Behavioral Health Pharmacist Specialist - Sharp Grossmont Hospital - Variable Shift - Full Time

Hours Shift Start Time: 8 AM Shift End Time: 4:30 PM AWS Hours Requirement: 8/40 - 8 Hour Shift Weekend Requirements: No Weekends On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $77.910 - $100.530 - $112.590 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do To provide the professional, clinical and technical knowledge, and skills and expertise required for the provision of comprehensive pharmaceutical care that supports the mission, values and philosophy of Pharmacy Services and Sharp HealthCare. Required Qualifications Other : Education pursuant to licensure requirements. 1 Year Postdoctoral experience in a hospital pharmacy environment. AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED California Pharmacist License - CA State Board of Pharmacy -REQUIRED BPS Board Certified Psychiatric Pharmacist (BCPP) - Board of Pharmacy Specialties -REQUIRED Preferred Qualifications Doctor of Pharmacy (PharmD) Completed a PGY-1 Acute Care Residency. Completed a PGY-2 Psychiatric Care Residency. Other Qualification Requirements Mental Health First Aid Certification - Preferred Essential Functions Clinical advisory services Demonstrates pro-active involvement with advisory service activities and displays follow-through and contribution to advisory service outcomes as evidenced by (including but not limited to): (e.g. Renal Target Monitoring, Antibiotic Surveillance Team, Medication Usage Evaluations and other programs or initiatives specific to the entity). Qualitative participation in clinical intervention program through consistent issue identification, provision of reliable best practice/literature based recommendations, follow-through with prescribers and other clinicians. Quantitative work, measured by the completion and submission of electronic forms consistent with the average established for each pharmacy department/shift. Consistently responds to and documents drug information requests promptly and professionally. Participates in ongoing data collection for MUE. Reviews patient medication profiles for appropriateness of drug therapy, therapeutic duplications, allergies, weight, height, minimum and maximum dosing guidelines, age specific requirements, renal and hepatic function, drug interactions and other pertinent factors to individualize patients' medication dosing requirements within boundaries approved by committees. Identifies, resolves and documents prescribing, formulary and therapeutic issues through integration of patient variables, clinical status, drug knowledge, and professional judgment. Communicates with nurses and physicians in a timely manner about therapeutic issues or problems. Follows up on formulary compliance issues and/or communicates issues to management. Participates in Code-Blue emergencies as required, mixes and labels medications as needed, and provides information; Assures that pharmacy code-blue billing is completed where appropriate and restocks medications. Consistently participating in financial pillar/cost savings measures (e.g. IV to PO conversions, ER/XL to IR adjustments as indicated, formulary adherence, etc). Assists and oversees medication shortages in the BH arena. Clinical Consult services Certification/Recertification, Participation, Knowledge: Demonstrates competency in performing formal clinical consults, and patient monitoring practices as approved by the P&T Committee: Has met minimum certification/recertification requirements as outlined in the Pharmacy Certification Process for Formal pharmacotherapy Consult and Advisory Services policy and procedure for consult services offered at entity. Participates in Clinical Consult Services for example, Pharmacokinetics, Heparin, Pain Management, and other services specific to the entity. Demonstrates knowledge of consult services as evidenced by attainment of consult service goals and proper documentation of actions, recommendations, and patient outcomes on the pharmacy monitoring forms. Performs by leaving concise, objective, legible, and professional notes in the patient's clinical chart. Consistently demonstrates ability to complete formal clinical workload assigned during shift as evidenced by completing all consults and advisory services in a timely manner. Behavioral Health Pharmaceutical Care Provide comprehensive pharmaceutical care to Behavioral Health Patient: Participate in daily patient care activities such as reviewing medication orders for accuracy and appropriateness. Verifies appropriate utilization, dosing/dose conversions, scheduling, and route/site of administration for high-cost agents, including long-acting injectable antipsychotics. Provide therapeutic drug monitoring for targeted agents or agents with narrow therapeutic index and supports prescribers in dose adjustments as indicated. Monitors and intervenes on psychotropic medication regimes which qualify as polypharmacy or are associated with the development of tardive dyskinesia. Discuss medication order clarifications with the psychiatrist or admitting prescriber and inform others of medication order changes. Oversees medication schedule and delivery in the Outpatient Long Acting Injection clinic. Documents adherence to program rules for long-acting injectable inpatient hospital free trial programs. Monitor drug therapy to evaluate appropriateness of use, dose, dosage form, regimen, route, therapeutic duplication, and drug interactions. Provide pharmacokinetic consultations and other dosing as required. Work corroboratively with other clinicians and health-care providers to implement and maintain innovative disease management programs and clinical pharmacy services. Participate in the development of medication use management programs within Sharp Healthcare including clinical guidelines, critical pathways, disease management, and drug use programs. Provide operational support in the Behavioral Health Department and Central Pharmacy as determined by departmental need:

• Resolves drug distribution related issues.
• Resolves Pyxis related issues.

Facilitate proper information transfer with regard to medication use for patients converted to Inpatient registry from Behavioral Health. Promote the use of the formulary by converting non-formulary orders to formulary when possible, but coordinates procurement of non-formulary drugs when necessary. Promote and demonstrate rational, cost-effective drug therapy:

• Focus on cost avoidance and cost savings due to medication use.
• Monitor the use of expensive medications to assure there is use consistent with approved criteria.
• Anticipate changes in drug therapy and report the potential impact it will represent to the overall hospital and drug budget.

