Clinical Pharmacy Specialist-Ambulatory Care Pharmacist

Consults with pharmacy leadership, physicians and interdisciplinary team members on the development, implementation and utilization of approved protocols to provide pharmaceutical care. Manages the development and/or implementation of regional drug initiatives or other formulary management activities. Serves as a primary preceptor for the pharmacy student and residency program. Provides pharmaceutical care by performing various patient-focused clinical, educational, informative, and distributive functions in ambulatory care as an interdisciplinary team member in support of patients, practitioners, and ancillary staff. Ensures appropriate, cost-effective drug utilization while maintaining and enhancing patient care.

• Provides pharmaceutical care services for defined high risk patient populations. Ensures continuity of pharmaceutical care and optimal utilization of resources to and from acute and ambulatory patient-care settings. Collaborates with inpatient/outpatient pharmacist or established Regional disease management program(s) for follow-up with high-risk discharges. Analyzes requestors drug information need; employs systematic, efficient, and thorough procedure for retrieving drug information or enlists available resources; formulates response; follows up consistently on drug information recommendations and assesses effectiveness. Performs drug regimen reviews for members as warranted; assesses patients where necessary and communicates information to physician. Researches and organizes patient-specific information; documents patient medication histories; recommends or reviews laboratory tests to assess patient response to drug therapy; identifies medication therapy problems as appropriate. Provides oversight for functions and activities of support personnel to assure responsibilities are performed in accordance with scope of practice and applicable procedures. Adapts effective strategies for communicating with non-English speaking patients or those who are otherwise impaired (e.g., blind, deaf, cognitively impaired, illiterate).
• Recommends pharmacotherapeutic regimens and corresponding monitoring plans to prescribers in way that is systematic, logical, and secures consensus from prescriber and patient; utilizes patient interview/assessment skills, current literature-supported evidence and practices, drug initiative information, and established protocols. Designs appropriate pharmacotherapeutic regimens; integrates patient-specific disease and drug information, current practice standards, ethical issues, and quality-of-life issues, and pharmacoeconomic principles. Monitors data and modifies pharmacotherapeutic plans as necessary. Documents pharmaceutical care activities in patients medical records or clinical information system.
• Designs effective medication-use education for patients and caregivers; provides one-on-one counseling to patients and caregivers, including information on drug therapy, adverse effects, compliance, appropriate use, and handling. Provides patient-specific verbal or written consultations, including pharmacotherapy and pharmacokinetic, to healthcare practitioners. May perform limited physical examinations,for the purpose of providing medication management services. Participates in designing, reviewing, monitoring, or researching clinical drug trials as needed.
• Takes leadership role in development, implementation, and coordination of regional, ambulatory, or hospital-based drug initiatives or other formulary management activities. Participates, as appropriate, in development and/or implementation of regional drug initiatives or other formulary management activities. Participates in establishing disease state management protocols in coordination with HPMG physicians, Pharmacy and Therapeutics committee.
• Participates in monitoring and improving relevant outcome measures and/or quality improvement indicators; defines quality improvement processes; develops measures to monitor, assures safety and appropriateness. Leads regional medication management and formulary education programs to promote appropriate, cost-effective prescribing. Participates in task forces, lecture programs and skills certification for patients, providers, pharmacy staff, and support staff at departmental, market, enterprise, national and international levels as warranted. Establishes relationships with physicians and facility leaders to successfully partner on drug therapy issues; balances cost and quality issues. Participates in didactic or clerkship education of pharmacy students, and/or serves as preceptor of residents as warranted. Supports a collaborative Labor-Management Partnership environment.
• Performs other duties as required.

• Minimum 1200 hours of experience in the last three years working under a collaborative drug therapy management protocol including initiating, adjusting, discontinuing, and refilling medication in patients with chronic disease states as demonstrated in the Direct Patient Care Experience form; OR, completion of a PGY1 residency or PGY2 residency prior to start date in a position where at least 50 percent of the experience includes the provision of direct patient care services with interdisciplinary teams.

