Clinical Pharmacist

Clinical Pharmacist

Minimum Qualifications:

• Degree: Doctor of Pharmacy (Pharm.D.).
• Education: Graduate from a college or university accredited by the Accreditation Council on Pharmaceutical Education (ACPE) or a Foreign Pharmacy Graduate Examination Committee (FPGEC) certificate and active licensure from a U.S. state, territory, or district.
• Internship/Residency: Completion of a clinical pharmacy internship, residency and/or fellowship accredited by the American Society of Health System Pharmacists or American College of Clinical Pharmacy.

-OR-

• Experience: As required to meet clinical competency requirements specified in the credentialing instruction.
• Licensure: Current, full, active, and unrestricted license to practice as a clinical pharmacist.
• Requirements for additional pharmacist privileges include one of the following:
• Certification by the Board of Pharmacy Specialties in one or more recognized practice areas appropriate for the privileges requested (e.g., Pharmacotherapy, Ambulatory Care Pharmacy, et.); or
• Completion of a clinical pharmacy residency or fellowship accredited by the American Society of Health-System Pharmacists or American College of Clinical Pharmacy; or
• Completion of a Post-Graduate Master of Science degree with emphasis on medication therapy management or direct patient care.

Core Duties:

• Assess patient's response to drug therapy and planning drug therapy based on physician-established diagnoses.
• Order and evaluate laboratory tests necessary to evaluate drug therapy effects and outcomes.
• Initiate, modify, or discontinue medications for ongoing therapy of chronic disease states (e.g., hypertension, hyperlipidemia, anticoagulant, diabetes, asthma, refill clinics, etc.), in cooperation with the medical staff.
• Monitor and manage pharmacotherapy requiring periodic adjustment due to specific or changing pharmacokinetic characteristics (e.g., aminoglycosides, phenytoin, antithrombotic).
• Administer prescription or non-prescription drugs according to established agreements or MTF protocols.
• Assess metabolic needs and order therapeutic enteral or parenteral nutrition products in the inpatient setting.
• Evaluate medical and medication histories for drug-related problems and adjust drug therapy accordingly.
• Consult with other healthcare providers (e.g., physicians, dietitians, nurses, physical therapists, etc.) about patient treatment needs or options.
• Perform a full range of pharmacist procedures.
• Review patient profiles at the time of dispensing in order to closely monitor medication therapy.
• Ensure prescription directions for use, dose, medication interactions, therapeutic duplications or overlaps, allergy information, age specific dosage, and other pertinent data are appropriate for individual patients.
• Ensure accuracy of all pharmaceutical products prepared or processed by technical staff.
• Provide medication and healthcare related in service training to clinical staff on new medications on the market; appropriate use of medications; comparison of current medication therapies; and other topics as deemed appropriate by the department head.
• Consult with other specialty practitioners to provide optimal patient pharmaceutical care.
• Document significant medication interactions, and pharmacy interactions with prescribers. Conduct Adverse Drug Reaction (ADR) reporting in accordance with accreditation standards.
• Facilitate medical staff drug utilization reviews (DURs) as deemed necessary.

Additional Qualifications for Clinical Pharmacists for DSS only:

• Must meet BLS requirements
• Possess a graduate certificate within the preceding year from an accredited pharmacy residency program OR possess a minimum of 12 months of experience within the preceding 18 months as a Clinical Pharmacist performing direct patient care clinical activities in an inpatient, outpatient, or ambulatory care pharmacy setting OR have held clinical privileges as a Clinical Pharmacist within the preceding 36 months in a military treatment facility.
• This position is subject to credentialing per section

Additional Duties for Clinical Pharmacist for DSS only:

• Participate in a multidisciplinary team with other health care providers providing consultative services pursuant to optimal health care delivery to patients suffering from pain.
• Work with physicians in a multidisciplinary team to provide drug therapy recommendations, perform polypharmacy management, and provide patient education regarding changes in drug therapy.
• Conduct a deliberate medication review and reconciliation for chronic pain patients and develop strategies for patients with histories of non-compliance, abuse, and or diversion.
• Conduct a clinical interview with patients, family, and/or caregiver(s) to identify information necessary to design a pharmacotherapeutic treatment plan.
• Order and evaluate appropriate laboratory tests to assess clinical response, development of adverse drug reactions, therapeutic drug levels, and complete all appropriate clinical reminders.
• Document and communicate all information as appropriate; pain patient agreements, pharmacotherapeutic treatment findings, and recommendations.
• Educate patients and their families/caretaker(s) on medications and non-drug therapy and provide appropriate written drug information: counsel on self-monitoring techniques and lifestyle changes to promote wellness; emphasize medication adherence and provide compliance aids, such as medication charts and pill boxes.
• Extend existing prescriptions (psychotropic and non-psychotropic medications) as appropriate and ensure the patient receives follow-up appointment(s) with the appropriate individual(s).
• Order consults and referrals as appropriate.
• Participate in an on-site designated Extension for Community Healthcare Outcomes (ECHO) tele-mentoring training program.
• Participate in tele-mentoring, tele-medicine, and tele-consults.

Work Schedule: Services shall be provided Sunday through Saturday, between the hours of 0600 to 1800 hours. Shifts will normally be scheduled for an 8.5-hour shift to include an uncompensated 30-minute lunch break. In no instance will the HCW be required to provide services more than 80 hours per two-week period. Overtime is not authorized. The HCW shall carry the Coumadin duty cell phone from 0700-1800 Sunday through Saturday so that Medical Staff may be able to reach the clinic for dosing recommendations during business hours and for patients to be able to reach the HCW for missed doses, medication changes or questions over the weekend. The duty cellphone will be in possession by each staff member according to the cell phone duty schedule indicated on the monthly schedule. Coumadin Duty call shall be rotated with other pharmacists. It is anticipated that a contract HCW shall provide Coumadin Duty cell services approximately once every 4 to 6 weeks. For federal holidays (established per command instruction on an annual basis), the duty cell phone will be kept by the HCW assigned to the cell phone (per the Holiday Cell phone Assignment document that will be distributed in advance by the Department Leadership). The contractor shall not bill separately for Coumadin Duty cell services; costs for these services shall be built into the base hourly rate per the applicable line item.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.