CDTM Pharmacist

8:00 A.M - 4:00 P.M

Job Description

PURPOSE OF POSITION

The Collaborative Drug Therapy Management (CDTM) Pharmacist partners with the Office of Ambulatory Care and collaborating physicians to support the mission of providing exceptional patient care across the Health System. They serve as a liaison between the patient, ambulatory, clinical and pharmacy teams, leading to efficient provision of drug therapy and positive patient outcomes. The CDTM Pharmacist provides consulting services to patients regarding the effective use of medications, importance of adherence, awareness of drug interactions, and may coordinate other preventive healthcare services such as immunizations. CDTM Pharmacist plays an essential role in disease state management, identifying ways to optimize medication therapy and ensuring an optimal patient experience.

The CDTM Pharmacist operates under defined protocols based upon agreement(s) with Collaborating Provider(s), and in accordance with the policies, procedures and protocols of NYC Health + Hospitals and New York State (NYS) guidelines. They are familiar with facility and enterprise formularies, including restricted drugs and any required drug request documentation. Understands prior authorization process for insured patients and is responsible for obtaining coverage for therapy for patients under their direct care. They will collaborate with other providers in clinic and with pharmacy team to establish efficient workflow while identifying ways to optimize adherence and help ensure positive outcomes.

Once entered into collaborative practice agreement, the CDTM Pharmacist will be responsible for drug management therapy of patients with specified disease states in the ambulatory clinic setting. The CDTM Pharmacist will adjust and/or manage a drug regimen of a patient, pursuant to a patient specific written order or protocol made by the patient's physician or collaborative practice agreement. The role of CDTM Pharmacist exemplifies the standard of patient care through understanding patients' medical conditions, treatment goals, drugs & protocols. They evaluate patients to determine if medication regimen is appropriate and/or detect any symptoms that could be attributed to adverse effects from current therapy. Analyzes patient needs and collaborates with ambulatory care and the clinical community to educate patients on all pharmacy services offered. They assist the care team in the development and optimization of related initiatives, services and programs, and set individual patient goals.

The CDTM Pharmacist acts as the internal expert of pharmacy operations, workflow, policies and procedures within the ambulatory setting. They will have operational expertise, program management, leadership, direction, and oversight for initiatives managed or supported by ambulatory care in collaboration with pharmacy. Responsibilities include participation in the design of goals, timelines and objectives; assisting with defining measurable and actionable metrics; and development of relationships, including interactions with patients, facility administration, and facility pharmacy staff. They will work closely with pharmacy team members to ensure that all barriers to obtain medication are removed for patient.

This position will report directly to the ambulatory clinic chief and will work closely leadership to focus on several areas, including but not limited to resource utilization, outcome reporting, regulatory compliance, clinical education, drug utilization analysis, and quality improvement activities. They will assist site leadership to create an environment that promotes growth and helps facilitate clinical staff to provide outstanding patient care.

