Clinical Pharmacist Practitioner at Cherokee Indian Hospital Authority

Cherokee, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Jan, 26

Salary

0.0

Posted On

24 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Pharmacy, Patient Care, Medication Management, Drug Therapy Consults, Patient Counseling, Laboratory Test Interpretation, Medication Reconciliation, Pharmaceutical Information, Quality Improvement, Education and Training, Research Coordination, Performance Improvement, Communication Skills, Cultural Competence, Basic Life Support, Pharmacy Practice Standards

Industry

Hospitals and Health Care

Description

Primary Function The incumbent in this position serves as a Clinical Pharmacist Practitioner (CPP) for the Cherokee Indian Hospital Authority. The incumbent is responsible for the provision of comprehensive and age appropriate patient care. The incumbent is considered a source of pharmaceutical clinical information for direct patient healthcare and for the professional staff. Job Description Clinical Functions * Conducts medical staff authorized treatment of patients. Takes an appropriate health history, adjusts the developed treatment plan, and monitors the patient’s outcome to the prescribed treatment plan. * Provides ambulatory care services for complex patients. Accepts referrals for drug therapy consults, develops treatment plans, and manages drug-drug, drug-disease, and drug-food interactions. * Interviews patients to ascertain significant past medical history and medication history. Evaluates medication regimens for appropriateness, drug interactions, therapeutic duplications, non-compliance and adverse drug reactions. * Performs medication reconciliations via chart review and/or patient interview. * Analyzes medication regimens to ensure effective, safe, and economical treatment plans. * Initiates, monitors, titrates, discontinues, and/or alters medications per CPP agreements. Prescriptions will be written by the CPP as appropriate. * Provides recommendations to other providers for therapeutic adjustments when not part of the CPP agreement. * Orders and interprets laboratory tests as approved by medical staff. * Schedules appropriate follow up for the patient. * Counsels patients and families on drug use, therapeutic effects, potential adverse effects, precautions, appropriate storage of pharmaceuticals, and expected outcomes of drug therapy. Verifies the level of patient understanding concerning prescribed medications. * Transmits appropriate medical and pharmaceutical information to providers, nursing, and patients. * Documents clinical activities, updates medication allergy information, and verifies the accuracy of the medication list within the medical record. * Serves as therapeutic consultant and drug information resource to the medical staff as well as other Primary Care staff. * Conducts non-formulary medication research and provides recommendations for approval or denial. * Identifies and intervenes with patients that would benefit from pharmacist consultation. * Utilizes population health tools to improve the care of their assigned patients. * Collaborates with the healthcare team, providing drug information and staff education. General Functions * Manages panels of consulted patients. * Provides health promotion and disease prevention activities related to drug use and preventative therapy. * Directs and completes clinic and/or pharmacy based quality improvement projects. * Participates in peer review processes. * Completes CPP meetings as required by the NC Board of Pharmacy * Others duties as assigned and authorized. Administrative Services Education * Provides formal and informal education and in-services to medical, pharmacy, and nursing staff as required. * Trains and mentors various learners including but not limited to: APPE students, PGY1 pharmacy residents, PGY2 residents, medical students, and medical residents. * Provides education to community groups about medications, common disease states, and information on health promotion. Research * Develops and coordinates independent clinical research activities and projects which may improve the quality of patient care. * Directs and/or participates in the preparation of articles for publication. * Develops presentation materials to assist fellow staff with presentations involving new programs, projects, and research. Performance Improvement * Collaborates with other health professionals to develop treatment protocols, standards of practice and policies, new clinical services, and programs. * Develops plans for performance improvement and evaluation of effectiveness of actions on improving performance. * Performs drug use evaluations, drug audits, and additional pharmacy functions as required. General Functions * Serves on various committees of the organization as appointed, approved, and volunteered. * Participates on the Pharmacy and Therapeutics, Non Formulary Subcommittee, Medical Staff, Infection Control, Safety, Medical Records, and other committees as required and/or assigned. * Functions as the PCMH pharmacist-in-charge as scheduled. * Maintains the highest level of professional standards of pharmacy practice when serving patients of all age groups, service unit staff, and the greater community. Ascribes to the Indian Health Service Standards of Practice for Pharmacy. Education/Experience * The incumbent must be a graduate of a college of pharmacy accredited by the American Council of Pharmaceutical Education. * The incumbent must have earned a Bachelor of Science in Pharmacy or a Doctor of Pharmacy (Pharm D) degree. * The incumbent must have obtained a Specialty Board (BPS) Certification (BCPS/BCACP), is a Certified Geriatric Pharmacist as certified by the Commission for Certification in Geriatric Pharmacy, or completed an ASHP accredited residency program and have two total years of clinical experience. (residency year counts as one year of experience) * The incumbent must have an active unrestricted pharmacist license, and must be eligible for unrestricted pharmacist licensure in North Carolina. Pharmacist licensure in a state different than North Carolina is acceptable, however, if a Tribal Direct Employee, the incumbent must be eligible to obtain a North Carolina pharmacist license within the next 3 months following employment with CIHA. The incumbent must be able to apply for a NC Clinical Pharmacist Practitioner license within 12 months of employment at CIHA. Federal Employees, including commissioned officers, may hold and maintain an unrestricted pharmacist license from any State, and aren’t required to maintain licensure with the NC Board of Pharmacy. However, commissioned officers, are highly encouraged to obtain their NC pharmacist and CPP license in order to practice at the top of their licensure for this position. Job Knowledge * Professional knowledge of the theories, principles, practices, and techniques of clinical and basic pharmacy. Ability to apply such knowledge to the provision