Clinical Pharmacist Ambulatory Population Health & Comprehensive Medication Management

Clinical Pharmacist Ambulatory Population Health & Comprehensive Medication Management

Charleston, South Carolina

The Clinical Pharmacist provides comprehensive, patient-centered medication management services designed to optimize medication therapy, improve clinical outcomes, enhance patient understanding and engagement, and support organizational value-based care initiatives. This pharmacist works collaboratively with physicians, advanced practice providers, nurses, care managers, pharmacy team members, population health teams, and other members of the interdisciplinary care team to identify and resolve medication-related problems, address gaps in care, improve medication adherence, and support patients across the continuum of care.

Key areas of responsibility include Medication Therapy Management (MTM), Annual Wellness Visits (AWVs), medication reconciliation, transitions of care, patient education, clinical outcome improvement, and medication-related support of value-based care quality measures.

Comprehensive Medication Management

• Conduct comprehensive medication reviews and targeted medication reviews for eligible and high-risk patients.
• Assess medication therapy for indication, effectiveness, safety, adherence, affordability, and patient understanding.
• Identify medication-related problems and develop evidence-based recommendations in collaboration with the patient and healthcare team.
• Identify opportunities for therapeutic optimization, deprescribing, medication simplification, and resolution of medication duplication or discrepancies.
• Provide follow-up to evaluate response to therapy and progress toward individualized treatment goals.
• Support medication adherence through identification and resolution of clinical, behavioral, financial, and access-related barriers.

Annual Wellness Visits & Preventive Care

• Conduct or support pharmacist-led Annual Wellness Visits within organizational workflows and applicable scope-of-practice requirements.
• Complete medication review and reconciliation as part of the AWV process.
• Identify preventive care needs and gaps in care and coordinate appropriate follow-up with the patient's healthcare team.
• Provide education and recommendations related to medication use, preventive care, immunizations, and chronic disease risk reduction.
• Collaborate with primary care and population health teams to support completion of recommended preventive services.

Value-Based Care & Quality Improvement

• Support organizational and payer value-based care initiatives through pharmacist-led interventions focused on medication-related quality opportunities.
• Identify and address medication-related gaps in care for attributed or targeted patient populations.
• Support performance improvement for applicable medication-related quality measures, such as adherence, appropriate medication use, medication safety, and evidence-based chronic disease therapy.
• Work collaboratively with population health, quality, ambulatory care, and clinical teams to develop strategies for improving patient and population-level outcomes.
• Use available clinical and population health data to prioritize patients for pharmacist intervention and evaluate the impact of pharmacy services.

Transitions of Care

• Provide medication-focused support during transitions between inpatient, emergency, post-acute, specialty, and ambulatory settings.
• Perform post-discharge medication review and reconciliation for targeted patients.
• Identify and resolve medication discrepancies, therapeutic duplications, omissions, access barriers, and other medication-related concerns.
• Reinforce discharge medication plans and ensure patients understand newly initiated, changed, and discontinued medications.
• Collaborate with prescribers, care managers, community pharmacies, specialty pharmacies, and other healthcare professionals to facilitate continuity of medication therapy and reduce medication-related risk following transitions of care.

Medication Reconciliation

• Perform comprehensive medication reconciliation at identified points of care.
• Obtain and validate medication histories using available clinical information and patient/caregiver interviews.
• Identify and resolve discrepancies among medication lists, prescribed therapy, and actual patient medication use.
• Communicate clinically significant discrepancies and recommended interventions to the appropriate healthcare team members.
• Promote accurate, current medication lists across care settings.

Additional Job Description

Minimum Qualifications:

• Doctor of Pharmacy (PharmD) degree from an accredited college or school of pharmacy.
• Current pharmacist licensure, or eligibility for licensure, in South Carolina.
• Completion of an ASHP-accredited PGY1 pharmacy residency or equivalent relevant clinical pharmacy experience preferred.
• Experience in ambulatory care, primary care, population health, transitions of care, medication therapy management, or chronic disease management preferred.
• Experience working within an electronic health record and documenting clinical pharmacy interventions preferred.
• Experience with pharmacist collaborative practice models.
• Experience supporting quality improvement, population health, or value-based care initiatives.
• Experience managing high-risk or medically complex patient populations.

The ideal candidate will demonstrate:

• Strong clinical knowledge of pharmacotherapy and chronic disease management.
• Ability to assess medication regimens and identify opportunities to improve medication safety, effectiveness, adherence, and affordability.
• Strong patient interviewing, motivational interviewing, counseling, and education skills.
• Ability to collaborate effectively within interdisciplinary teams.
• Understanding of population health and value-based care principles.
• Ability to interpret clinical information and translate findings into actionable medication recommendations.
• Strong written and verbal communication skills.
• Ability to work independently while functioning effectively within a team-based care model.
• Strong organizational and time-management skills.
• Commitment to continuous quality improvement and development of innovative pharmacy services.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.