Advanced training or PGY-1 residency with board certification and 3 years of relevant experience
New York State license eligible for allied health credentialing
Active Board of Pharmacy Specialties certification or completion within 6 months of hire
Direct patient care experience in ambulatory, hospital, or transitional care settings
Experience managing chronic cardiometabolic or pulmonary diseases
Bilingual skills preferred
Responsibilities
Lead pharmacotherapy management for high-risk cardiovascular-kidney-metabolic and respiratory patients
Initiate and optimize guideline-directed medical therapy under collaborative agreements
Identify and act on clinical opportunities to prevent readmissions
Solve complex medication-related challenges including access and adherence
Serve as a clinical bridge across inpatient and post-acute settings
Partner with healthcare providers to design high-reliability care pathways
Contribute to quality improvement initiatives aligned with CMS Star Ratings
Benefits
Onsite presence required during onboarding and training
Eligibility for limited telemedicine or remote work after probation
Engagement in academic and scholarly activities
Opportunity to participate in program development and innovation
Focus on improving outcomes for high-risk patient populations
Full Job Description
City/State: Bronx, New York Grant Funded: No Department: Transitional Care Excellence Work Shift: Day Work Days: MON-FRI Scheduled Hours: 9 AM-5:30 PM Scheduled Daily Hours: 7.5 HOURS Pay Range: $152,000.00-$190,000.00
The Transitional Care Clinical Pharmacy Manager is a core clinical team member within Montefiore's multidisciplinary Transitional Care Excellence department. This role sits at the intersection of inpatient care, ambulatory management, and population health, with a focus on improving outcomes for high-risk cardiovascular-kidney-metabolic and respiratory patient populations.
Responsibilities
Leads longitudinal pharmacotherapy management for a defined panel of high-risk patients with cardiovascular-kidney-metabolic syndrome and respiratory conditions during hospitalization and post-discharge utilizing telemedicine, remote patient monitoring, and in-person care models
Initiates, optimizes, and titrates guideline-directed medical therapy (GDMT) under collaborative drug therapy management (CDTM) agreements, with a focus on heart failure, ASCVD, diabetes, obesity, CKD, COPD, asthma, and pneumonia.
Identifies and acts on high-impact clinical opportunities early in the post-discharge period to prevent readmissions and disease progression
Solves complex medication-related challenges including access, affordability, adherence, and health-related social needs
Serves as a clinical bridge across inpatient, ambulatory, and post-acute settings, ensuring seamless care transitions and accountability across the continuum
Partners with physicians, advanced practice providers, nurses, and navigators to design and execute high-reliability care pathways
Acts as a key liaison to post-acute partners including home care, skilled nursing facilities, and rehabilitation centers
Contributes to quality improvement initiatives aligned with CMS Star Ratings, HEDIS measures, and value-based care contracts
Participates in program development, innovation (e.g., telehealth optimization, AI-enabled outreach, RPM workflows), and scaling of disease-specific care pathways
Engages in academic and scholarly activities including research, protocol development, and dissemination of outcomes
Qualifications
Doctor of Pharmacy degree
Advanced training (e.g., completion of a PGY-2 residency in cardiology, ambulatory care, or other relevant specialties) or completion of a PGY-1 residency with current board certification and 3 years of relevant experience
NYS license with eligibility to be credentialed as an allied health professional
Active Board of Pharmacy Specialties certification or completion within 6 months of hire
Direct patient care experience in ambulatory, hospital, or transitional care settings.
Strong clinical judgment, communication, and interdisciplinary collaboration skills.
Experience managing chronic cardiometabolic or pulmonary disease states.
Experience in value-based care, care transitions, or population health programs.
Bilingual language skills preferred
Work Environment
Position requires onsite presence during onboarding, credentialing, training, and orientation.
Initial six-month probationary period will be fully onsite.
Following successful completion of training, credentialing, and the six-month probationary period, employees may be eligible for limited telemedicine or remote work responsibilities based on operational needs.
Candidates must be comfortable working in both ambulatory and interdisciplinary care settings.
The ideal candidate will demonstrate:
Strong clinical pharmacy knowledge and direct patient care experience
Ability to thrive in a fast-paced, complex healthcare environment
Excellent problem-solving and critical-thinking skills
Strong organizational and time-management abilities
Adaptability and comfort navigating change and evolving priorities
Commitment to delivering high-quality, patient-centered care
Ability to collaborate effectively with physicians, nurses, advanced practice providers, and interdisciplinary teams
Passion for improving outcomes for high-risk and vulnerable patient populations
Strong communication and relationship-building skills
Board certification (BCPS, BCACP, or equivalent) preferred, or willingness to obtain within the required timeframe
About Montefiore Medical Center
Montefiore Medical Center is a teaching hospital located in the Bronx, New York. The hospital was founded in 1884 and has since grown to become one of the largest healthcare systems in the state of New York. Montefiore is affiliated with the Albert Einstein College of Medicine and is known for its expertise in areas such as cardiology, neurology, and oncology. The hospital has been recognized for its commitment to patient care and has received numerous awards and accolades. Montefiore is a non-profit organization and is committed to providing care to underserved communities.
