Job Description

Responsibilities

• Engage members telephonically and schedule pharmacist consultation appointments with members that participate in any of the clinical programs operationally supported by the Clinical Engagement Services Center.
• Prioritize the privacy and confidentiality of the patient’s medical information, adhering to HIPAA regulations, and organizational policies at all times.
• Utilize prescription claims data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols providing clinical recommendations pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution
• Assess medication regimen for unnecessary medications, ineffective medications, inappropriate doses, and adverse drug reactions.
• Provide patient education on medication regimen and disease states.
• Accurately document patient care notes and recommendations in an efficient, professional, concise and clear manner.
• Keep current with new and emerging clinical trends
• Active participation in departmental meetings to improve clinical programs and enhance processes
• Follow all policies and procedures related to job
• Meet productivity and performance expectations set forth by management.
• Support Clinical Service Engagement team as needed for special projects
• Other duties as assigned by Operations Manager

Required Qualifications

• Bachelor’s Degree in Pharmacy or PharmD
• Current and unrestricted Pharmacist license in the state of residence
• Strong knowledge of disease state management guidelines and the 5 Core Elements of MTM Services (1) Medication Therapy Review – Comprehensive and Targeted, 2) Personal Medication List (PML), 3) Medication-Related Action Plan (MAP), 4) Interventions and Referrals, and 5) Documentation of Services and Follow-up)

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