Description :

1. Served in the following areas: Pharmacoeconomics, Medication Management, Pharmacotherapy/Drug Information, Anticoagulation Clinic, Primary Care, and Congestive Heart Failure Clinic.
2. Collaborated with providers and management to develop conversion protocols from one dosage formulation or formulary agent to clinically appropriate alternative(s) with the goal of achieving clinical treatment goals safely and cost-effectively.
3. Assessed niacin use in the population and utilize personally developed a protocol for discontinuation when clinically appropriate with the goal of reducing annual expenditure based upon recent clinical data.
4. Performed data analysis regarding the use of DPP-4 inhibitors and recommend conversion to alternative oral DM agents with a goal of cardiac risk reduction, improvement of DM control, and cost containment.
5. Assessed use of duloxetine, determined annual cost and converted patients to alternative dosage formulations, and/or collaborated with providers to convert patients to alternative medication(s) with the goal of reducing annual expenditure and safely maintaining mental health.
6. Attended Pharmacy and Therapeutics Committee meetings and serve as Clinical Pharmacy Specialists' representative.
7. Managed Care Receive provider non-formulary requests and determine the appropriateness of therapy, potential formulary alternatives, proper dose, and interval, and adequate duration of therapy if a trial is warranted.

Experience

7-10 Years

Level

Management

Education

BS

Description :

1. Assisted callers in obtaining prior authorization for Medicare and Commercial members.
2. Handled irate customers in a professional manner.
3. Worked and process incoming faxes send to doctor's offices, pharmacies, and long-term care facility's attempting to obtain coverage for member's medications.
4. Processed letters for Commercial and Medicare members in regards to approval and denials of medications.
5. Worked to obtain performance and productivity improvement.
6. Worked cases that were denied by insurance and gathered appropriate information to forward to a pharmacist regarding approval or denial of medication.
7. Forwarded denied cases to Medical Director to go through the underwriting process and obtained appropriate information from a doctor regarding the need for coverage of medication.
8. Forwarded denied cases by Medical Director to Medicare for further evaluation of coverage.
9. Processed final determination from Medicare regarding approval or denial for coverage of medication.

Experience

7-10 Years

Level

Management

Education

Doctor of Pharmacy

Description :

1. Provided excellence and innovation in the care of patients, the training of health professionals, and the creation and sharing of health knowledge.
2. Ensured the safe and effective use of medications by providing medication order verification while assessing for optimal drug product selection, dosage regimen design, effective administration, and drug therapy monitoring services.
3. Monitored inpatient and outpatient drug therapies when appropriate, and work with relating medical staff to find alternatives when needed, to ensure the best care possible is being given.
4. Participated in interdisciplinary patient care rounds and communicate follow-up with the clinical team.
5. Worked with the Nutrition Support System to write both Total and Peripheral Parental Nutrition for our patients when needed.
6. Prevent, detect, and resolve medication-related problems and make appropriate evidence-based, patient-centered medicinetherapy recommendations as part of the interdisciplinary team.
7. Determine and resolve medication therapy problems including drugs without indications, medical conditions for which no therapy is prescribed, therapy inappropriate for a medical condition, incomplete immunization record, inappropriate dose, dosage form, duration, schedule, route of administration, method of administration, therapeutic duplication, medication allergies, and clinically significant drug-drug, drug-disease, drug-nutrient, or drug-laboratory test interactions.
8. Effectively verified patient medication orders for appropriateness and accuracy.

Experience

10+ Years

Level

Senior

Education

Doctor of Pharmacy

Description :

1. Established medication therapy management community-based outpatient clinics to include structuring clinics and creating templates for consult management.
2. Independently executed medication therapy management via face-to-face, telephone, and clinical video telehealth (CVT) for chronic disease states within a defined scope of practice operating at the upper end of my license as a mid-level provider.
3. Provided patient-specific drug therapy modifications to maximize response and minimize drug interactions, adverse drug effects, and poly-pharmacy.
4. Made clinical decisions are based on the knowledge that is consistent with current policies instituted at local, VISN, and national levels.
5. Planned, executed, evaluated, observed, and documented therapeutic plans; helped achieve positive outcomes through direct and indirect interactions with patients and/or caregivers, provider, and interdisciplinary teams in assigned area; performed physical assessments, and order laboratory and other tests to help determine efficacy and toxicity of medication therapy.
6. Followed-up with veterans/ caregivers/home health agencies on lab or test results and discuss the plan of therapy (i.e. changes in medication therapy, monitoring and evaluation, additional testing requirements, follow-up appointment, referral to primary care and/or specialty care physician).
7. Performed medication reconciliation and review of patients' scheduled face-to-face and clinical video telehealth (CVT) appointments, to include remote data for medication duplication at other VA health care facilities.

