Pharmacist - Disease Management Coordinator

SUMMARY:

The Pharmacist - Disease Management Coordinator is responsible for providing medication therapy management (MTM) and clinical pharmacy services in an outpatient setting. Responsibilities include: meets with patients to discuss drug therapy, adherence, cost, barriers to healthcare adherence, collaborates with nursing, pharmacy, and medical staff to optimize medication therapy by implementing up-to-date pharmacotherapy and treatment guidelines with providers, provides support to TMC One clinic provider groups to improve and maintain Medicare Star Ratings and CMS Quality measures, conducts Drug Utilization Review, and assists in the development and expansion of new clinical services focused on TMC Health strategic initiatives, analyze and collect data in specialty area.

ESSENTIAL FUNCTIONS:

Supports transitions of care management, optimizes medication therapy, mitigates risk of adverse drug effects, improves patient outcomes, and reduces TMC health plan total cost of care.

Conduct Comprehensive Medication Reviews (CMRs) for patients identified as High Risk and patients who are referred by TMC One clinics.

Conduct Targeted Medication Reviews (TMRs) for patients on high-cost prescription medications with lower-cost alternatives.

Provides regular education and support to TMC One providers/provider groups regarding Medicare Star Ratings and CMS Quality measures and help implement strategies to improve.

Promotes effective use of member health plan formulary through drug product selection and therapeutic alternatives, produces suggestions for non-formulary or high-cost prescription orders.

Supervise technicians and/or pharmacy interns that assist with MTM/disease management related activities.

Communicates drug-related side effects, dosages, potential complications to health care professionals and patients.

Advises patients and/or their representatives on use of various medications, including dosage, side effects and composition.

Consults with patients and healthcare providers to help improve medication therapy and adherence.

Remains informed about current developments concerning new drugs or test results regarding drug usage; researches drug information requests and responds promptly.

Monitors drug therapy as assigned by physicians; suggest alternative drug therapy when appropriate.

Consults with and advises medical staff personnel regarding utilization of drugs and pharmaceuticals.

Adheres to TMCH organizational and department-specific safety, confidentiality, values policies and standards.

Collect and analyze quality metrics in specialty area.

Interprets and clarifies orders for all types of medications as necessary.

Participation in rounds and care coordination conferences as appropriate.

Participation in quality improvement committees as assigned.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION: Doctor of Pharmacy degree from an AACP-accredited College of Pharmacy or bachelor's degree from an AACP-accredited College of Pharmacy.

EXPERIENCE: Five (5) years of clinical pharmacist experience in specialty area or completion of PGY1 residency.

LICENSURE OR CERTIFICATION: Current Arizona Pharmacist license upon hire.

KNOWLEDGE, SKILLS AND ABILITIES:

• Knowledge of drugs, possible side effects or interactions with other drugs, in accordance with professional standards and practices.
• Skill in interpreting physicians' orders and prescribed medications and relaying any procedures and concerns to the patient.
• Skill in responding to healthcare professionals or patients' questions or concerns.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write reports, business correspondence, and procedure manuals.
• Ability to effectively present information and respond to inquiries or complaints from employees, patients and/or their representatives, and the general public.
• Ability to apply advanced mathematical concepts such as exponents or logarithms.
• Ability to apply mathematical operations to such tasks as frequency distribution, single or multiple regressions, determination of test reliability and validity, correlation techniques, sampling theory and factor analysis.
• Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
• Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, etc.).
• Ability to deal with a variety of abstract and concrete variables.