Job Description
Note: The job is a remote job and is open to candidates in USA. Shields Health Solutions is a healthcare company focused on improving patient care. The Clinical Pharmacist will provide integrated support to patients and physicians, develop personalized relationships to enhance medication adherence, and promote evidence-based care. Responsibilities • 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. • Medication therapy management (MTM): including reviewing and monitoring of medication regimens, advising clinicians on evidence based therapy as indicated, documenting interventions; assessing patient adherence rates. • Clinical interventions including but are not limited to comprehensive pharmacist consultation, motivational interviewing/coaching, drug regimen optimization, medication reconciliation, medication lists or reminders, medication synchronization, coordinate home nurse visits, transitions between liaison/PSC, use of mobile app or other technologies. • Productivity monitoring and reporting weekly stats for growth development. • Overseeing tech's daily activities and verification for accuracy on: delivery coordination slips, prior authorizations submitted, ongoing PA log activity and proactive management care utilization within each specialty as per protocol. • Identifying and resolving insurance related issues, recognizing situations where financial assistance can be applied. • Supervising communication of support personnel compliant with HIPPA rules and regulations; • Maintaining current registration and all remote pharmacist activity to comply with local, state and federal drug laws as regulated by each state board of pharmacy and the DEA. • Direct communication with other health professionals as necessary regarding patient care; • Develops own knowledge by participating in education programs; training pharmacy staff, students, interns, externs, and health care professionals; • Manage, organize, and update relevant data using database applications; • Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards; • Assist with research projects and peer reviewing articles as needed. • Identify trends, resolves problems; recommend improvements; implements change; • Actively participates in process improvement initiatives; • Protects organization's value by keeping information confidential; • Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations; • Willing to do whatever is necessary for the betterment of the Company; • Other duties as assigned. Skills • Applicant must hold a Doctor of Pharmacy (PharmD) or equivalent advanced degree and be a CA state licensed Pharmacist. • 1+ years' experience is strongly preferred but not required. • Must be computer literate with proficiency and working knowledge of database and reporting tools such as: Microsoft Word, Excel, and PowerPoint. • Knowledge using EPIC/WILLOW software a plus. • Ability to identify barriers to medication adherence and implement and monitor plans to improve medication adherence. • Ability to motivate and coach patients to help them achieve better outcomes and identify goals of therapy. • Knowledge of complex/chronic diseases states and therapies used within specialty pharmacy: Oncology, Transplant, Hepatitis C, Infectious Disease (including HIV), Multiple Sclerosis, Rheumatoid Arthritis, GI disorders (including IBD), Cystic Fibrosis, Psoriasis, Hyperlipidemia and many various inflammatory conditions (including Lupus). Company Overview • Shields Health Solutions is a specialty pharmacy accelerator that partners with hospitals to develop and manage specialty pharmacy programs. It was founded in 2012, and is headquartered in Stoughton, Massachusetts, USA, with a workforce of 501-1000 employees. Its website is Apply tot his job