COPD, HF, Falls)
Chronic Disease Management
Support management of diabetes, hypertension, heart failure, COPD, etc
Titrate medications per protocol under collaborative practice agreements
Provide education and adherence counseling to optimize medication adherence (e.g. 90-100 day supply, medication synchronization)
Quality Improvement
Prioritize closure of care gaps within chronic disease, medication, or preventative care measures
Contribute both clinically and operationally to achieve Part C & Part D 5 STAR rating performance
Ensure coding accuracy and capture of Transitional Care Management (TRC), CPT II codes, and/or Snowmed codes within scope of pharmacy related programs/work
Execute protocols regarding appropriate medication use for members, including de-prescribing (e.g. Poly-ACH, COB STAR measures) protocols and high-risk medication review to address polypharmacy and clinical appropriateness of medications
Execute pharmacy specific initiatives across the entire membership to achieve quality outcomes
Responsible for working with members, clinical care team and SCAN pharmacy team to achieve 5 Star performance on all pharmacy related star measures- medication adherence, SUPD, SPC, TRC, Medication Review, MTM, Poly/ACH and COB
Collaboration & Training:
Serve as a resource to providers and staff on pharmacotherapy best practices
Train staff in safe medication practices and regulatory compliance
Provide training to the clinical staff in association with pharmacy specific initiatives and general clinical training at a regular cadence
Communicate and work collaboratively with the clinical team to ensure interventions are aligned with pharmacy based goals
Member & Provider Experience:
Responsible for ensuring compliance with regard to operations and enhanced member/provider experience.
Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
Actively support the achievement of SCAN’s Vision and Goals.
Other duties as assigned.

Benefits

Base salary range: $60.29 to $87.22 per hour
Work Mode - Mostly Remote
An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
Excellent 401(k) Retirement Saving Plan with employer match and contribution
Robust employee recognition program
Tuition reimbursement
An opportunity to become part of a team that makes a difference to our members and our community every day!