• Degree in pharmacy meeting minimum mandatory educational requirements for pharmacist licensure in Hawaii.

• Board Certified Pharmacotherapy Specialist Certificate within 36 months of hire from Board of Pharmaceutical Specialties OR Solid Organ Transplantation Pharmacy Certification within 36 months of hire OR Cardiology Pharmacy Certification within 36 months of hire from Board of Pharmaceutical Specialties OR Infectious Diseases Pharmacy Certification within 36 months of hire from Board of Pharmaceutical Specialties OR Geriatric Pharmacy Certification within 36 months of hire from Board of Pharmaceutical Specialties OR Ambulatory Care Pharmacist Certificate within 36 months of hire from Board of Pharmaceutical Specialties OR Psychiatric Pharmacy Certification within 36 months of hire from Board of Pharmaceutical Specialties

• Pharmacist License (Hawaii) required at hire

• Knowledge Required:
• Comprehensive knowledge of current pharmacological/biopharmaceutical principles, medical terminology, pathologies, disease state management, age-appropriate therapy, and other information as it pertains to medical or pharmaceutical care management plan.
• Knowledge of Federal/State laws/regulations regarding delivery of pharmacy services and the scope of practice of a pharmacist.
• Demonstrated work experience performing aseptic techniques & preparation of sterile IV products & hazardous agents, as required.
• Knowledge of sources of current drug information and medical literature.
• Skill/Abilities Required:
• Demonstrated ability to extract pertinent information from patient/other sources for a medical management plan.
• Demonstrated ability to teach and evaluate.
• Effective verbal/written communication skills at appropriate level.
• Demonstrated analytical and problem-solving skills.
• Experience working as part of a multidisciplinary patient care team.

