The Ambulatory Clinical Pharmacist Specialist in Cardiology/Lipid clinic will
Assist cardiologists in a team based approach to ensure guideline based treatment and attainment of therapeutic outcomes.
Conducts patient insurance benefits and financial investigation and verification by directly communicating with patients. Completes initial and renewal prior authorization forms negotiate authorization status with insurers track status of medication approval and when necessary alert stakeholders of denials or nonresponse.
Oversees completion of prior authorizations appeals on behalf of patients and providers and oversee the dispensing of medications to patients in a timely manner.
Works with patients coordinators pharmacy technicians pharmacy support liaisons and other clinical teams to ensure that required clinical documentation is obtained prior to acceptance onto service.
Documents encounters and pertinent information into the software systems used by Carilion.
Provides counseling to patients and caregivers on disease states and medications used to treat them.
Develops goals for care and actively works with patients towards meeting care goals.
Works with patients and providers to optimize therapeutic outcomes.
Ensure treatment timelines are being followed and assist with ordering labs and followup treatments based on Collaborative Practice Agreements.
Engages with patients for follow ups via telephone or face to face visits based on patient needs and requests.
Assists with the development and implementation of policies and procedures to ensure reimbursement of high-cost medications and maintenance of all accreditation standards.
Facilitates staff training and competency education and practice advancement.
Oversee and coordinate work roles for Cardiology pharmacy technician.
Coordinates with Pharmacy leadership to develop training experiences/competencies.
Participate in Cardiology research and other performance improvement projects as needed and pertinent to pharmacy.
Assist with transition of care activities for cardiology patients as appropriate or assigned.
Education: Must be a graduate of a College of Pharmacy accredited by the Accreditation Council for Pharmacy Education (ACPE).
Experience: ASHP-accredited Pharmacy Practice Residency or 3 years of experience in clinical pharmacy.
Licensure certification and/or registration: License to practice Pharmacy in the Commonwealth of Virginia required within 90 days of hire. During the first 90 days of employment and the licensure application process pharmacists without a valid license to practice pharmacy in the Commonwealth of Virginia may not perform duties restricted to a licensed pharmacist until the license is obtained. If the license is not obtained within 90 days of employment the employee may be subject to separation from Carilion Clinic.
Other Minimum Qualifications: Must possess good leadership communication interpersonal and teamwork skills. Must be able to effectively budget time work efficiently and accurately and follow procedures with minimum supervision. Excellent critical thinking and analytical skills. Work requires knowledge of general office equipment and procedures including computer and keyboarding skills.
This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
Recruiter:
Dave NivenRecruiter Email:
For more information contact the HR Service Center at 1-.
Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race color religion sex national origin age (40 or older) disability genetic information or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 8:00 a.m. to 4:30 p.m. Monday through Friday.
Required Experience:
IC