Clinical Pharmacist

Job Description

Job Description

Position Summary

The Clinical Pharmacist is responsible for implementation and support of Medicare programs and initiatives across the care management and provider services business lines, as well as multiple value-based contracts. As a member of the multi-disciplinary care team, the Clinical Pharmacist works collaboratively with Care Managers, Health Concierges, Primary Care Providers, and external partners to assure quality medication and disease state management services are delivered to enrolled members. The Clinical Pharmacist works to support medication adherence efforts, capitalize on pharmacy cost saving opportunities, provide disease state management and education, and provide clinical / educational support to care teams across the organization.

Essential Functions

• Evaluate, monitor, recommend and design patient-specific pharmacotherapeutic regimens.
• Participate in pharmacy activities to assure safe, effective, appropriate, and economical use of medications to improve continuity of care and outcomes.
• Be responsible for managing chronic conditions (diabetes, hypertension, COPD, etc.) and getting these patients to goal.
• Help prevent avoidable medication-related hospitalizations.
• Serve as a resource to practice physicians, nurses, and other team members on the general drug information.
• Regularly monitor patient data and metrics to evaluate program effectiveness and clinical outcomes.
• Understand the medication-based quality measures as used in Pay for Performance, Star, and HEDIS measures.
• Document clinical activities, outcomes, and quality intervention results.
• Provide education on prescribed medications and compounds according to professional standards and practices.
• Participate in committees and meetings to facilitate the improvement of patient care and the development of goals, programs, and objectives for specialized patient populations.
• Participate in problem-solving where appropriate about best practice development for medications such as high cost, or otherwise sub-optimal therapies.
• Adhere to CCNC privacy and security policies to ensure that patient and company data are properly safeguarded.

Staff Management

Qualifications

Knowledge, Skills, and Abilities

Working Conditions