Clinical Pharmacist - Ambulatory / Primary Care

Full Time
Boston, MA 02114
Posted
Job description

Clinical Pharmacist - Ambulatory / Primary Care

- (3214739)


GENERAL SUMMARY/ OVERVIEW STATEMENT:

The Massachusetts General Hospital is looking for motivated individuals to join a growing team in the ambulatory care space. As a member of the primary care team, the Ambulatory Care Clinical Pharmacist will be responsible for the provision of safe and effective patient centered pharmacotherapy in the primary care space. Clinicians are aligned with targeted interdisciplinary programs and specialty services to manage chronic disease states through Collaborative Drug Therapy Management agreements (CDTM). The clinician will be responsible for evaluating the patient, creating and implementing patient centered disease state management strategies, and monitoring the patient as outlined in the policies and procedures.

Pharmacists play a key role by offering focused services (medication prescribing, monitoring, education) to patients with chronic diseases. Working with primary care providers, population health coordinators, high-risk nursing programs, and community health workers, the pharmacists positively impact patients through virtual and in-person appointments. Clinical Pharmacists serve as a departmental resources and liaisons to other departments, hospital personnel, or external groups. They proficiently manage and facilitate the appropriate use of medications according to professional and regulatory standards. They also conduct clinical research and practice advancement projects as well as patient care quality and regulatory compliance initiatives designed to improve medication-use processes or pharmacy practice. Clinical Pharmacists provide medication and practice-related education/training and actively serve as preceptors for pharmacy residents and Doctor of Pharmacy students.

The following are essential job functions for the Ambulatory Primary Care Clinical Pharmacist:

Essential Job Functions


Percent of Time Spent



Leads assigned patient service lines, clinical areas, and therapeutic programs


  • Facilitates pharmaceutical care services, direct patient care programs, medication utilization systems within assigned services and care areas to assure activities are aligned with patient care needs, evidence-based best practices, and regulatory standards
  • Actively identifies areas of opportunities for expansion and or modification of pharmacy services
  • Designs and implements new pharmacy programs, quality improvement changes, and continuous quality assurance initiatives to advance the organization’s medication-use systems and promote optimal patient outcomes in the ambulatory care space
  • Tracks and evaluates assigned pharmacy programs for operational, quality, and financial efficiency and routinely benchmarks against local and national best practices
  • Actively identifies and reports short- and long-term obstacles to patient care and medication safety, regulatory compliance, or stewardship or resources
  • Develops annual goals for areas of practice
  • Provides departmental and institutional leadership for medical staff committees/meetings, hospital group/task forces, and approved external programs/organizations
  • Assures pharmacy is an integral part of the health-care delivery system and facilitates enhancement and expansion of pharmacy services/programs

10%



Delivers direct patient-care and clinical practice, including decentralized and service-based programs

  • Maintains proficiency in ambulatory pharmacy services and clinical pharmacy programs
  • Maintains proficiency in hospital computer systems and medication ordering systems
  • Places practice priority on the delivery of patient-centered care
  • Works as an active member of multidisciplinary teams and collaborates with healthcare providers
  • Establishes collaborative pharmacist-patient relationships
  • Evaluates the patient’s health needs via direct patient interaction
  • Provide services to ensure optimal transitions of care, including collecting, reconciling, and correcting patient medication discrepancies
  • Work collaboratively with the patient’s provider to establish patient centered disease state goals
  • Create and implement patient centered therapy plans as outlined by current literature and scope specific agreements, policies, and guidelines
  • Implements, evaluates, and redesigns pharmaceutical care plans based on patient progress, evolving goals for medication usage, adverse drug reactions, and adherence. This includes adjustment of medications, ordering labs for monitoring, and titration of medications as outlined in the policies and procedures
  • Accurately orders medications, vital signs, or pertinent laboratory tests for patients
  • Provides written documentation in the patient’s medical record for all patient encounters
  • Educates patients regarding safe and effective use of medications, possible medication side effects, and the role of prescribed medications in the overall therapeutic care plan
  • Provides evidence-based medication education to physicians, nurses, and other professionals
  • Identifies, mitigates, prevents, and documents problems with medication orders or therapeutic regimens, including medication errors or adverse drug reactions
  • Completes critical patient monitoring and reviews patient profile/chart to identify, prevent, or mitigate drug-related problems, drug interactions, patient adherence, untreated indications, medication use without an indication, and treatment failures
  • Communicates effectively and appropriately with health care providers and caregivers (physicians, nurses, etc.) and assures continuity of pharmaceutical care
  • Provides timely, comprehensive, and appropriate drug information to patients and health care providers
  • Follows established standard work parameters and maintains standard work environments
  • Documents pharmacist interventions