Experience

10+ Years

Level

Senior

Education

Geriatric Research

Description :

1. Developed disease state management/clinic by offering to manage difficult to treat and/or poorly controlled T2DM patients.
2. Collaborated with providers, nurses,s and/or ancillary staff for new patient orientation to obtain detailed medication history alternatives as needed.
3. Handled inbound telephone and written inquiries from pharmacists and doctors regarding prior authorization by screening and reviewing requests.
4. Provided information to clients, participants, pharmacists, and doctors regarding participants' pharmacy benefits, and drug coverage.
5. Facilitated resolution of drug coverage issues and pro-actively address, research, and resolve issues while maintaining accuracy and completion.
6. Worked collaboratively with other associates and supervisors to ensure that best practices are shared.
7. Answered inbound calls for Humana clinical pharmacy review call center.
8. Researched and assisted with inbox faxes for prescription drugs.

Experience

7-10 Years

Level

Management

Education

Doctor of Pharmacy

Description :

1. Directly responded to questions, resolve concerns, and provide guidance on transactions, inquiries, and complaints from both internal and external customers.
2. Received, documented, and resolved customer inquiries by using established best practices.
3. Built lasting relationships with Humana's customers.
4. Assisted as a Subject Matter Expert for team RSPA by working on resolving issues, and assisting other associates.
5. Verified data and performs clerical tasks in the data processing function at a fast pace.
6. Ability to multi-task and use dual- monitors.
7. Participated in special projects as assigned by the Clinical Review Team.
8. Assisted HCPR and RSPA with various clerical and administrative tasks as needed.
9. Kept production levels above and beyond what was expected.

Experience

2-5 Years

Level

Junior

Education

BS in Psychology

Description :

1. Performed all pharmacokinetic monitoring house-wide.
2. Managed warfarin consults, warfarin patient teaching, and house-wide INR monitoring to fulfill Joint Commission National Patient Safety Goals.
3. Participated in inpatient rounds with Air Force Base Family Medicine team.
4. Co-managed a program involving intravenous to the subcutaneous conversion of insulin on post-CABG patients to assist cardiothoracic surgeons in meeting Surgical Care Improvement Project goals.
5. Alternated for emergency room pharmacist assisting physicians with drug information and performing medication reconciliation.
6. Developed clinical practice and collaborative pharmacokinetic services in Infectious Diseases, Burn, and Transplant units.
7. Participated in teaching rounds, selecting & monitoring therapy, documenting activities, and interventions.

Experience

2-5 Years

Level

Junior

Education

Internal Medicine

Description :

1. Provided specialized clinical pharmacy care to Veterans with chronic disease in Primary Care and in Gastroenterology specialty clinics as part of collaborative efforts to target health-related performance measures and outcomes.
2. Managed medication therapy through an expanded scope of practice.
3. Provided information and consultative services to the medical staff as it relates to medication and dose selection, contraindications, adverse reactions, VA PBM criteria for use, as well as the impact of alternative medicines.
4. Managed pharmacy residents, interns, and students to coordinate thorough and prompt resolution of complex drug issues.
5. Encompassed independent face-to-face and telephone encounters with Veterans as well as patient-centered secure messaging.
6. Coordinated the evaluation and resolution of non-formulary medication requests and electronic consults supporting national and site-specific pharmacoeconomic cost-saving initiatives.
7. Took pleasure in collaborating on regional and national initiatives designed to target the quality improvement of care as well as judicious use of limited human and material resources.

Experience

10+ Years

Level

Senior

Education

MBA

Description :

1. Managed medication charts for approximately 230 patients.
2. Performed medication chart reviews quarterly for each patient, along with initial reviews for new admits.
3. Assured that medications are appropriate, accurate, and refilled accordingly; make recommendations if need be.
4. Completed fall medication risk reviews when falls are reported.
5. Acted as a liaison between the pharmacy and HBPC providers.
6. Worked closely with providers to monitor therapy outcomes.
7. Provided medication information and/or recommendations to both HBPC patients and providers.
8. Performed duties with a high degree of time management and work independently to make appropriate decisions for complex problems (i.e. multiple disease states, polypharmacy).

Experience

10+ Years

Level

Senior

Education

Doctor of Pharmacy

Description :

1. Conducted comprehensive patient evaluations (medication histories) as necessary to assess response to drug therapy.
2. Evaluated drug therapy through direct patient involvement, with clinical assessment and objective findings relating to patient's responses to drug therapy and communicating and documenting those findings and recommendations to appropriate individuals and in the appropriate records.
3. Prescribed or recommended medication to include initiation, continuation, discontinuation, monitoring, and altering of drug therapy as clinically indicated, within the scope of practice.
4. Ordered and reviewed appropriate laboratory tests required to monitor drug therapy and analyze laboratory and diagnostic test data in order to modify drug therapy and dosing as necessary.
5. Interacted with other health care providers to develop and promote rational and cost-effective drug therapy management.
6. Functioned as a source of drug information to healthcare professionals, advising medical staff in the areas of pharmacotherapy and pharmacokinetics.
7. Provided in-service education to physicians, nurses, and other allied healthcare professionals and patients, when requested.

Experience

7-10 Years

Level

Executive

Education

Pharmacy Practice Residency