Clinical Pharmacy Specialist- Internal Medicine and Transition of Care

Job Description

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.

UC Health is committed to providing an inclusive, equitable and diverse place of employment.

Under the supervision of the Director of Pharmacy, the Clinical Pharmacy Specialist (CPS) provides specialized clinical pharmacy services to patients receiving care under the medical direction of a general or specialty department, division, or service, regardless of the physical location of the patient within the hospital or ambulatory clinics. The CPS coordinates these clinical services with other health care practitioners and patients through direct and indirect patient care activities, education, and project management/research within the specialty area. The CPS also collaborates with other members of pharmacy and the interdisciplinary team to resolve problems related to drug distribution that occur on their assigned nursing unit area(s) or patient care team(s)/service(s). The CPS works to achieve desired patient-centered outcomes through supporting the provision of safe, cost-effective, evidence-based medication therapy.

Responsibilities

Patient Care:
  • Evaluate drug therapy for appropriateness, effectiveness, safety, adherence, and affordability.
  • Clarify pharmacotherapy plans and orders with the prescriber, document any changes in patient and pharmacy records, and inform others of medication order changes.
  • Monitor and adjust drug therapy for covered patients to achieve optimal patient outcomes through patient assessment, including identifying and prioritizing patient problems and medication-related needs.
  • Assessment includes considerations for age, weight, laboratory and other objective data, physical exam information, medical procedures, and other individual factors.
  • The specialist communicates this analysis with other clinicians and practitioners responsible for patient care.
  • Develop/initiate therapeutic plans and address medication-related problems through written and/or verbal consultation with the interdisciplinary team and/or through collaborative practice agreements/consults, where appropriate.
  • Areas of expertise include, but are not limited to, clinical pharmacokinetics/pharmacodynamics/therapeutic drug monitoring, evidence-based selection and/or continuance of drug therapy, determination of therapeutic end points, and core measure/regulatory performance.
  • The specialist, when functioning in a patient care area, takes responsibility for the continuity of care for a specific patient or team over the course of a hospitalization or phase of a disease.
  • The practitioner ensures that pharmaceutical care is provided when not in the area through on-call responsibilities, policy and procedures, and development of ordersets, protocols, guidelines, or clinical pathways.
  • The practitioner is responsible for reviewing pharmaceutical care provided during their absence and providing feedback to caregivers when necessary. Provide education and counseling to patients regarding their medication(s), when appropriate.
  • Participate on rapid response and medical emergency response teams.
  • Participate in drug distribution activities during periods of staffing shortages or as scheduled to maintain continuity of departmental services.
  • Demonstrate thorough familiarity with and appropriate adherence to the hospital's formulary and all pharmacy department policies and procedures.
  • Demonstrate sound verbal and nonverbal communication skills with patients and other healthcare practitioners

Indirect Patient Care:
  • Demonstrate and apply in-depth knowledge of pharmacology, pharmacotherapy, pathophysiology, and the clinical signs, symptoms, and natural history of diseases and/or disorders in specialty practice area.
  • Possess, maintain, and enhance the pharmacotherapy knowledge and experience commensurate with certification in one or more Board of Pharmacotherapy Specialties (BPS) areas.
  • Residency program directors should have achieved certification in the BPS area for their program, if available.
  • Locate, evaluate, interpret, and assimilate scientific/clinical evidence and other relevant information from the biomedical, clinical, epidemiological, and social-behavioral literature.
  • Participate in multidisciplinary teams to develop ordersets, protocols, guidelines, or clinical pathways to promote best practices, continuous quality improvement, and clinical effectiveness in area(s) of expertise.
  • Participate in medication usage evaluations (MUE) and continuous quality improvement activities, including, but not limited to, reporting medication-related incidents and adverse drug events/reactions.
  • Document clinical pharmacy activities and interventions to validate services and support clinical and departmental dashboards.
  • Exhibit leadership in the participation and development of new clinical services that improve the quality and cost of patient care provided.
  • Resolve problems related to drug distribution as identified and/or referred from pharmacy management, nurses, decentralized support personnel, and quarterly nursing unit reviews (NURs).
  • Participate in the evaluation of drugs and associated ordersets, protocols, guidelines, or clinical pathways for the Drug Policy Development Committee.
  • Supervise and mentor pharmacists, pharmacy students, and pharmacy residents assigned to patient care areas.
  • Recognition locally, regionally, or nationally through practice excellence, publications, presentations, and/or active involvement in professional service activities (e.g., professional organization committee/working group leadership; peer-review/editorial board).
  • Initiate and contribute to effective patient safety initiatives, transitions-of-care improvements, and cost reduction strategies in the department and hospital.
  • Demonstrate commitment to the pharmacy team through attendance at pharmacy staff meetings, assisting in coverage of central and decentralized pharmacists for involvement in educational activities, and providing education to the pharmacy.
  • The specialist should have an extensive network of relationships with external colleagues and local attending physicians, house staff, nursing staff, and other allied health professionals.

Participates in Educational Activities:
  • Provide education to pharmacy personnel, including clinical staff pharmacists, pharmacy technicians, and pharmacy residents.
  • Participate in and provide the education of non-pharmacy personnel including physicians, nurses, and other healthcare providers.
  • Participate in the experiential and didactic education of pharmacy students at associated colleges of pharmacy.
  • The specialist shall develop a formal APPE rotation description and primarily precept a minimum of five APPE students per academic year unless otherwise arranged.
  • Represent the department by contributing to department communications (e.g., newsletters; emails; memoranda), establishing and maintaining effective interpersonal relationships, and active involvement in department and interdisciplinary committees.

Participates in Project and Research Activities:
  • Demonstrate active and sustained participation in research protocol development, execution, and analysis in their related specialty area(s).
  • Support collaborative research activities through research protocol review, clinical/operational consultations from investigators or UC Health research support services (i.e., IDS) within specialty area(s).
  • Assist with MUEs and pharmacoeconomic study activities of the Drug Policy-Development Committee.
  • Serve as a project preceptor and mentor for pharmacy residents.

Other Duties and Responsibilities:
  • Represent the area of pharmacy specialization and the hospital through membership in multiple pharmacy/healthcare organizations.
  • The specialist should have an extensive network of associates regionally and/or nationally in the area of specialization.
  • Assume responsibilities of other clinical personnel during temporary or planned absences.
  • Performs other related functions as needed and/or assigned by the director, Department of Pharmacy Services.


Qualifications

Education: PharmD, minimum required.
  • Completion of an ASHP-accredited PGY1 pharmacy residency, with preference for ASHP accredited PGY2 and/or fellowship in specialty area.
  • Significant research contributions and medication use evaluation (MUE) activity in specialty area of practice, preferred.
  • Recognized as an expert in field of specialty (locally, regionally, or nationally) through professional service, presentations, and/or publications.

License and Certification: Registered pharmacist or eligible for licensure in Ohio. Current certification in Basic Life Support (BSL) and Advanced Cardiac Life Support (ACLS).

Experience: One to two years equivalent experience, preferred.

Required Skills and Knowledge:
  • Demonstrate and apply in-depth knowledge of pharmacology, pharmacotherapy, pathophysiology, and the clinical signs, symptoms, and natural history of diseases and/or disorders.
  • Demonstrate evidence of exceptional teaching, writing, and communication skills.
  • Development of clinical pathways/medication use guidelines.
  • MUE and project design and data synthesis.
  • Electronic database management.