Clinical Pharmacy Specialist Transitions of Care
Department: KH-PHARMACY
Operating Unit: Kent Hospital
Location: Warwick, RI
Job ID: 20856
Job Status: Full Time
Shift: Days
Schedule: Other
Primary Function
The TOC pharmacy specialist works with the Care Managers, Physician Advisors, and providers to enhance transition of care, which includes appropriate inpatient medication regimens, medication reconciliation at discharge, patient medication counseling, post-discharge phone calls, and communication of medication changes to appropriate medical providers. The TOC pharmacy specialist serves as a patient advocate, ensuring that quality care is provided.
Responsibilities
1. Coordinates a transitions of care medication plan for high-risk patients transitioning from hospital to home.
2. Reviews and reconciles all medications upon discharge to assess for potential duplicate therapy, inappropriate dosing, or missing medication orders/prescriptions.
3. Conducts post-discharge patient follow-up phone calls to ensure patient understanding of the medical discharge plan and provide additional medication education, as needed.
4. Reviews medication orders and monitors laboratory parameters, adjusting medication to ensure optimal therapy in collaboration with providers.
5. Communicates directly with prescribers to resolve medication-related issues.
6. Coordinates the dispensing of discharge medications, if necessary.
7. Educates and counsels patients on medications, explaining in detail any changes to their regimen.
8. Addresses and resolves potential barriers to patient understanding and medication access prior to discharge, as appropriate.
9. Attends multi-disciplinary rounds to determine the patient’s disposition when needed.
10. Educates physician and clinical staff on TOC-related topics.
11. Participates in departmental transitions of care program enhancement and expansion.
12. Serves as a pharmacy representative on the hospital readmissions committee.
Precepting Pharmacy Students/Residents
In addition to the above responsibilities, the TOC pharmacy specialist participates in the PGY1 pharmacy residency program as a preceptor for at least one elective Ambulatory Care/Transitions of Care rotation for each resident and may precept additional elective rotations and/or the major project. The pharmacist will model, coach, and facilitate the resident’s learning to perform the duties of a TOC pharmacy specialist.
Job Qualifications and Specifications
Doctor of Pharmacy (PharmD) degree with PGY-1 post-graduate residency training or equivalent experience (2-5 years of experience in Ambulatory and/or Transitional Care Pharmacy and inpatient care) or PGY-2 in Ambulatory Care. Current RI Pharmacist license is required. Board Certification in Pharmacotherapy (or Board-eligible) is preferred but not required.
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