Clinical Specialist - Infusion PharmD/ Full Time/ BWH BOSTON
Brigham & Women's Hospital(BWH)

Job Info

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General Summary / Overview Statement

Reporting directly to the BWH Director of Endoscopy Services, this position will provide medication management through an evaluation of therapy plans for patients to ensure safe, effective utilization that is tailored to specific medical conditions.

Work with patients, doctors, nurses and other health care professionals to avoid a variety of barriers associated with comprehensive drug therapy management including prior authorizations and ensure optimal patient outcomes. The individual will work closely with the BWH Infusion Service and its ordering providers to provide patient-centered care support for our population of approximately 15,000 infusion visits per year providing initial patient evaluation pertaining to prescribed therapies, and providing expertise in the practice of pharmacy.

Principal Duties and Responsibilities

For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations served

No Direct Patient Care

All age groups

Adolescence (13 to 17 years)

Neonates (birth to 1 month)

Young Adult (18 to 25 years)

ø

Infant (1 month to1year)

Adult (26 to 54 years)

ø

Early Childhood (12 months to 5 years)

Senior Adult (55+)

ø

Review infusion orders and therapy plans to ensure all drugs are appropriately indicated, effective, safe and convenient for the patient

Identify, resolve and prevent drug therapy problems that may lead to patient interactions or insurance denials

Works with the scheduling staff and patient financial services to develop workflows for triage and prior authorization review and directs work to be completed by the medication support coordinator(s)

Provides support to providers to complete peer to peer calls to reduce ordering provider involvement while reducing payer denials for care

Support the infusion service to educate patients and ensure that the patient understands the specific goals of therapy and that the patient and providers are working to achieve these goals

Support the infusion service to educate ordering providers on how to submit infusion orders and/or therapy plans appropriately and to limit payer denials

Work with Patient Financial Services to review high risk therapies (e.g., off label pharmaceutical use, changes in therapy plans, etc.) to prospectively prevent late cancellations due to failure to obtain prior authorizations in a timely manner

Perform initial patient evaluation, via electronic medical record and virtual means, to collect, analyze, interpret, and evaluate appropriate date relative to medication therapy prescribed

Ensure appropriate histories are obtained along with other patient data in the pharmaceutical care evaluation

Identify, resolve, and document patient specific drug therapy problems and issues in the patient's best interest

Evaluate the significance of signs and symptoms relative to disease processes and make recommendations for the modification of drug therapy

Evaluate the significance and clinical importance of adverse reactions and complications associated with drug therapy

Provide counseling and answer questions from patients, family, and health care professionals concerning drug therapy

Participate with physician, nursing and administrative leadership to evaluate and analyze patient outcomes from a pharmacy perspective

Maintain proficiency in the skills and theory of the practice of pharmacy by reviewing literature, attending in-services, seminars and conferences

Actively participate in departmental and infusion based clinical meetings as requested

Other duties as assigned

Skills and Abilities Required

Must have exceptional oral and interpersonal communication skills, to communicate effectively with members of other healthcare disciplines, and other Pharmacy staff.

Must be able to plan and coordinate the activities pharmacy staff in accordance with Policy and Procedures.

Must be able to properly motivate and supervise support personnel.

Priorities and organizes work while under stress and with time constraints. Must pay attention to detail virtually 100% of work time, and have critical thinking and decision-making skills.

Must be able to set and change priorities, and accept additional responsibility as needed.

Must be able to respond positively to new approaches and changes in the work environment.

Evaluates medical information and retrieves biomedical literature using appropriate search strategies and interprets biomedical literature with regard to study design, methodology, statistical analysis, significance of reported data, and conclusions.

Must have extensive knowledge and ability in all areas of the department including: IV Admixtures, Drug Information, Ambulatory, Manufacturing, and Drug Distribution.

Must be able to train new employees.

Must be capable to assume the responsibility for coordinating pharmacy services on an assigned shift.

The individual in this position must demonstrate appropriate knowledge of principles of growth and development over the life span of the adolescent, adult, and geriatric patient. In addition, they must possess the ability to assess patient data relative to age specific needs and provide care as described in the department's policies/procedures.

Must have advanced knowledge of Pharmacotherapy.

Ability to work collaboratively as a member of the patient care team.

Working Conditions- See

Supervisory Responsibility (if applicable)

Directly supervise the activities of support personnel.

