Clinical Pharmacist
Full time
Coordinated Regional Care
Johnston, Rhode Island
The Clinical Pharmacist is accountable for closing payer clinical care gaps, providing medication therapy management (MTM) for high risk patients, and providing physician and patient support .
Responsibilities
- Close clinical gaps to improve CMS STAR ratings / HEDIS measures. Review payer reports as received to identify trends and create monthly action plan.
- Follow developed workflows to improve quality measures by collaborating with patients, pharmacies, and providers to resolve gaps in care.
Track KPIs for care gap measures. Participate in clinical payer-provider meetings.
Provide comprehensive medication reviews and targeted interventions for eligible patients. Identify and resolve medication issues in collaboration with prescribers and patients.
Address opportunities to optimize therapy / transition home.
- Document communications with physician offices and patients regarding pharmacy recommendations in appropriate EHR & care management systems.
- Facilitate collaboration with hospital pharmacy department to optimize medications for high-risk patients before being discharged.
Perform medication reviews for high-risk homebound patients when appropriate. Attend physician / office manager meetings monthly.
- Serve as a resource to suggest pharmacotherapy alternative to enhance compliance, reduce potential errors / adverse drug events, and minimize cost burden.
- Develop educational tools (e.g., health plan formulary information, newsletters, bulletins). Provide support for implementing / implement clinical pharmacy programs.
Participate in pod meetings to inform leaders of relevant pharmacy initiatives and information.
Qualifications :
- Prior experience of providing MTM action plans for patients and providers in ambulatory care settings required.
- Prior pharmacy residency program or managed care / ambulatory care experience (e.g., health plans, pharmacy benefit management companies, medical groups) preferred.
- Board Certification (Board Certified Pharmacotherapy Specialist, Board Certified Geriatric Pharmacist) preferred.
- Graduate of an accredited School of Pharmacy recognized by the State Board of Pharmacy required.
- Pharm.D. and post-doctoral residency preferred.
- Licensed by the State Board of Pharmacy required.
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