Medication reconciliation and patient education Reconcile patient home medications, pharmacy and nursing medication records as necessary. Facilitate discharge/admission/transfer for patients. Provide patient specific medication use teaching for discharge medications when appropriate. Multidisciplinary communication Operational Services (dealing with internal customers):

• Clearly communicates goals and instructions to other staff members, including handoffs between shifts (written/oral).
• Participates in staff orientation and resident/student training programs.
• Effectively intercepts and troubleshoots problems, as demonstrated by effective problem solving, prioritization of issues with respect to level of significance and Impact to patient care, safety, workflow, and communication.
• When faced with complex situations, has knowledge of and applies the appropriate policies and procedures.
• Effectively evaluates ongoing workflow issues as and directs daily workload to achieve efficiency and maximize resource utilization as business needs require.
• Attends and participates in staff meetings or reviews staff meeting communications.
• Reads work related email at a minimum on assigned workdays.

Customer Service Interdepartmental Relations (Dealing with external Customers):

• Answers phone in timely, friendly manner, stating department, name, and title.
• Fosters positive relationships through consistent, respectful, professional interactions with customers.
• Responds to requests in timely, caring manner that is consistent with Sharp behavior standards, (i.e. attitude).

Quality Improvement initiatives Guiding the development of evidence-based treatment protocols, algorithms, and/or clinical pathways that are congruent with nationally accepted practice guidelines and quality indicators (Core measures). Assisting in the development, implementation, and assessment of various technologies used throughout the BH medication-use process (EHR). Maintaining compliance with standards of national accrediting bodies such as the Joint Commission and CDPH. Assisting in surveillance and reporting of adverse drug reactions. Participate on hospital committees: Pharmacy operations and distribution Assures smooth operation of the pharmacy on a daily basis by providing daily work direction and supervision of technical and ancillary staff; oversight over personnel. Medications are prepared and dispensed accurately and in a timely manner in accordance with recognized standards of practice, legal and regulatory requirements, and hospital pharmacy policies and procedures: Counsels patients on medication use consistent with professional standards and OBRA-90 regulations when applicable. Assures controlled substances are dispensed with accuracy. Maintains integrity of all record keeping. Assists with narcotic inventories as required. Dispenses investigational medication according to policies and procedures. Enters data correctly into computerized patient medication profile and verifies that all technician orders are correctly entered into computer. Demonstrates proficiency with and utilization of automation and advances in technology (EHR, Pyxis Profile, Dose Edge, repackaging robotics, physician order entry, etc.) Demonstrates knowledge of age specific medication delivery systems (e.g. NICU admixtures NICU and pediatric oral syringes, final admixture concentration, etc.) Demonstrates knowledge of competency of IV admixture/aseptic technique including the standards of USP. Participates in cost management initiatives including: (Managing appropriate Inventory levels to decrease staleness & wastage and keep Inventories low; reduce waste. Attempts to reduce expired meds and use short dated items before they expire, etc. Borrow loan paperwork complete and.) Regulatory compliance Compliance to relevant regulatory agency requirements (i.e. State Board of Pharmacy, CMS, TJC, DHS, FDA, DEA, etc.) as demonstrated by: Completes monthly assigned nursing unit / drug storage area inspections on time. Completes paperwork including inspection log, documents discrepancies, and makes recommendations for improvement. Brings critical issues to the attention of management. Participates in attaining compliance with the National Patient Safety Goals as demonstrated by saving and forwarding orders/examples to management or designee (i.e. of no VO/TO completed, no prohibited abbreviations, use of 'resume all meds', etc). Participates & assists in the collection of med tracer audits or collection of individual elements from the tracer tool. Ensures security of medication storage and compliance with Medication Management (MM) standards (i.e. all meds are labeled, patient own meds are checked, bedside medications have associated physician orders, no expired meds, and the physical security of medications is maintained). Assists in ensuring facility compliance with hospital-based inpatient psychiatric services core measures related to medication utilization. Research & Teaching Responsibilities Take a leadership role in clinical research and the teaching programs of the Department of Pharmacy Services as they are related to Behavioral Health medicine: Residency Program Director for PGY-2 Psychiatric Pharmacy program Participates in providing didactic and experiential training in Clinical Pharmacy for clinical pharmacy residents. Assist in the development, implementation, and evaluation of residency programs in the areas of Pharmaceutical Care and Clinical Pharmacology. Actively participates in clinical research projects resulting in presentations and/or publications. Provide staff development support to nurses, and physicians. Provide presentations, publications, and other informative activities on emergency medicine and other drug-related topics to the health care community and general public. Maintains awareness of contemporary trends in the profession through the professional literature and regular attendance at professional organization meetings, institutes and seminars. Safe medication practice Demonstrates proactive participation in medication safety initiatives as demonstrated by: Knowledge of and active participation in concurrent medication safety event (MSE) monitoring programs, as demonstrated by interventions and eQVR submissions. Qualitative work demonstrates thoughtful and thorough identification, evaluation and analysis of medication safety events. Performs initial analysis of MSE's and assists in the research and identification causative factors of events. Performs non-voluntary monitoring (i.e. trigger reports, harm monitors, alerting orders). Oversees hospital Clozapine REMS program. Performs fall risk assessment for all patients receiving anti-psychotic medication. Reviews patient restraint report to see if opportunities to restart anti-psychotic medication or titrate up. Knowledge, Skills, and Abilities Computer skills are highly desirable, especially in the application of word processing, spreadsheet, and database creation and management. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.

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