The Clinical Pharmacist, Care Management will perform comprehensive and targeted medication management in high risk plan members to identify, resolve, and prevent medication-related problems to improve care outcomes.
- Provide clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution.
- Complete comprehensive medication review of prescription and non-prescription medications with emphasis on patient assessment and counseling, safe and effective use of medications, identification of potential drug interactions, and other related activities.
- Conduct engaging and comprehensive telephonic medication consultations with members and delivers high quality evidence-based therapeutic recommendations to providers.
- Utilize prescription and medical claim data to generate clinical recommendations for medication management.
- Complete pharmacotherapy assessment of patients' claims, past medical history, and disease states.
- Collaborate with all members of the patient care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner.
- Provide medication education to patients to improve medication adherence. Monitor of complex comorbidities (DM, HTN, hyperlipidemia, bone disease, ID, etc.).
- See the whole person, take into account Social Determinants of Health, and connect members to benefits as applicable.
- Perform job duties with sensitivity to the patients’ diverse cultural backgrounds.
- Navigate the Part B and Part D benefits to support member care.
- Research and maintain knowledge of current and emerging clinical trends. Takes initiative to continually learn and maintain clinical and regulatory knowledge.
- Actively participate in various clinical departmental meetings and forums to improve clinical programs, enhance processes, and share clinical information.
- Maintain competency skills to identify medication safety concerns in the age-related population and institute additional measures to provide a safe environment with consideration to the developmental changes in the patient population.
- Ensure projects/tasks, as assigned, are completed in a timely manner and contribute to success of the team.
- Serve as preceptor to pharmacy students and residents as assigned.
- Pharm. D. degree required.
- Current Pharmacist Licensure in California required.
- Board Certification preferred (Geriatric, AmCare, or Pharmacotherapy)
- Completion of a PGY1 and/or PGY2 residency or equivalent clinical practice experience
- Bilingual in English/Spanish required.
- Dynamic and confident person with strong clinical skills and a mind that is both flexible and capable of critical thinking.
- Strong communication skills and the ability to build positive, trusting relationships with providers and other health care staff.
- Must be highly detail oriented, motivated, and independent.
- Comprehensive knowledge of medical terminology as related to drug usage.
- Comprehensive knowledge of common disease states and pathologies.
- Ability to comprehend patient medical management plans.
- Ability to assess and apply current pharmacological and biopharmaceutical principles for the selection and use of drug products in a clinical setting.
- Ability to extract pertinent information from the patient or other sources and relate it to the patient care plan.
- Possess the verbal and written communication skills required to fulfill the pharmacist’s responsibilities.
- Ability to provide recommendations and monitor the use of drugs.
- Knowledge of laws, regulations and standards relative to pharmacy practice.
- Ability to learn and adapt to the use of automated information systems in daily practice.
- Demonstrated competency in techniques of pharmaceutical calculations, compounding and pharmacokinetics.
- Possess patient-centered communication skills