Clinical Pharmacist - TPN

Clinical Home Infusion Pharmacist (TPN Specialty)

The Home Infusion Pharmacist is responsible for the clinical management and oversight of parenteral nutrition and other infusion therapies provided in the home setting. This role emphasizes patient assessment, prescribing recommendations, therapy optimization, and interdisciplinary collaboration. The pharmacist serves as a clinical resource to providers, patients, and internal teams, ensuring safe, effective, and evidence-based therapy while supporting quality assurance and continuous performance improvement initiatives.

Clinical Responsibilities

• Conduct comprehensive patient assessments to determine appropriateness for home infusion therapy, including review of medical records, laboratory values, nutritional status, and overall clinical condition.
• Review and evaluate prescription orders for clinical appropriateness, accuracy, completeness, and safety.
• Recommend, initiate, and adjust TPN formulations based on patient-specific clinical needs, laboratory trends, and established practice guidelines.
• Communicate with prescribers, dietitians, and nursing staff to clarify orders, recommend therapy modifications, and support ongoing clinical decision-making.
• Ensure all prescriptions meet legal, regulatory, and accreditation standards prior to dispensing.
• Maintain accurate and up-to-date patient profiles within the pharmacy system, including diagnoses, lab data, allergies, therapy history, and clinical interventions.
• Provide support with sterile compounding activities, including review of compounding records and product verification while maintaining compliance with all regulatory and documentation requirements

Patient Care & Education

• Provide patient and caregiver education regarding TPN therapy, including administration expectations, potential adverse effects, monitoring parameters, and adherence to the treatment care plan.
• Serve as a clinical point of contact for patient-related concerns, including assessment of reported side effects, line-related issues, or therapy complications.
• Support timely clinical intervention in emergent or urgent situations such as adverse drug reactions, suspected infections, or therapy intolerance, escalating as appropriate.

Interdisciplinary & Care Coordination

• Collaborate with physicians, nurses, dietitians, discharge planners, and case managers to facilitate smooth transitions of care from inpatient or outpatient settings to home infusion therapy.
• Partner with the billing and reimbursement team to verify insurance coverage requirements, support prior authorization needs, and explore clinically appropriate alternatives when coverage limitations exist.

Operational, Regulatory & Oversight Responsibilities

• Maintain knowledge of and comply to USP 797, state board of pharmacy, and federal regulations as they relate to clinical practice and patient safety.
• Assist with pharmaceutical recalls, medication safety reviews, incident, and clinical intervention assessments as needed.
• Participate in surveys and inspections conducted by authorized regulatory and accreditation agencies, representing clinical pharmacy services.

Quality Assurance & Performance Improvement

• Document medication errors, adverse events, and near misses for Quality Assurance review.
• Report incidents to appropriate management in accordance with internal policies and regulatory requirements. Actively participate in the company's Performance Improvement Program, contributing clinical expertise to process improvement and risk mitigation initiatives.

Professional Responsibilities

• Maintain active pharmacist licensure and complete continuing education aligned with clinical practice, TPN therapy, and regulatory requirements.
• Assume on-call responsibilities as required to support patient care continuity.
• Oversee pharmacy staff as assigned
• Additional duties and responsibilities in different areas of the department on an as-need basis or determined by management
• Foster a culture of accountability, integrity, collaboration, and service excellence.

Required Qualifications

• PharmD or B.S. Pharmacy
• At least two years of related home infusion experience, specifically in managing TPN patients required
• Unrestricted active CA Pharmacist license
• Strong knowledge of aseptic technique and compounding practices
• Knowledge of home infusion therapy equipment and procedures
• Excellent verbal and written communication skills
• Excellent interpersonal and customer service skills
• Excellent customer service skills
• Excellent organizational skills and attention to detail
• Excellent time management skills with a proven ability to meet deadlines
• Strong analytical and problem-solving skills
• Strong supervisory and leadership skills
• Ability to prioritize tasks and to delegate them when appropriate
• Ability to function well in a high-paced and at times stressful environment
• Proficient with Microsoft Office Suite or related software such as CPR+

Additional Information

• Full-Time, On-Site
• Direct Placement, Benefited