General Description of the Job Class

The clinical pharmacists will provide innovative pharmacy services to patients served by the Population Health Management Office (PHMO), including Duke Connected Care’s (DCC) clinically integrated network and Northern Piedmont Community Care’s (NPCC) Medicaid network. Specifically, the clinical pharmacists will assist PHMO interdisciplinary teams in preventing initial inpatient admissions, preventing hospital   readmissions, and decreasing inpatient and outpatient spending. The clinical pharmacist shall serve as a resource for PHMO healthcare providers and staff.  A clinical practice may be maintained at a primary care clinic. The position also requires precepting UNC pharmacy students and Duke Pharmacy residents.

Duties and Responsibilities of this Level

Clinical Pharmacist Responsibilities
 
Clinical Practice:

• Participates in clinic, care management activities, and provides clinical pharmacy services and oversight for safe use of medication. This includes prescribing and monitoring of medications within the scope of practice designed collaboratively with physician colleagues. This may include, but is not limited  to:
  • Completes/Reviews medication reconciliation
  • Provides medication counseling
  • Prescribe and adjust medications as permitted through collaborative practice agreement
  • Screens for drug interactions, therapeutic duplications, omissions, etc.
  • Monitors patients  for therapeutic  and/or adverse response to medication
  • Coordinates patient  care with other outpatient or inpatient  teams
  • Ensures continuity of care and access with all medications
  • Performs home visits for high-risk/high-priority  patients
  • Serves as resource to PHMO providers, care managers, and other healthcare professionals to provide medication reviews and to assist in medication reconciliation activities for high-risk PHMO patients.
  • Assists in identifying and developing interventions for PHMO patients that are not meeting PHMO target quality measures.
  • Serves as resource to PHMO network providers and care managers to assist in addressing medication access and medication adherence challenges.
  • Refers patients to patient assistance programs as needed.
  • Proactively assesses and ensures medication adherence.
  • Serves as a resource to PHMO providers and care managers for general drug information and Medicare pharmacy policy.
  • Provides educational in-services on medication-related topics to patients, PHMO care managers and other healthcare professionals.
  • May provide discharge counseling and education for select high-risk PHMO patients, either face-to-face or telephonically.
  • Provides both direct patient care and hospital follow-up telephonic services to PHMO patients as determined with consultation with PHMO Chief Medical Officer.
  • Provides support to improve safety and to reduce risk to patients. Reports events and/or concerns to SRS system.
  • Provides oversight of cost-effective use of medications and treatments. This includes risk reduction and correct utilization of resources to optimize care.
  • Provides leadership in developing guidelines, order forms, and critical pathways to improve the care and safety of patients.
  • Provides leadership to maintain TJC accreditation standards within the realm of medication use at clinical practice site.
  • Represents specific concerns for Information Technology applications.
  • Facilitates prescription fulfillment through Duke Retail pharmacies, or other pharmacies as requested by the patient.
  • Develop and participate in pharmacy-related research projects and quality improvement initiatives for PHMO patients.
  • Educates medical, nursing, and pharmacy staff about the management, prescribing and monitoring of drug therapies
  • Coordinates effort to provide timely drug information to staff, upon request
  • Provides leadership support for research efforts in patient care areas.
  • Presents scholarly materials at educational conferences for pharmacy professional meetings  and organizations  (Duke,  State/Local, National)

Scholarship Responsibilities

• Maintenance of an active clinical research program, including mentorship of research projects for Duke Residents and Duke AHEC CSP students.
• Publish 1 article/year in peer-reviewed literature appropriate for practice area.
• Participate in local, regional and national professional societies, including presentations to health care professionals on practice-related pharmacotherapeutic topics.

Administrative Practice:

• Participates in departmental, hospital, and PHMO committees (e.g., DCC Performance Improvement Committee, Primary Care P&T formulary evaluation team, IRB Committee) and initiatives related  to primary care.
• Works with peers to achieve division and departmental goals
• Coordinates with payers to maintain up-to-date knowledge of benefit design and access to any payer-based data systems in support of pharmacy practice
• Develops and implements grant-funded programs.
• Contributes to quality reporting efforts required by payers.
• Maintains familiarity with all departmental programs and works as integral part of the pharmacy team.
• Models behaviors that exemplify Duke's guiding principles, including trustworthiness, respect, diversity, learning and teamwork.
• Maintains outstanding skills as a clinical pharmacy practitioner and consistently demonstrates the value of pharmacy  services
• Takes responsibility for personal and professional growth.

Preferred Qualifications:

Education Preferred:

Doctor of Pharmacy

Experience Preferred:

PGY2 Ambulatory Care Residency and BCPS or BCACP preferred, 1-3 years of clinical practice experience preferred, and a demonstrated ability to achieve positive patient outcomes and possess strong interpersonal skills.  

Licensure and/or Certifications Preferred:

Licensed as a Pharmacist by the North Carolina Board of Pharmacy.  Certification in Basic Life Support (BLS). Eligible for CPP certification.

Location Durham

Duke Entity DUKE HOSPITAL

Job Family Level I2

Full Time / Part Time FULL TIME

Regular / Temporary Regular

Shift First/Day

Minimum Qualifications

Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Education

Doctor of Pharmacy Degree OR BS Pharmacy Degree

Experience

With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required.With Doctor of Pharmacy degree, no experience is required.

Degrees, Licensures, Certifications

Licensed Pharmacist or eligible to practice pharmacy in North Carolina