Clinical Pharmacist Spclst

This position is for our Outpatient Infectious Diseases Clinic. 

The Clinical Pharmacist Specialist reports to Director Pharmacy Services and indirectly to Senior Clinical Pharmacists. Coordinates pharmacy clinical programs including but not limited to pharmacoeconomics pharmacotherapeutics pharmaceutical care and drug information services. Collaborates with multidisciplinary care givers to monitor assess recommend changes to and optimize medication use in areas of therapeutic specialization with consideration of the aging processes and human developmental stages (neonate child adolescent adult geriatric).  Serves as a subject matter expert and real-time go to resource in area of specialty. Participates in the development of therapeutic drug policy and implements corrective strategies necessary to contain drug costs in specified patient settings and/or within therapeutic classes. Monitors pharmacy clinical services through continuous quality improvement activities with consideration to the age of the patient populations being served to ensure that the customers' expectations are met or exceeded.  Participates in the development and implementation of policies procedures and budgets for Pharmacy Services and clinical practice setting.



 Is responsible for knowing and acting in accordance with the principles of the Lifespan Corporate Compliance Program and Code of Conduct.
Coordinates and oversees new and established Pharmacy Clinical Services. 
Implements interprets and provides consultation for policies procedures and standards of practice related to medication use. 
Reviews and analyzes Pharmacy Clinical Services recommending and implementing changes allocation of resources new technologies etc. that will increase the efficiency and level of service of the pharmacy.
Participates in the development implementation and integration of patient-focused medication therapy management and pharmaceutical care services in collaboration with pharmacy leadership and key constituents within clinical practice setting. 
Monitors drugs and/or therapeutic classes targeted for review and implements corrective strategies to optimize drug use in compliance with clinical usage guidelines.  Coaches professional staff on pharmaceutical care and pharmacoeconomic principles facilitating safe and cost-effective medication use practices.
Serves as a subject matter expert and real-time go to resource in area of specialty.
Participates in development of short and long-term goals of pharmacy services in consideration of Lifespan�s mission its values and its key business objectives.  Provides input into the development of capital and operating budgets for the Pharmacy.  Participates in explaining and resolving variances if needed.
Provides input to assist in the development of effective drug budgeting and allocation of resources through application of pharmacoeconomic principles and methods to achieve defined goals and objectives.  Monitors drug utilization projections and recommends corrective strategies as appropriate.
Ensures that pharmacy clinical services and programs support established standards of care meet or exceed patient care quality standards are in compliance with regulatory agencies and consider age-specific needs of the patient populations served.
Maintains computerized systems software programs and specialized equipment and technologies utilized in drug information and evaluation processes.  Coordinates medication use quality improvement programs and related database maintenance including but not limited to Adverse Drug Reaction Reporting Pharmacist Clinical Interventions and Medication Use Evaluations.
Participates in determining the qualifications and competence of department personnel and in the development of tools and standards to establish and improve staff competency levels in areas of therapeutic specialization.  Participates in orientation of new employees in-service training and continuing education programs.
Effectively and continually communicates with the staff management and customers to facilitate the flow of drug information.  Provides timely and accurate communication both written and verbal as appropriate regarding changes and continuous quality improvement activities including goals and objectives of the Pharmacy as they relate to Clinical Services.
Participates in the education and training of pharmacy nursing physician assistants and medical students and residents.  Provides didactic lectures and serves as preceptor as assigned.  Provides appropriate oversight during internship rotations and completes applicable competency and evaluation documentation.
Presents formal lectures to pharmacists other health professionals and the lay public as assigned.  Supports department academic affiliations including serving as clinical faculty and providing lectures at colleges of pharmacy nursing and physician assistant programs as assigned.
Maintains current professional competence in area of specialty including new medications disease management standards patient care practices and innovative technology by participation in ongoing independent study and membership and participation in professional organizations.  Attends and participates in continuing education activities trains and retrains as needed.
Participates in risk management activities practice performance improvement initiatives and quality measures; identifies opportunities for improvement where systems modifications could result in operational advancements and efficiencies.  Participates in continuous quality improvement activities and total quality management initiatives. Participates or leads various committees task forces and performance improvement teams as assigned.
Prepares papers for presentation at professional organization meetings submits manuscripts for publication in professional journals and authors articles for publication on the Pharmacy Web site.
Conducts pharmacy practice research clinical research and data-related research in alignment with Lifespan mission goals and priorities; authors research based original abstracts scientific and scholarly papers and submits for publication and/or presentation in accordance with Departmental policies and procedures. 
Participates in development of a strategic vision for the department and clinical practice setting.
Plans and organizes priorities for effective patient care and clinical pharmacy services within the scope of existing departmental and organizational policies.
Performs all the duties of a pharmacist in preparing and dispensing medication providing drug information and other duties as required.

Performs the duties of a Supervisor-in-Charge on an assigned basis.

Participates in emergency code blue response.