60 %



Facilitates experiential education and practice advancement

  • Maintains proficiency in the four preceptor roles and actively emulates education/mentorship skills
  • Serves as a preceptor/educator for MGH pharmacy residency (PGY1 and PGY2) and student experiential education programs, including maintaining training and experience in pharmacy practice areas appropriate for teaching assignments
  • Develops student, resident, and staff training experiences/competencies and creates new relationships for teaching and training opportunities
  • Identifies, designs, and implements improvements in the medication-use system to advance patient safety, maximize therapeutic outcomes, or control costs
  • Represents the department at hospital meetings, committees, and events as requested
  • Identify, design, implement, and assess the impact of a practice related project using effective project management skills

25%



Performs other duties as assigned

  • Maintain a sustained record of contribution to the total body of knowledge in pharmacy practice through presentations, publications, and professional affiliation activities
  • Present poster or platform presentations at state or national forums at least every 24 months
  • Submit material worthy for publishing in a peer-reviewed journal at least every 24 months
  • Participate as a formal reviewer for a peer-reviewed medical or pharmacy journal
  • Attend, participate in, and conduct continuing education programs and conferences to keep current with developments in the profession and to maintain license

5%


In addition to the responsibilities as stated above, must also:

Promote excellent customer service by assisting patients, co-workers, medical staff, and other health care providers resolve expressed concerns, demonstrating a welcoming and helpful attitude, and responding in a positive, professional, and courteous manner. Identify customer (patient and health care provider) requirements, both actual and anticipated, and maintain active personal contact and rapport with potential and actual customers. Maintain up-to-date knowledge of contemporary hospital practice and clinical service; trends and innovations in pharmacy leadership; and updates in traditional therapeutics, professional practice standards, or health care regulatory requirements. Maintain a specialized evidence-based knowledge of drug and drug therapy by reviewing relevant professional journals and suggested readings. Participate actively in Department of Pharmacy meetings (attendance and presentation expectations per policy). Demonstrate personal leadership qualities and business acumen essential to operate effectively within the institution and advance the profession and practice of pharmacy.

RELATIONSHIPS:

  • Clinical Pharmacists report directly to a manager or director within the Department of Pharmacy and work collaboratively with administrative staff, pharmacist staff, and technical staff to support department initiatives.
  • Clinical Pharmacists have frequent interactions with physicians, nurses, other members of the health care team, students, residents, and external professional groups.
  • Clinical Pharmacists supervise all support staff (e.g., pharmacy technicians) as needed during the normal course of the workday.


LICENSES, CERTIFICATIONS, and/or REGISTRATIONS:

  • Current licensure as a pharmacist in the Commonwealth of Massachusetts (or eligible) required
  • Board Certification in area of expertise (BCACP, CDE) is required within 18 months of hire (if not already certified)

EDUCATION:

  • Graduate of an ACPE accredited College of Pharmacy required. Pharm.D. or other advanced degree preferred
  • Completes required additional continuing education requirements including completion of at least one hour of pain training every 2 years and additional 5 contact hours of CE in the area of credentialing yearly.
  • Maintains active credentialing status as well as MA controlled substance license and completes all required documentation in a timely manner.

EXPERIENCE:

  • Completion of ASHP accredited PGY1 Pharmacy Residency required, and PGY-2 Ambulatory Care residency preferred, or equivalent experience
  • Clinical pharmacy experience (1-5 years) in ambulatory care settings and/or CDTM experience preferred; required if no PGY2 residency training
  • Exceptional aptitude or knowledge may be considered in lieu of experience. Extensive clinical experience and development may be considered in lieu of formal training

SKILLS & COMPETENCIES REQUIRED:

  • Knowledge of contemporary ambulatory/clinical practice and service.
  • Knowledge and understanding of general ambulatory care operations and regulatory compliance.
  • Strong written and verbal communication skills.
  • Ability to interact constructively with supervisors, peers, and support personnel.
  • Ability to integrate clinical and distributive pharmacy services with quality improvement, teaching, research, and professional development activities.
  • Significant general clinical knowledge and expertise in traditional therapeutics and patient centered care.
  • Significant knowledge and expertise in advanced pharmacy practice, specialty medication therapy management, and specialty evidence-based medicine in area appropriate for clinical assignments.
  • Strong teaching and precepting skills and expertise in experiential training.

WORKING CONDITIONS:

  • Able to lift up to 20 lbs.
  • Able to stand for extended periods of time.

Able to sit for extended periods of time.


EEO Statement

Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.

Primary Location MA-Boston-MGH Main Campus
Other Locations MA-Boston
Work Locations MGH Main Campus 55 Fruit Street Boston 02114
Job Pharmacist
Organization Massachusetts General Hospital(MGH)
Schedule Full-time
Standard Hours 40
Shift Day Job
Employee Status Regular
Recruiting Department MGH Pharmacy
Job Posting Sep 26, 2022

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