Physical and Environmental Job Requirements

Please see attachment A

Hospital Wide Responsibilities

Works within legal, regulatory, accreditation and ethical practice standards relevant to the position and as established by BWH/Partners; follows safe practices required for the position; complies with appropriate BWH and Partners policies and procedures; fulfills any training required by BWH and/or Partners, as appropriate; brings potential matters of non-compliance to the attention of the supervisor or other appropriate hospital staff.

The above statements are intended to describe the general nature and level of work being performed by people within this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Attachment A - Physical and Environmental Job Requirements - Inpatient Pharmacy Services

Indicate requirements and frequency by placing an "X" in the appropriate box

Work Environment

Activity

Amount of Time Spent (%)

0%

1 - 25%

25 - 50%

50 - 75%

>75%

Outdoor weather conditions

X

Extreme cold (non-weather)

X

Work in high place(s)

X

Work in confined space(s)

X

Risk of electrical shock

X

Risk of radiation exposure

X

Exposure to bloodborne pathogens

X

Flammable / explosive gases

X

Toxic / caustic chemicals

X

Dust / irritants

X

Grease / oils

X

Hazardous specimens

X

Exposure to lab animals

X

Infectious / contagious diseases

X

Cleaning agents / chemicals

X

Hot equipment

X

Noisy equipment

X

Humid, wet conditions (non-weather)

X

Other

Lift/Carry Requirements

No Lifting Required

No Carrying Required

Weight

Amount of Time Spent (%)

0%

1 - 25%

25 - 50%

50 - 75%

>75%

≤ 10 lbs

X

11 - 25 lbs

X

26 - 50 lbs

X

51 - 100 lbs

X

>100 lbs

X

Push/Pull Requirements

No Pushing Required

No Carrying Required

Weight

Amount of Time Spent (%)

0%

1 - 25%

25 - 50%

50 - 75%

>75%

Push

Pull

Push

Pull

Push

Pull

Push

Pull

Push

Pull

≤ 10 lbs

X

X

11 - 25 lbs

X

X

26 - 50 lbs

X

X

51 - 100 lbs

X

X

>100 lbs

X

X

Physical Activity Requirements

Activity

Amount of Time Spent (%)

0%

1 - 25%

25 - 50%

50 - 75%

>75%

Stand

X

Walk

X

Sit

X

Use of hands requiring fine motor skills

X

Move, rotate, bend wrist(s)

X

Type, use keyboard or other data entry device

X

Reach with arms, hands

X

Climb stairs

X

Climb ladder or other

X

Drive or operate motor vehicle

X

X

Balance

X

Stoop, kneel, crouch, bend, crawl

X

Speak

X

Hear

X

Taste

X

Smell

X

Other

Vision Requirements

Vision

Required

Not Required

Close

X

Distance

X

Color

X

Peripheral

X

Depth perception

X

Ability to adjust focus

X

Other

Safety Equipment Required (based on tasks)

Item

Required

Item

Required

Safety eyeglasses

Gowns

X

Filter lens (welding)

Scrubs

X

Face shields

Boots

Ear plugs / mufflers

Hard hat

Surgical / dust mask

X

Coveralls

X

Self-contained breathing apparatus (SCBA)

Gloves

X

Other

Typical Work Environment Noise Level

Very quiet

Quiet

Moderate

X

Loud

Very load

Qualifications
Qualifications

Must have a Bachelor of Science degree in Pharmacy or Doctor of Pharmacy from an accredited college of pharmacy. Must be eligible for licensure to practice pharmacy in the Commonwealth of Massachusetts

Experience (2 years) managing patients' specialty medication needs

Clinical Pharmacist hospital practice experience (2 years) preferably in infusion services

Knowledge of payer policies preferred

Excellent verbal and written skills

Proficiency with Microsoft Office

Preferred License/Certification/Registration: CSP

Minimum Experience: Two years' experience as an institutional or specialty pharmacy (preferred) pharmacist

Additional Requirements: Excellent customer service and communication skills, proficient in the English language, ability to manage time and people effectively, good attention to detail, ability to follow policies and procedures. Commitment to applying individual clinical skills in collaborative team environment to achieve patient-specific and program-specific goals.

Due to differences in scope of care, practice, or service across settings, the specific experience required for this position may vary: Respect the confidentiality of all information, including information regarding patients, staff members or Health System business issues, and share information only with those who need to know

EEO Statement
Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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