The Ambulatory Medication Therapy Management (MTM) Clinical Pharmacist Specialist is integrated into the practice-based healthcare team to work in partnership to promote patient-centered care to have frequent contact with the primary care providers and medical home team members so that comprehensive care for patients is provided.  The Ambulatory MTM Clinical Pharmacist Specialist will perform MTM pharmacotherapy consultations to patients and/or prescribers in an ambulatory environment promoting high quality evidence-based cost effective pharmaceutical care aimed at improving the medication use process and health promotion. All essential functions performed in this position reflect the age specific needs of patients. Ambulatory Medication Therapy Management Clinical Pharmacist Specialists under a formal integrated care agreement report indirectly to the Director of Clinical Operations and the Administrative Director for Primary Care and Clinical Integration and will provide the services delineated under the formal agreement.

Performs comprehensive medication reconciliation and reviews activities medication related patient counseling general health education coaching and support over the counter medication consults; emphasis on safe and effective use of medications identification of potential drug interactions and other related activities.
Provides a detailed initial evaluation assessing medication therapies medication adherence barriers and adverse events.  Initial evaluation will include screening for substance and alcohol use.
Addresses medication-related issues involving high risk medications cardiovascular disease and diabetes.
Provides patient education and facilitates provision of other resources to maximize patients' medication therapy success resulting in improved patient outcomes.
Develops a plan of care or a Medication-related Action Plan (MAP) that details actions of the patient and/or prescriber based on the pharmacotherapy assessment and Medication Therapy Review (MTR).
Consults with prescribing healthcare provider at the Practice caring for the patient before initiating modifying or discontinuing medication therapy or laboratory tests or as delineated in the practice protocols. 
Practices under collaborative practice agreement following practices consistent with services delineated in the agreement.
Supports patients in facilitating appointments on MTM and discuss community resources available for patients.
Provides basic (not general) nutrition assessment.
Documents all MTM patient encounters (including telephone encounters) in the Electronic Health Record (EHR).
Utilizes the EHR for reporting of MTM activities interventions and operational initiatives to support pharmacy benefit targets.
Contributes to improved patient outcomes through improvements in patient adherence to prescribed therapy and recommended modifications to treatment.
Coaches professional staff (medical home team other providers) on pharmaceutical care and pharmacoeconomic principles facilitating safe and cost-effective medication use practices within the integrated care delivery model.
Participates in and contributes to staff meetings medical home team huddles/collaborative care rounds and other staff development opportunities.
Works with Lifespan�s Pharmacy and Therapeutics (P&T) Committee to establish protocols for drug therapy management and collaborative practice.
Maintains a high level of clinical knowledge of chronic disease states and changes in pharmacy practice in adult and geriatric patient populations to serve as an information source on drugs and their utilization in therapy.
Delivers support and training for practice transformation efforts throughout Lifespan�s   primary care practice network.


Post-graduate Year 2 (PGY2) residency from an accredited program in area of specialty.

National board certification in area of specialty if available; otherwise national board certification in pharmacotherapy preferred.

Immunization Certified. 


Healthcare environment such as physician office practices and ancillary healthcare enterprises. Any hazards are minimized by adherence to established safety procedures and precautions. Prolonged standing and walking. Exposed to all patient elements. May be required to lift/turn patients and equipment. Repeated bending squatting and stooping.


Other information:

Bachelor of Science in pharmacy or Doctor of Pharmacy degree from an accredited college of pharmacy.  Advanced study in pharmacy or health care related field preferably a Master�s degree or comparable work experience. 
Post-graduate Year 2 (PGY2) residency from an accredited program in area of specialty if applicable.  Departmental certification in Medication Management (MTM).
Maintains current unrestricted licensure as a licensed pharmacist in the State of Rhode Island. 
Maintains current Basic Life Support (BLS) Certification and Advanced Cardiac Life Support (ACLS) Certification in accordance with American Heart Association requirements.
Demonstrated knowledge and skills necessary to provide care to neonate child adolescent adult and geriatric patients with consideration of aging processes human development stages and cultural patterns in each step of the care process.

Minimum of two years progressively more responsible related experience preferably gained in a similarly diverse and operationally complex health care environment. 
Knowledge of area-specific technology including but not limited to pharmacy information systems automated dispensing technology software equipment and automation. Experience with MS Word Excel Access Outlook and web browsers.
Effective interpersonal and communication skills both verbal and written.
Effective organizational and presentation skills.

Extended periods of time spent standing and walking.  Requires the visual and manual dexterity to operate a computer.
Occasional travel between facilities or sites is required.

Functions independently within a broad scope of departmental policies and practices.
Refers specific complex problems to Senior Clinical Pharmacist when clarification of departmental policies and procedures may be required.



Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status.   Lifespan is a VEVRAA Federal Contractor.


Location: The Miriam Hospital USA:RI:Providence


Work Type: Full Time


Shift: Shift 1


Union: Non-Union