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Type: Full Time
CLINICAL SPECIALIST PHARM
Requisition #: 229423
Location: Johns Hopkins Hospital, Baltimore, MD 21201
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: March 28, 2020
The Clinical Pharmacy Specialist (CPS) will work collaboratively with the Substance Use Disorder team to initiate, modify, or discontinue medication therapy and acts as a consultant for intensive medication therapy management services. This includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy; and completion of treatment plans and measurement based care assessments.
Clinical - Direct Patient Care Responsibilities
* Acts as the care coordinator for patients with complex opioid dependence as part of an identified interdisciplinary team and offering drug use monitoring and care coordination as well as providing supporting recommendations and motivational interviewing when needed.
* Provides comprehensive medication management of complex patients with chronic diseases including, but not limited to, opioid use disorder, alcohol use disorder, mental health disorders, and chronic pain.
* Designs, implements, and monitors therapeutic drug plans to achieve defined outcomes through direct interactions with patients and providers in assigned areas.
* Determines if a referral to the physician is necessary when disease progression occurs, or adverse drug events require a higher level of treatment intervention.
* Monitors medication therapy for substance use disorders and chronic pain, including initial assessment of new patients (initiates patient agreements, chart review takes history, orders and evaluates lab tests, medication reconciliation) and follow-up of patients in clinics.
* Provides medication education and implementing risk mitigation strategies.
* Queries and documenting PDMP information.
* Provides overdose education and facilitating naloxone prescribing.
* Facilitates self-rating scales on symptoms and functional status.
* Assists to confirm appropriateness for medication treatment and collaborating with qualified provider for buprenorphine/naloxone medication management and prescription entry.
* Communicates with team for next steps and coordination of care which may include ensuring needed appointments are scheduled, triaging unscheduled visits and facilitating urgent appointments with provider team members when necessary.
Additional Clinical Responsibilities
* In collaboration with other substance use disorder and pain team members, is responsible for the development of a therapeutic plan which is intended to achieve definite drug-therapy outcomes that improve the patient's quality of life.
* Helps achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas.
* Provides pharmacokinetic consultation for individual drugs as applicable.
* Implements P&T Committee policies including therapeutic interchanges and
automatic substitutions. * Manages recalls and medication shortage situations by substituting alternate dosage strengths and instructions of the same medication to equal the prescribed dose and schedule.
* Recommends formulary alternatives, completes non-formulary consults, reviews/evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable.
* Serves as an authority on drug usage, interactions, over-dosages, and compliance to medical staff, nursing staff, technicians and students. Uses appropriate references to research drug information.
* Promotes rational Substance Use Disorder and Pain Management Strategies utilizing current resources and the development of Substance Use Disorder and Pain Management clinics and protocols.
* Collaborates with outpatient and ambulatory care providers to prevent relapse after discharge.
* Collaborates with other healthcare providers in the development of the pharmacotherapeutic elements of drug detoxification protocols.
* Oversee inpatient free trial programs to ensure that expensive long-acting injectables (e.g. Vivitrol, Sublocade) can be appropriately initiated.
* Facilities effective care transition to appropriate ambulatory services for treatment of substance use disorders.
The Johns Hopkins Hospital, a 1,051 bed academic medical center, and the Johns Hopkins University School of Medicine are the major components of the Johns Hopkins Health System, a vertically integrated, multi-institutional system for medical services delivery. It was one of the first non-profit, academically based healthcare systems of its kind in the country. Located in the city of Baltimore, Maryland, The Johns Hopkins Hospital is consistently ranked at the top of America s Best Hospitals by U.S. News and World Report.
The Department of Pharmacy, consistent with the mission of Johns Hopkins Medicine, places a priority on teaching, research and patient care. At Johns Hopkins Hospital, the department is responsible for providing acute care pharmacy services for a diverse population of medical and surgical patients, with additional services provided within the Johns Hopkins Outpatient Center and affiliated clinics. Within the department, there are 47 acute care and primary care clinical pharmacy specialists as well as 27 general and specialized pharmacy residents. Working collaboratively with unit-based, decentralized pharmacists and Hopkins physicians, nurses and other healthcare professionals, these practitioners are responsible for the provision of clinical pharmacy services across a broad range of patient care areas. Services are provided in the areas of anticoagulation, ambulatory care, cardiology, critical care, drug information, emergency medicine, infectious diseases, internal medicine, oncology, pain and palliative care, pediatrics, psychiatry and solid organ transplantation.
Required or Desired Credentials or Experience: Preferred qualifications for this position include the completion of the Pharm.D. degree, PGY1 residency, and a specialized residency in Infectious Disease. BCPS certification is required within two years from date of hire.
Virna Almuete, PharmD
Division Director, Adult Inpatient Pharmacy
Sheikh Zayed Tower
The Johns Hopkins Hospital
1800 Orleans Street, Room 7000
Baltimore, MD 21287
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.