Oral oncology specialists are embedded within the medical oncology and gynecologic oncology departments. Clinical pharmacists practice under a collaborative practice agreement that allows them to aid in oral oncolytic medication management, including adverse reaction management and laboratory monitoring. The pharmacist team provides care in person and virtually to Billings Clinic main campus and regional partners across Montana, Wyoming and the western Dakotas.
The incumbent in this position is responsible for assisting in the development, implementation and delivery of high quality pharmaceutical services. Position is supported by on-site Billings Clinic Specialty Pharmacy, including in-clinic technician.
Essential Job Functions
- Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
- Reviews and interprets physician orders to ensure appropriate medication use. Contacts physician to clarify any questionable order.
- Works under Collaborative Practice Agreement (CPA)
- Participates as needed in clinical programs and/or functions as a clinical pharmacist.
- Assists in the training and orientation of new employees, students, and residents. Provides assistance, direction, and clinical supervision of the pharmacy technical staff.
- Documents and is accountable for all clinical pharmacy interventions.
- Performs other duties as assigned or as needed to meet the needs of the department/organization
Additional Duties for Clinical Pharmacist II
- Participates in the organizational drug utilization review program to include:
a) Monitoring drugs, disease states, and clinical pathways and interacts with physicians to optimize drug therapy; writes consults in progress notes.
b) Recommends therapeutic alternatives to physicians to increase therapeutic efficiency and reduce cost.
c) Develops drug use criteria, clinical pathways, and other tools used to monitor drug therapy.
d) Makes presentations to the medical, nursing, and pharmacy staff as required by DUR program.
e) Document consults in designated patient chart or medical record. - Acts as a drug information resource to medical staff, other professionals, patients, and their families. Participates in the educational needs of all customers listed previously. Education, counseling, and in-servicing are a large part of the position duties.
- Writes clinical evaluations of new drugs to help determine if they will be added to the formulary.
- Acts as a preceptor for pharmacy students and PGY1 residents.
- Monitors all aspects of drug therapy, makes appropriate chart notations and interventions on the patients’ behalf.
Additional Duties for Clinical Pharmacist Specialists
- Routinely gives formal presentations and write-ups to pharmacy, nursing, and medical staff on current and relevant clinical pharmacy topics.
- Assists, guides, and directs pharmacotherapy research activities within the pharmacy department and the facility.
- With minimal assistance of pharmacy leadership, directs development, implementation, and maintenance of clinical pharmacy services in specialty area (e.g., medication safety initiatives, protocol development, formulary changes, and alternative medications in response to changes, changes in response to new regulations).
- Assists and supports management by providing direction to staff and coordinating the day-to-day operational activities. Responsible for meeting budgetary targets (i.e., revenue maximization and expense reduction goals) by making daily staffing or resource allocation decisions (e.g., approve overtime, flexing staff, formulary over-ride, charging/crediting guidance). Maintaining good fiscal control by balancing all issues impacting revenue, expense, quality and service. Acts as a resource to staff responding to procedural questions and assistance with problem resolution.
- Schedules staff and coordinates emergency/contingency staffing needs. Shall participate in and provide input/feedback into the interviewing, hiring, performance appraisal, coaching/counseling, and/or disciplinary processes for direct-report staff.
- Orients new staff and provides for ongoing mentoring, training, and educational needs for existing staff. With assistance from pharmacy leadership, develops and conducts ongoing competency assessment and quality reviews of various technical aspects of the pharmacist or technician’s job (e.g., aseptic technique, chart documentation, TCT validation, clinical peer reviews). Identifies areas needing additional education, training, etc.
- Identifies and implements quality, service, revenue, and expense process improvement initiatives. Core
Investigates and responds to issues and/or complaints from staff and/or patients (e.g., customer service and or charging issues). Utilizes performance improvement principles to assess and improve quality. - Contributes to the effective management of the department by gathering data regarding personnel, supplies, and equipment needs in order to provide input into development of pharmacy policies, procedures, short and long term goals, and objectives for departmental planning and ensuring adherence to regulatory requirements applicable to the department.
- Participates in institutional and community efforts to promote public health and the pharmacy profession.
- Assists with organization and supervision of pharmacy student and PGY1 resident rotations.
- Acts as a liaison for staff to leadership. To ensure supervision and availability to staff, appropriately and consistently staffs in the area they are leading or specializing.
Minimum Qualifications
Education
•Bachelor of Science in Pharmacy or Pharm.D. received from an ACPE accredited school of pharmacy
Experience
• Completion of a PGY1 accredited pharmacy practice residency
or
•Three (3) years of clinical experience with direct patient care/clinical ambulatory care setting
Certifications and Licenses
• State of Montana pharmacist license or eligible
•Eligible to sit for BCACP and/or other BPS specialty certification within 1 year of hire
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