RESPONSIBILITIES

Primary Duties and Responsibilities

• Interviews patient to gather all relevant data, including but not limited to general health, activity status, medical history, medication history (including OTCs), and immunization history.
• Screens for drug allergy and drug interactions. Notes drugs or classes of drugs contraindicated in specific disease states.
• Assesses medication regimens and makes modifications so as to achieve desired therapeutic outcomes, providing direct pharmaceutical care in the outpatient ambulatory setting.
• Performs routine patient monitoring functions as necessary in drug therapy management, including collecting and reviewing patient history. Orders appropriate disease-state or drug specific laboratory and physical assessments including but not limited to vital signs, diabetic foot exams, hemoglobin A1C, and urine microalbumin (only if specifically authorized by the protocol and to the extent necessary to discharge their responsibilities under the law).
• Evaluates clinical laboratory tests related to the drug therapy management for the specific disease or disease state(s) specified within the Protocol.
• Adjusts the management of drug strength, frequency or route of administration and/or substitutes authorized drugs in accordance with the Drug Therapy Protocol with the Collaborating Provider.
• Performs comprehensive medication review and reconciliation and resolves medication-related problems in order to optimize drug therapy. Resolves discrepancies in patient therapy and follows-up on any outstanding issues or barriers.
• Documents modifications made to the patient drug therapy in patient's record and notifies other treating providers, as required. Documents and reports all interventions, adverse drug reactions (ADRs) and medication errors.
• Communicates any changes or adjustments in therapy to patients and caregivers in a clear and concise manner. Performs follow-up phone calls to patient, patient's caregiver and/or pharmacy to confirm compliance with filling prescriptions, compliance with medication regimen and understanding of instructions.
• Monitors the patient's response to therapy, including safety and effectiveness of medication.
• Presents requested drug information to patients, physicians, nurses, and other pharmacists, modifying terminology and approach based on target audience.
• Provides patient education on self-management and assists patients and providers with medication access issues to ensure understanding of the care plan.
• Prepares written notes in a consistent manner on all patients seen. Documents all progress notes and other relevant information in the electronic medical record.
• Works collaboratively with the care team to develop the patient care plan, promote adherence to treatment plan and encourage appropriate follow-up for optimal medical management.

• Supports and assists patient or caregiver to obtain prescriptions; confirms prescription insurance coverage, formulary status and ability of patient to obtain medications.
• Collaborates with patient assistance programs and finance team to eliminate or reduce financial barriers to therapy.
• Participates in educational programming for clinical staff, including, but not limited to, P&T meetings, noon conferences, grand rounds, in-services, and competency programs.
• Participates in the preceptorship of students during their clinical pharmacy education experiences; as applicable, participates in the supervision of pharmacy residents completing an ASHP-accredited pharmacy practice residency program.
• Maintains liaison relationships with medical and nursing staff, providing timely information pertaining to pharmaceutical supplies, drug usage and compatibility, state and federal regulations regarding drug controls, and Joint Commission Standards.

test

Primary Care Roles & Responsibilities

• Primary Care outpatient visits
• Sit on Clinical Competency Committee, Program Evaluation Committee, and Fellowship Picking Committee
• Responsible for curriculum, coordination of calendar (ie. topic discussions, journal clubs, case series, etc.) and keeping track of attendance sheets
• Responsible for organizing medical science liaison visits from drug companies
• Prior authorizations

3. Cardiology Roles & Responsibilities

• CHF inpatient visit patient/counsel on medications/explain the disease state/providing blood pressure machine and blood pressure tracking card to patient
• CHF post discharge calls within 3 days preferable and within one week at the latest
• CHF outpatient clinic visits
• Coordinate CHF clinic visit appointments and echocardiograms by contacting clerk because they can't work off the queue
• Acquire CHF patients from daily hospital consult list on Epic
• Acquire CHF patients from patients who are currently admitted list on Epic
• Run CHF Epic report to find patients that were missed (no consult placed) or coded later on as having heart failure
• Coordinate with cardiologist to find CHF patients in clinic
• Prior authorizations
• Enter heart failure data into American Heart Association database
• Responsible for adjusting patient clinic schedules for endocrine and cardiology, as well as, calling patients to confirm clinic visits
• Set up compass rose on Epic to obtain the heart failure dashboard
• Healthfirst medication adherence for primary care weekly basis

4. Regulatory Compliance

• Performs duties under defined protocols outlined in collaborative agreement, in accordance with H+H policies and procedures and in compliance with all state and federal laws, guidelines and regulations.
• Maintains all pharmacy licensing and regulatory requirements, including state board license/registration, recertifications, and accreditations.

5. Other duties:

• Performs related duties, as required.

Minimum Qualifications
1. A valid New York State license and current registration to practice pharmacy; and
2. Must be certified to practice Collaborative Drug Therapy Management (CDTM) by the New York State
Education Department (NYSED).

If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs