Clinical Pharmacy Specialist - General Medicine/Anticoagulation

HCA   •  

Salem, VA

Industry: Agriculture


5 - 7 years

Posted 378 days ago

Job Code: 00005-17955


Mixed (rotating weekends)

LewisGale Medical Center (LGMC) delivers quality care to our patients located in the beautiful mountainous region of Southwest Virginia.  LGMC is a 521-bed acute care facility and is the largest hospital in the LewisGale Regional Health System (LGRHS).  Through our extensive network stretching from the Alleghany Highlands and Rockbridge County to the Roanoke and New River Valleys, we have the privilege of serving more than 250,000 patientseach year. 


LewisGale is also ranked among the top hospitals in Virginia and the nation for benchmarked quality cancer care, patient safety and satisfaction and health outcomes.  Lastly, the Centers for Medicare and Medicaid Services (CMS) have ranked us among the top hospitals nationwide on quality measures for our services and treatments to address heart attack, heart failure, pneumonia and surgical care.


GENERAL SUMMARY OF DUTIES: The General Medicine/Anticoagulation Pharmacy Specialist provides pharmaceutical care as it relates to the drug therapy needs of general medical patients, with a particular focus on antithrombotic management. This care will include, but is not inclusive to, that of patients with unique drug therapy needs, including consultations regarding drug dosing, monitoring, selection, and adverse drug reactions. This position will also be responsible for the development, coordination, monitoring and optimization of an anticoagulation/antithrombotic stewardship program. This position will be expected to seek future opportunities for expansion, such as the potential development of an outpatient anticoagulation clinic.

SUPERVISOR –Director of Pharmacy, Pharmacy Clinical Manager

SUPERVISES – Pharmacy students and other pharmacy support staff


·            Participates in drug utilization evaluations, adverse drug reaction follow-up/retrospective review, and pharmacy quality initiatives as they pertain to medicine patients and antithrombotic therapy

·            Provides and demonstrates clinical expertise in general medicine, with focused knowledge in antithrombotic therapy

·            Actively participates in staff development and educational programs for pharmacists, nurses, physicians and other healthcare providers

·            Monitors drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose given clinical scenario

·            Provides patient education, as required, upon admission, post-procedure, at discharge or throughout phases of inpatient care

·            Assists in the development of hospital-wide, periodic, clinical communication on various drug therapy initiatives, to include updates in antithrombotic management

·            Develops, coordinates, and provides clinical services for an inpatient anticoagulation stewardship program

·            Provides clinical consultation and clarification to practitioners.  Suggests appropriate, cost-effective therapeutic alternatives to medical staff, as needed

·            Works with medical staff to promote rational drug therapy and make improvements identified by drug utilization evaluations.

·            Has  knowledge of the patient population they serve and applies that knowledge in the care of those patients

·            Maintains professional competency sufficient to meet current and future needs of the facility

·            Participates with various nursing and medical staff committees, as necessary

·            Should be an active and contributing member of the local and national pharmacy societies.

·            Participates in establishing pharmacy goals and objectives and assist in the implementation in conjunction with the pharmacy leadership.

·            Works with the Pharmacy Director and Clinical Manager to meet or exceed all regulatory standards 

·            Participates in precepting pharmacy students, and eventually, residents.

·            Perform other duties as assigned

·            Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”


·            B.S. or PharmD from an ACPE-accredited College of Pharmacy (Doctor of Pharmacy is preferred)


  • Completion of an ASHP-accredited pharmacy practice residency, with 1-2 years of clinical experience in internal medicine and/or anticoagulation management, or
  • Completion of an ASHP-accredited PGY-2 residency in Internal Medicine, Cardiology, Pharmacotherapy or other relevant specialty, or
  • Completion of 4-5 years of related clinical experience in general medicine and/or anticoagulation, or holds current certification as a Certified Anticoagulation Care Provider.


·            Active Virginia Pharmacist License – obtained as soon as possible, but required within 60 days of employment

·            Obtains certification as a Board Certified Pharmacotherapy Specialist (BCPS) within 2 years of employment

·            Certified Anticoagulation Care Provider (CACP) is preferred


·            Knowledgeable and proficient in the legal responsibilities of the pharmacist to the facility and all state and federal laws and regulations governing pharmacy services.

·            Demonstrated ability to effectively participate on interdisciplinary teams and committees.

·            Demonstrates leadership skills required to lead a team of pharmacists and work with other health care professionals to review, develop, implement, and monitor drug use policies and practices.

·            Individuals must be able to assess patients' drug therapy and provide consultations as requested by medical staff.

·            Knowledge in pathophysiology, interpretation of diagnostic criteria, pharmacokinetics and pharmacotherapeutics is required

·            Knowledgeable and proficient in assessing the use and application of new medications and medication technology, including complex equipment and delivery systems.

·            Tactical execution – Able to develop policies and procedures for pharmaceutical services and has the ability to solve problems using analytical thinking.

·            Communication – Able to communicate (verbal and written) clearly and effectively to other health care providers including pharmacists, physicians and nurses. Fosters team environment by providing clinical education, support, training to staff members

·            Leadership – Guides individuals and groups toward desired outcomes, setting high performance standards and delivering quality services

·            Customer orientation – Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. Able to work with diverse work force

·            Policies and Procedures – Articulates knowledge and understanding of organizational policies, procedures and systems

·            PC Skills – Experience using computer applications including word processing, spreadsheets, and pharmacy information systems required.

·            Financial management – Applies tools and processes to successfully manage drug cost budget. Able to direct cost-effective drug therapy via clinical protocols

·            Project management – Able to assess work activities and allocate resources appropriately. Able to work independently and handle stress appropriately

Last Edited: 09/20/2017