• Heart Failure Pharmacist: Preferred qualifications for Ambulatory Care Pharmacists working in the Heart Failure specialty area. A qualified candidate should have at least ONE of the following credentials:
• Board certification in cardiology (BCCP); OR a candidate who has successfully completed an ASHP accredited PGY1 Residency or PGY2 Residency (within the last three (3) years), with a Heart Failure or Cardiology ambulatory care pharmacy rotation during residency year; OR, a candidate that has worked 160 hours in Heart Failure management patient care, involve making recommendations for initiating, adjusting, modifying or discontinuing drug therapy of Heart Failure patients
• HIV Pharmacist: Preferred qualifications for Ambulatory Care Pharmacists working in the Infectious Disease specialty area. A qualified candidate should have at least ONE of the following credentials:
• Board certification in infectious disease practice (BCIDP); OR,
• American Academy of HIV Medicine certification (AAHIV); OR,
• have completed PGY2 in Infectious Disease residency with HIV experience; OR,
• a candidate who has successfully completed an ASHP accredited PGY1 Residency (within the last three (3) years), with an HIV pharmacy ambulatory care pharmacy rotation during residency year; OR,
• a candidate that has worked 480 hours in HIV patient care management patient care, involve making recommendations for initiating, adjusting, modifying or discontinuing drug therapy of HIV patients Allergy/Pulmonology Pharmacist: Preferred qualifications for Ambulatory Care Pharmacists working in the Allergy/Pulmonology specialty area. A qualified candidate should have at least ONE of the following credentials:
• a candidate who has successfully completed an ASHP accredited PGY1 Residency or PGY2 Residency (within the last three (3) years), with an Allergy/Pulmonology ambulatory care pharmacy rotation during residency year; OR,
• a candidate that has worked 160 hours in Allergy/Pulmonology management patient care, involve making recommendations for initiating, adjusting, modifying or discontinuing drug therapy of Allergy/Pulmonology patients
• Dermatology Pharmacist: Preferred qualifications for Ambulatory Care Pharmacists working in the Dermatology specialty area. A qualified candidate should have at least ONE of the following credentials:
• a candidate who has successfully completed an ASHP accredited PGY1 Residency or PGY2 Residency (within the last three (3) years), with a Dermatology ambulatory care pharmacy rotation during residency year; OR,
• a candidate that has worked 160 hours in Dermatology management patient care, involve making recommendations for initiating, adjusting, modifying or discontinuing drug therapy of Dermatology patients
• Gastrointestinal Pharmacist: Preferred qualifications for Ambulatory Care Pharmacists working in the Gastrointestinal specialty area. A qualified candidate should have at least ONE of the following credentials:
• a candidate who has successfully completed an ASHP accredited PGY1 Residency or PGY2 Residency (within the last three (3) years), with a Gastrointestinal ambulatory care pharmacy rotation during residency year; OR, a candidate that has worked 160 hours in Gastrointestinal management patient care, involve making recommendations for initiating, adjusting, modifying or discontinuing drug therapy of Gastrointestinal patients Rheumatology Pharmacist: Preferred qualifications for Ambulatory Care Pharmacists working in the Rheumatology specialty area. A qualified candidate should have at least ONE of the following credentials:
• a candidate who has successfully completed an ASHP accredited PGY1 Residency or PGY2 Residency (within the last three (3) years), with a Rheumatology ambulatory care pharmacy rotation during residency year; OR,
• a candidate that has worked 160 hours in Rheumatology management patient care, involve making recommendations for initiating, adjusting, modifying or discontinuing drug therapy of Rheumatology patients.
• Doctor of Pharmacy Degree from a school recognized by the American Council of Pharmaceutical Education (ACPE).
• PGY2 clinical pharmacy specialty residency or fellowship. Pain Pharmacist: Preferred qualifications for Ambulatory Care Pharmacists working in the Integrated Physical Rehab/Pain Management specialty area. A qualified candidate should have at least ONE of the following credentials:
• have completed PGY2 in Pain Management residency; OR,
• a candidate who has successfully completed an ASHP accredited PGY1 Residency (within the last three (3) years), with a Pain ambulatory care pharmacy rotation during residency year; OR,
• a candidate that has worked 160 hours in Pain Management patient care, involve making recommendations for initiating, adjusting, modifying or discontinuing drug therapy of Pain Management patients
• Psychiatry Pharmacist: Preferred qualifications for Ambulatory Care Pharmacists working in the Psychiatry Department. A qualified candidate should have at least ONE of the following credentials:
• Board certification in psychiatric pharmacy practice (BCPP); OR,
• have completed PGY2 in Psychiatry pharmacy; OR,
• a candidate who has successfully completed an ASHP accredited PGY1 Residency (within the last three (3) years), with a Psychiatry ambulatory care pharmacy rotation during residency year; OR,
• a candidate that has worked 160 hours in Psychiatry patient care, involve making recommendations for initiating, adjusting, modifying or discontinuing drug therapy of Psychiatric patients Nephrology Pharmacist: Preferred qualifications for Ambulatory Care Pharmacists working in the Nephrology specialty area. A qualified candidate should have at least ONE of the following credentials:
• a candidate who has successfully completed an ASHP accredited PGY1 Residency or PGY2 Residency (within the last three (3) years), with a Nephrology ambulatory care pharmacy rotation during residency year; OR,
• a candidate that has worked 160 hours in Nephrology management patient care, involve making recommendations for initiating, adjusting, modifying or discontinuing drug therapy of Nephrology patients.
• Neurology Pharmacist: Preferred qualifications for Ambulatory Care Pharmacists working in the Neurology specialty area. A qualified candidate should have at least ONE of the following credentials:
• have completed PGY2 in Neurology residency; OR,
• a candidate who has successfully completed an ASHP accredited PGY1 Residency (within the last three (3) years), with a Neurology ambulatory care pharmacy rotation during residency year; OR,
• a candidate that has worked 160 hours in Neurology management patient care, involve making recommendations for initiating, adjusting, modifying or discontinuing drug therapy of Neurology patients