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Providence Health & Services Clinical Pharmacist Managed Care in Mission Hills, California

Description:

Providence is calling a Clinical Pharmacist Managed Care to our Facey (Full Time/ Day Shift) location in Mission Hills, CA.

In this position you will:

  • Serve as an integral part of the Facey team, and work closely with the Physicians, Allied Health Providers, Ambulatory Care Clinics, Disease Management Programs, Clinical Pharmacy programs and initiatives, Transitions of Care Programs, Utilization Management, Rx Refill, Operations and other clinical activities. In collaboration with the Clinical Care Teams, the Managed Care Clinical Pharmacist performs analysis of pharmaceutical trends, participates in pharmaceutical education with patients and providers, recommends therapeutic interchanges, assists with prior authorizations, works with payers, conducts pharmaceutical patient assessment (initial and reassessments), develops and manages the patient's chronic illness pharmaceutical care plan, and coordinates that plan with the health care team. In addition, the Managed Care Clinical Pharmacist is responsible for performing various clinical duties related to utilization management of medications. This includes but not limited to reviewing and rendering coverage determinations based on clinical criteria and health plan(s) division of financial responsibility and pharmacy related policy updates as needed. The Managed Care Clinical Pharmacist will also work closely with Rx refill department leadership and serve as the subject matter expert to develop policy and procedures in compliance with all pharmacy related regulatory agencies and help review guideline criteria for prior authorization and non-formulary drugs ordered by Facey Providers. The Managed Care Clinical Pharmacist will also support service area and regional pharmacy and quality initiatives and programs. In addition, clinical guidance, support and oversight to the assigned Pharmacy Technicians will be provided as needed by the Managed Care Clinical Pharmacist.

Qualifications:

Required qualifications for this position include:

  • Current valid California Pharmacist license required

  • Current American Heart Association BLS for Healthcare Providers required

  • Doctorate of Pharmacy from a college or school of pharmacy accredited by ACPE

  • Minimum (3) three years of pharmacy experience in acute care, ambulatory care or managed care settings

  • Experience with electronic medical records and electronic prescribing

  • Knowledge and expertise in clinical pharmacology and disease state management using most up to date evidence based practice

  • Ability to educate and persuade patients and/or family members to alter behavior in accordance with program goals and objectives

  • General knowledge and understanding of Accountable Care Organizations, MediCare PartD, HEDIS, CMS Stars, and Value-Based Purchasing

  • General knowledge and understanding of pharmacoeconomics

  • Ability to analyze data and formulate sound conclusions and recommendations

  • Ability to work independently and manage multiple, concurrent projects for completion in a thorough and timely manner

Preferred qualifications for this position include:

  • Chronic disease state knowledge base and related pharmaceutical counseling and/or motivational interviewing experience

  • Knowledge of clinical pharmacy practice to include: patient monitoring, literature evaluation, formulary enforcement, drug utilization reviews and drug interactions

  • Certification in Pharmacotherapy, Ambulatory Care, Diabetes or Geriatrics preferred

About the organization you will serve:

Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties. Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita and Simi Valleys. The group began as a single medical practice over 90 years ago.

Facey is part of Providence Health & Services, an integrated, not-for-profit 5-state network of hospitals, care centers, medical clinics, affiliated services and educational facilities spanning from California to Alaska.

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Clinical Lead Supervisor/Manager

Location: California-Mission Hills

Req ID: 232071

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