of quality direct clinical-pharmaceutical patient services. * Knowledge of the physical and chemical properties and characteristics of substances, therapeutic actions of drugs, and the principles of chemical, biological, pharmacological, and biopharmaceutical science. * Knowledge of current diagnostic, preventative, guidelines and therapeutic approaches related to the various disease states encountered in Primary Care. * Documented credentials and privileges by the Medical Staff are required, prior to conducting pharmacy-based clinic services. * Basic Life Support (BLS) certification is required * Skill in planning, monitoring, and evaluation of drug therapy in a clinical setting. Ability to manage pharmaceutical patients with exceedingly complex medical pharmacy histories, including patients on multiple drugs, managing severe side effects, and adverse drug reactions. * Ability to communicate with patients regarding disease states, desired outcomes, laboratory tests, proper administration, use, actions, precautions, and storage of medications. * Ability to communicate with fellow health professionals regarding patient care and pharmaceutical information and intervention. * Requires knowledge of cultural and age specific competencies. * Position requires maintenance of active and valid driver’s license. Complexity of Duties The work often requires many different and unrelated processes. Decisions regarding what needs to be done includes the assessment of unusual circumstances, variations in approach and incomplete or conflicting data. The work requires originating, establishing, and monitoring protocol criteria and developing new clinical-pharmaceutical techniques and methods not previously utilized. The work includes managing comprehensive, clinical-pharmaceutical patient treatment plans of which many, are made extremely complex by: implementing novel techniques, new methodologies, and application of state of the art pharmacy knowledge, skills, and abilities. The work requires independent judgment wherein error could result in serious injury or death to a patient. Liability insurance is recommended. Supervision Received * The position is under the direction of the Advanced Clinical Pharmacist Supervisor * The Incumbent operates relatively independently in the performance of usual, customary, and clinical pharmaceutical services. The incumbent will have the authority to make final decisions about technical aspects related to the provision of pharmaceutical services. * Unusual and/or non-routine situations are to be referred to the Advanced Clinical Pharmacist Supervisor or designated Supervisor. * The incumbent aids in the maintenance of the overall integrity of the program. * Additional policy and procedure guidance is received through the higher grade supervisor, the Cherokee Indian Hospital Pharmacy Policy and Procedure Manual, Service Unit policies and procedures, Indian Health Service policies, and Joint Commission guidelines and directives. Responsibility for Accuracy Errors in this position would be difficult to detect and can have adverse effects on the health of individuals, groups, and families. Errors can place the pharmacy at risk for substantial legal and financial liability. Undetected and unresolved errors can result in a range from minimal to life threatening patient consequence. Contact with Others The position requires frequent and substantial contact with others, which include health care professionals, support and clerical staff, patients, community members, business representatives, and representatives of outside organizations of all types. Contacts are numerous and, at times, can be under difficult circumstances or in difficult settings. Professionalism and tact are imperative for this position. Failure to act professionally can reflect poorly on the facility and department and contribute to unforeseen adverse effects on the organization. Utmost sensitivity is required when interacting with patients and their families. Confidential Data Much of the information processed in this position is considered highly sensitive and confidential. It must not be disclosed to other parties except within the performance of one’s duties. All information will be handled in accordance with the Cherokee Hospital’s guidelines and Federal Law. Improper handling of information can be detrimental to the operation of the organization and department and damage Pharmacy relations with its clients. Failure to maintain proper confidentiality of all records and improper disclosure of sensitive patient information can result in civil and criminal penalties. Mental/Visual/Physical Job duties can be mentally, emotionally, and physically stressful at times. The work requires balancing multiple priorities in a busy, rapid paced, work environment while attending to patient safety. The job is subject to frequent interruptions, which can cause distractions and potential for error. Physical activities require the ability to walk, sit, reach, bend, and lift. The job requires visual acuity, manual dexterity, and the ability to speak and hear clearly. Repetitive activities will occur with the use of a computer keyboards and preparation of pharmaceutical prescriptions. May occasionally lift more than 15 pounds. Environment The work is performed in a health care environment within a clinic, hospital, emergency room, field clinic, and/or pharmacy setting. Potential exposure to infectious and contagious disease can occur. Lifting or moving of pharmaceutical supplies, equipment, and patients that weigh over 50 pounds is possible. It may be necessary to work when Administrative leave is granted if patient care functions are required and/or if such care would be compromised. Extent of Supervision There is no official supervisory responsibility over permanent staff for this position. However, the incumbent may be called upon to direct work activity of support personnel and fellow colleagues during immediate, routine, and daily pharmacy patient and prescription operations. The incumbent does provide supervisory control and direction over pharmacy residents and student externs. Scope of Supervision Limited to immediate activities of daily operation and completion of work assignments by support personnel as delineated in department policy and/or delegated by the Advanced Clinical Pharmacist Supervisor, or assigned Pharmacy Supervisor. Exercises primary supervisory responsibility over pharmacy students, volunteers, and pharmacy residents. Customer Service Consistently demonstrates superior customer service skills to patients/customers by demonstrating characteristics that align with CIHA’s guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.

Responsibilities

The Clinical Pharmacist Practitioner is responsible for providing comprehensive patient care and pharmaceutical clinical information. This includes conducting patient assessments, managing drug therapy, and collaborating with healthcare teams to improve patient outcomes.