Ambulatory Clinical Pharmacist - NJ Licensed

At Shields, we pride ourselves on our culture of inclusion and kindness and the difference we make in patients' lives every day. We are tremendously proud to be certified as a ‘Great Place to Work’ four years in a row. In 2022, we were awarded US Fortune Best Workplaces in Health Care™, Fortune Best Workplaces for Millennials™ & Fortune Best Workplaces for Women™.

Improving lives and elevating performance are at the heart of everything we do. That’s why more health system leaders trust Shields to elevate access, outcomes and growth within specialty pharmacy — delivering value throughout the entire health system. Leveraging our proven Shields Performance Platform – we deliver the financial results that health systems demand and the superior outcomes patients deserve. With the foremost leaders in specialty pharmacy on our team; proven success partnering with more than 70 health systems; and a vested interest in delivering measurable results – we are the partner health systems trust to transform their specialty pharmacy into a powerful growth engine and elevate performance where it matters most.

 

Job Purpose:  

This person will prepare and dispense retail and specialty medications to patients at the University Hospital Community Pharmacy, provide clinical support to the physicians and ambulatory care pharmacists, and oversee pharmacy operations. This role is 100% onsite. 

 

Job Duties: 

The Clinical Pharmacist will help advance quality pharmacotherapy care by actively assuring the provision of safe, efficacious, and cost-effective drug therapy for all Specialty patients. The clinical pharmacist works in the outpatient Specialty Pharmacy call-center and collaborates with all team members utilizing a collaborative practice-based care team model. The pharmacist provides face-to-face and one-on-one phone-based disease management with patients. Responsible for the review of prior authorization requests for medications requested under the pharmacy benefit. The pharmacist will utilize integrated and routine communication with all health care professionals and the patients concerning medical care and quality of life with the emphasis placed on the monitoring and documentation of specific pharmacotherapy outcomes. The clinical pharmacist will consult with the patient to identify, resolve and prevent medication related problems. The clinical pharmacist assesses each of the patient’s medications for indication, effectiveness, safety and adherence issues 

• Medication therapy management, including reviewing and monitoring of medication regimens, advising clinicians on evidence-based therapy as indicated, documenting interventions;
• Have the ability to review patients' clinical chart information and determine the appropriateness of requested treatment

• Prepares and dispenses medications by reviewing and interpreting physician orders; detecting therapeutic incompatibilities; 

• Reviewing and interpreting clinician's patient care note/assessments for supportive clinical data needed for prior authorization approvals and development of care plan recommendations. 

• Develop and refine disease and drug specific clinical protocol to maximize patient adherence and promote evidence-based cost-effective care. 

• Monitor on-going patient adherence (PDC reports, patient assessment data, and mobile platform data) across all sites and disease categories with focus on oncology and other specialty specific disease states. 

• Evaluation of EMR to review: drug and disease interaction, medication selection, labs/vitals, allergies, RX orders/renewals and direct MD communication, and other relevant information important to maximize medication adherence and optimize patient outcomes. 

• Recommending alternative therapeutic drug regimens and disease specific treatments according to guidelines as appropriate. 
• Monitor and evaluate therapies for side effects or other medication related issues, recommend drug therapy changes to prescribers as appropriate.  
• Monitor and review prior authorization requests for medications;
• Develop clinical criteria and medical policies for the review of medications;
• Ensure all clinical criteria is in regulatory compliance with Center of Medicare an