Shields Health Solutions is seeking a Clinical Pharmacist to join our team. In this remote role, you will provide integrated support to patients and physicians, developing personalized relationships to improve medication adherence and promote evidence-based, cost-effective care.
What You'll Do
- Review and interpret clinician's patient care notes for clinical data needed for prior authorization approvals and care plan recommendations.
- Develop disease and drug specific clinical protocols to maximize patient adherence.
- Monitor ongoing patient adherence across all sites and specialty disease states, with a focus on oncology.
- Evaluate EMR data to review drug interactions, labs, allergies, and prescriptions, communicating directly with MDs.
- Recommend alternative therapeutic drug regimens and disease specific treatments according to guidelines.
- Monitor therapies for side effects and recommend drug therapy changes to prescribers.
- Perform medication therapy management (MTM): review medication regimens, advise clinicians, document interventions, and assess patient adherence.
- Conduct clinical interventions including comprehensive pharmacist consultation, motivational interviewing, drug regimen optimization, and medication reconciliation.
- Monitor productivity and report weekly statistics for growth development.
- Oversee technician's daily activities and verify accuracy on prior authorizations and care utilization logs.
- Identify and resolve insurance related issues and apply financial assistance where applicable.
- Supervise communication of support personnel compliant with HIPAA rules and regulations.
- Maintain current registration and remote pharmacist activity to comply with all drug laws.
- Communicate directly with other health professionals regarding patient care.
- Develop your own knowledge through education programs and train pharmacy staff and health care professionals.
- Manage, organize, and update relevant data using database applications.
- Apply observations to operational issues to increase productivity, quality, and customer-service standards.
- Assist with research projects and peer reviewing articles as needed.
- Identify trends, resolve problems, recommend improvements, and implement change.
- Actively participate in process improvement initiatives.
What We're Looking For
- Doctor of Pharmacy (PharmD) or equivalent advanced degree.
- Licensed Pharmacist in Texas.
Nice to Have
- 1+ years of experience.
- Knowledge of complex/chronic disease states and therapies used within specialty pharmacy, including Oncology, Transplant, Hepatitis C, Infectious Disease, Multiple Sclerosis, Rheumatoid Arthritis, GI disorders, Cystic Fibrosis, Psoriasis, Hyperlipidemia, and various inflammatory conditions.
- Knowledge using EPIC/QS1/WILLOW software.
Technical Stack
- Microsoft Word, Excel, PowerPoint.
- Database and reporting tools.
- EPIC/QS1/WILLOW software (preferred).
Team & Environment
We are looking for an energetic, highly motivated team player with strong personal and communication skills. Discretion and confidentiality are essential as this position deals with highly sensitive and private patient data.
Work Mode
This is a fully remote position.
Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
