POSITION SUMMARY:

Boston Medical Center is searching for a Pharmacy Clinical Specialist to join a brand new Hospital at Home service scheduled to go live in April 2024. The Clinical Specialist will be the onsite pharmacy representative for the Hospital at Home program. They will be remotely integrated into the care team to provide clinical pharmacy services to a diverse patient population while taking into account the nuances of delivering care to patients in their own home. The patient population will closely resemble those on an inpatient internal medicine unit; all patients will require true inpatient level of care, but will have stable disease states that lend to keeping them in their home.

The pharmacist will communicate with the care team and the patient via teleconferencing and will perform all standard aspects of inpatient pharmacy care: medication history and patient-supplied medication validation, order verification, drug therapy optimization, therapeutic drug monitoring, patient counseling, etc. As the lead pharmacist for this program, the Clinical Specialist will help shape the way pharmacy provides care for this unique patient population.

Position: Pharmacy Clinical Specialist -

Department: Hospital at Home Program

Schedule: Part Time

Essential Responsibilities / Duties

Distributive and operational responsibilities

• Ensures all medications are handled in the manner established by the Formulary Management Committee, applicable accreditation standards, state and federal regulations, and the Massachusetts Board of Pharmacy.

• Reviews and verifies medication orders, reviews patient charts, evaluates applicable laboratory data to identify or prevent drug-related problems or toxicity. For each medication, the pharmacist evaluates the order for appropriateness including but not limited to dose, route and frequency for clinical indication and organ function, screening for drug interactions, therapeutic duplication, allergy history, and recommending use of formulary drugs or alternative cost-effective therapy when possible.

• Works closely with the central pharmacist and technicians to ensure accurate and timely acquisition, distribution and control of all medications, including investigational drugs. Collaborates with the Pharmacy Purchasing team on special medication needs.

• Adheres to all protocols and policies related to controlled substances.

• Supervises the activities of supportive personnel including student interns and technicians.

• Uses designated pharmacy automation and/or barcoding systems to document checking of any medication or sterile product prior to dispensing.

Direct patient care

• Rotates through different clinical shifts with a specific core practice area

• Makes recommendations to optimize pharmacotherapy within the context of a multidisciplinary team

• Provides effective transition of care needs including, but not limited to, medication reconciliation, discharge counseling, facilitating medication to bedside, and completing post-discharge telephone calls.

• Prevents patient harm by promoting the safe use of medications

• Identifies and reports medication-related events

• Performs daily targeted interventions to decrease risk of readmission, optimize therapy, and improve medication safety

• Serves as a pharmacy liaison to the BMC staff by ensuring the connectivity between clinical and distributive services.

• Documents all patient care activities

Education and training

• Serves as a preceptor for residents and students

• Assists in the orientation and training of new pharmacists, residents, interns and technicians as assigned.

• Provides timely and accurate drug information, training, and education to patients and health care providers

• Collaborates on resident projects

Formulary management

• Participates in formulary management activities (e.g. monograph preparation, medication use evaluations, etc.)

• Enacts drug shortage action plans

• Follows departmental policies and procedures to promote cost-effective medication use

Quality improvement

• Identifies opportunities for improvement in patient care or the medication use process

• Takes an active role in the development and implementation of quality improvement projects

Other Duties

• May serve on hospital multidisciplinary committees as assigned
• Maintains own professional and specialized competency through continuing education as set forth by the Department of Pharmacy and the Massachusetts Board of Pharmacy
• Conforms to Boston Medical Center's standards of conduct so that the best possible customer service and patient care experience is provided:
• Conducts interpersonal relationships with patients, visitors, physicians and fellow employees in a courteous and customer friendly manner.
• Takes corrective action to improve performance on problem areas.
• Maintains all designated hospital information confidential at all times.
• Follows established hospital infection control and safety procedures.
• Utilizes hospital's behavioral standards as the basis for decision making and to support the hospital's mission and goals.
• Responsible for the creation and maintenance of a healthy work environment. A healthy work environment is one where people feel supported, held accountable, where standards are applied and expectations are clear. A healthy work environment is one where leadership supports and leads, models behavioral standards and sets the example for how to do all things right. Critical responsibilities related to this:
• Being engaged in the department, including managing up, owning team decisions, and communicating and supporting departmental and or organizational initiatives.
• Hold self and others to the highest ethical standards, and act with honor above all.
• Performs other duties as needed.
  

JOB REQUIREMENTS

Education

• Requires a Doctorate of Pharmacy or Bachelors of Science in Pharmacy with an advanced degree, and a PGY1 pharmacy residency (or at least three years of equivalent work experience); PGY2 training in Internal Medicine or similar (e.g. cardiology, pharmacotherapy) preferred.

Certificates, Licenses, Registrations Required

• Work requires a valid license to practice pharmacy in the Commonwealth of Massachusetts. MA pharmacist licensure must be complete and verified within 30 days of hire.

• Board of Pharmacy Specialties certification is preferred

Experience

• (As detailed in the educational section above).

Knowledge And Skills

• Strong clinical knowledge pertinent to the specific practice area

• Effective project management

• Knowledge and application of biostatistics and improvement science

• Strong interpersonal skills when interacting with patients and colleagues

• Involvement in local, regional, or national professional organizations is encouraged

• Proficient with Microsoft Office including Word, Excel and Outlook, and web browsers

• Excellent attention to detail

• Effective verbal and written communication skills; must be proficient in the English; additional language skills are beneficial

Equal Opportunity Employer/Disabled/Veterans