Quality Improvement / Accreditation Specialty Pharmacist 1

Job Details

Interprets physicians' prescriptions and dispenses medications for high dollar specialty and other medications within regulatory, accreditation, and policy guidelines. Provides medication therapy management by actively managing drug therapy; identifies, prevents and resolves medication-related problems. (e.g. Counsels patients and/or medical staff and handles problem resolution). Completes patient records, initial assessments, medication profiles, initial fill notes and continuing progress notes. Participates in the coordination of care to meet patient outcomes and goals including, initial referral, medication review and selection, assessment of medication delivery system, coordinated care conferences, patient care plans, compliance programs and discharge of patients from services.

Interacts with internal and external clinical and non-clinical personnel to support benefits investigation, financial assistance and prior authorization needs. Supports activities for mitigating patient side effects and promoting therapy adherence. Engages in practice pull through for specialty and other orders. Aids in development and maintenance of patient management program. Participates and undertakes initiatives and projects impacting critical clinical, operational and financial areas.

Job Description

ESSENTIAL FUNCTIONS:

• Applies practical knowledge of job area typically obtained through advanced education, specialty pharmacy certification, or work experience.
• Works independently with general supervision.
• Problems faced are difficult but typically not complex.
• May influence others within the job area through explanation of facts, policies and practices.
• Coaching and reviewing the work of technical staff.
• Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson

OTHER FUNCTIONS AND COMPETENCIES needed in addition to Essential Functions:

• Documents any and all interactions with patients and prescribers in the appropriate systems in
• compliance with protocol.
• Performs On-Call activities as required.
• Adheres to all pharmacy, state and federal laws and regulations.
• Performs other duties as assigned.

POSITIONS, SUPERVISED OR DIRECTED (TITLES AND APPROXIMATE NUMBERS):

• Specialty Pharmacy Representatives I and II, Rotation IPPE and APPE students

EDUCATIONAL/TRAINING REQUIREMENTS:

• PharmD degree or Bachelor of Science Degree in Pharmacy with at least 3 years of Pharmacy experience or 1-2 years of Specialty Pharmacy experience is preferred.

CERTIFICATES, LICENSES, AND REGISTRATION:

• Valid Pharmacist licensure in the State of Pennsylvania

EXPERIENCE REQUIREMENTS:

• Prior specialty pharmacy experience or residency preferred

ADDITIONAL INFORMATION:

• Ability to communicate clearly and effectively, verbally and in writing, with physicians/medical staff, patients and insurance companies.
• Strong organization skills, with ability to multitask, collate data from many sources and manage several tasks at any one time.
• Excellent problem-solving skills and the ability to adapt to the changing needs of the organization.

Additional Preferred Qualifications:

• Extensive working knowledge of URAC and The Joint Commission accreditation standards who has successfully lead accreditation processes; Quality, Safety and Auditing initiatives.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University Hospitals, Inc.

Primary Location Address

3500 Horizon Drive, King of Prussia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.    

Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. 

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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