The Clinical Pharmacy Manager is responsible for clinical pharmacy services, promoting clinically and evidence-based rational drug therapy, and sound pharmaceutical care through the development of new (or expansion of existing) pharmacy practice programs, drug therapy policies, collaborative management, and other programs. Serves as a clinical pharmacy resource for the health system and its affiliated pharmacy services. Responsible to serve as a preceptor or director for the residency program, and for students from local colleges of pharmacy. Conducts research and other scholarly activities throughout the year with the goal of publishing. Supervises and guides pharmacists on the optimal provision of care to ensure professional development, and through use of their independent judgment, directs and disciplines their employees. Other responsibilities include participating in patient care, clinical interventions, medication use evaluations and institutional committee or workgroup membership.

Program Management

Develops and implements policies and procedures to meet professional standards and improve medications safety, including those established by the American Society of Health-System Pharmacists. Partner with Pharmacy Services Director to establish and implement the most effective short and long-term plans to meet clinical, strategic and financial targets. Oversight of clinical pharmacy services to include an understanding of roles, workflows, clinic schedules, and support staffing coverage to maintain access to care for patients during defined hours of operation. Serve as a collaborative partner for operations and other clinical leaders to support effective and efficient clinical pharmacy services. Remains current with various pharmaceutical databases, national guidelines, and follows evidence-based medicine for clinical management of disease states. Monitor and communicate key performance indicators and balanced scorecard measures to clinical pharmacy services team. Provide support to clinic leadership to ensure timely resolution of critical incidents, patient grievances and patient complaints. Participate in root cause analysis and timely improvement efforts as needed. Foster a culture of continuous improvement and standardization utilizing the change and process improvement methods adopted by the organization and coaching others on these tools and processes. Champion change initiatives, communicate and demonstrate support for change, coach team through the change process.

People Management

Manage performance of the team, conduct monthly meetups, and provide real-time and consistent coaching with all direct reports.   Ensure accountability of team, including but not limited to adherence with policies, procedures, guidelines, workflows, etc., addressing attendance, performance, and behavior concerns including corrective action if necessary. Consult with Human Resources to support employee relations, performance achievement, training, employee engagement, etc. Hold consistent and timely team meetings to communicate organization, site, and/or department information, changes, initiatives, etc. Obtain leadership approval and manage all recruitment and hiring for team. Provide oversight and support for recruitment/hiring of openings supervised by direct reports. Effectively monitor onboarding of new hires, ensure on-going training and development for all staff. Manage time off requests and approve timecards for direct reports or as delegated and monitor to ensure staff takes required breaks and lunches.

Direct Patient Care 

Coordinate medication therapy management (MTM). Collaborate with PCPs in managing medications utilizing evidence-based recommendations Ensures safe and cost-effective pharmacotherapy for patients, considering health care costs and social determinants of health. Assess, implement, and monitor medication related therapies, detecting therapeutic incompatibilities and assessing medication adherence through face-to-face, telephonic and electronic methods of communication. Effectively utilize team-based care model by leveraging expertise of all members of multi-disciplinary team. Participate in Controlled Medication Oversight Committee (CMOC), working with clinical leadership to ensure safe prescribing practices of controlled medications across the organization. Serve as liaison with insurers in coordinating patient medication management and prior authorizations.

Education

Educate clinical teams about drug information and medication selection. Provide consultation and education to clinical staff, employing multiple informational modalities (e.g. newsletter, emails, and presentations). Act as patient educator, leveraging tools (e.g. EHR, on-line resources, written materials, etc..) to effectively communicate information with patients regarding diagnoses, medication treatment options, disease and risk reduction or prevention, safe medication management, and health promotion.

Documentation/Indirect patient care

Maintain accurate electronic health records of patients and completes documentation in timely manner. Reflect critical thinking in documentation Review clinical staff messages and consults and addresses them in a timely manner. Respond to patient telephone calls and/or MyChart messages in a timely manner. Accurately code patient charts to ensure correct billing.

Residency Program Management 

Develop and maintain residency program accreditation through the American Society of Health-System Pharmacists (ASHP), ensuring compliance with ASHP Duty-Hour Requirements for Pharmacy Residencies and Rules for the ASHP Pharmacy Resident Matching Program. Establish and maintain policies that protect residents and the organization, facilitates resident training, promotes a learning environment consistent with national accreditation standards and regulatory requirements, and achieves the goals and objectives of the residency program. Document and implement criteria for appointment and reappointment of preceptors, as well as evaluation, skills assessment, and development of preceptors through a preceptor development plan. Responsible for activities of a Residency Advisory Committee (RAC) in provision of guidance for residency program conduct, continuous residency program improvement, and related issues. Annually recruit pharmacist applicants using predetermined criteria to evaluate qualifications, licensure, and to ensure knowledge, skills, attitudes, and abilities in pharmacy practice necessary for further professional development at an advanced level of pharmacy practice. Provide to applicants clearly documented policies (consistent with Mosaic HR policy) for professional, family, and sick leave; consequences of any such leave on residents’ ability to complete the program; and for dismissal from residency program. Ensure residents accepted into the program are provided a letter outlining their acceptance to the program, including Mosaic Medical pre-employment requirements, a written description of the structure of the program outlining goals, objectives, projects, learning experiences, time commitments, etc. Support preceptors of learning experiences to provide documented experience descriptions, with expectations, roles, objectives, and evaluation criteria. Builds on PharmD education and PGY1 program development to support specialized practice development. Document for each resident: An individualized set of program competency areas, educational goals, and program objectives for each resident. Evaluation of residents’ progression toward program completion, including initial assessment, formative (ongoing, regular) assessment, and summative evaluation. Resident Development Plan, and review progress quarterly, making adjustments as needed. Facilitate resident preparation for entering advanced patient care, academic, or other specialized positions, along with board certification, if available. Award a certificate of residency only to those who complete the program’s requirements. *Completion must be documented. Meet with residency advisory committee (RAC) and Pharmacy Services Director for ongoing assessment and formal evaluation of the residency program for continuous program improvement.

Skills & Knowledge

Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to effectively present information to top management, public groups, and/or boards of directors. Ability to define problems, collect data, establish facts, and draw valid conclusions. Able to establish robust processes, develop performance standards, track performance through fact driven exercises, and implement solutions to drive continuous process improvements. Demonstrates skills to solve complex problems in a wide variety of high-pressure situations which require a high degree of ingenuity, creativity and innovativeness. In situations where precedent may not exist, is able to independently exercise judgment, determine appropriate solution and act. Knowledge of DEA, FDA and state regulations pertaining to ordering and dispensing of controlled substances.