Clinical care pharmacist - lufkin, texas

ROLE AND RESPONSIBILITIES

The Clinical Care Pharmacist (CCP) will support care coordination for assigned patient cohorts through providing medication management services. The CCP will work closely with the care coordination team and with providers to ensure assigned patients are on intended prescribed therapies, understand their medication therapy and receive appropriate adherence coaching.

CORE FUNCTIONS

  • The Clinical Care Pharmacist reports to the management staff. Daily tasks will also be directed by the pharmacy services team

  • Provides telephonic follow up with members to provide medication reconciliation and medication management to assigned patients including transitional care and chronic disease support

  • Complete assigned tasks related to medication management services

  • As directed and supervised by the Market Lead assist in the attainment of member’s goals by:

    • Working with member, physician, health system(s), pharmacy services, and other care providers to meet the member’s individual needs based on protocols and referrals,

    • Coordinating transitional management including:

    • Obtaining medication orders

      • Complete medication reconciliation

      • Work with care coordination team to ensure medication provided until PCP follow-up

      • Post PCP visit medication following reconciliation

  • Provides medication management services utilizing prescribed workflows

    • Complete assigned appointments in accordance with workflow

    • Assess patient adherence behaviors

    • Eliminate barriers to adherence

    • Assess appropriateness of therapy provided by the pharmacy

    • Document appropriately in Care Management and Pharmacy programs

    • Work with central or local pharmacy to obtain and process prescriptions

    • Communicate with providers regarding services provided

    • Support the member education goals regarding their specific chronic condition based on the Plan of Care

  • Support the evolution of pharmacy services delivery for key patient populations if applicable

  • All communications will be conducted in a professional manner

  • Remains objective and unbiased decisions in their medication management review and recommendations and not participate in any way in the delivery of care to the patient

  • Administers tasks as detailed in the member specific Plan of Care

  • Completes clear and concise documentation in Care Management program

  • Participates in weekly Complex Case Review

  • Complies with Customer Service expectations as applicable to the Department and Health Plan

  • Comply with all departmental policies and procedures

  • Participate in departmental and company in-services as appropriate

  • Recognizes and adheres to the scope / limitations of job requirements

  • Comply with all departmental policies and procedures

  • Participate in departmental and company in-services as appropriate

  • Performs other related duties as assigned

QUALIFICATIONS AND EDUCATION REQUIREMENTS

  • PharmD

  • TX state pharmacy license and/or assigned market license

  • Strong patient engagement skills including active listening, de-escalation intervention training and ability to teach complex topics in an understandable manner

  • Strong organizational and time management skills, able to work with little supervision while handling numerous projects at once

  • Excellent written/verbal communication skills, especially the ability to communicate telephonically in a professional and effective manner

  • Computer literacy in Word, Excel


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