Duke University Hospital Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area. Inaddition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
General Description of the Job Class
The primary care population health clinical pharmacist will provide innovative pharmacy services to patients served by Duke Primary Care (DPC). Specifically, the clinical pharmacist will function as a Clinical Pharmacist Practitioner (CPP) in at least one DPC clinic and may also conduct virtual clinical services. The clinical pharmacist will support DPC and Duke Population Health Management Office (PHMO) chronic disease management and population health efforts. The clinical pharmacist shall serve as an educational resource, providing pharmacy expertise for DPC healthcare providers and staff and be expected to precept pharmacy students and residents
Duties and Responsibilities of this Level
Clinical Pharmacist Responsibilities
- Participates in clinic, care management activities, and provides clinical pharmacy services and oversight for safe use of medication. This includes prescribing and monitoring of medications within the scope of practice designed collaboratively with physician colleagues. This may include, but is not limited to:
- Completes medication reconciliation, and screens for drug interactions, therapeutic duplications, omissions, etc.
- Provides medication counseling
- Prescribes and adjusts medications as permitted through collaborative practice agreement
- Performs patient assessment for medication-related factors and orders laboratory tests necessary for monitoring therapeutic outcomes and/or adverse response of medication therapy
- Performs annual wellness visits (AWVs)
- Coordinates patient care with other outpatient or inpatient teams and participates in multidisciplinary reviews of patients’ progress, when applicable.
- Documents the care provided in patients’ records
- Serves as resource to DPC providers, staff, and other healthcare professionals to provide medication reviews.
- Assists in identifying and developing interventions for DPC patients that are not meeting target quality measures
- Serves as resource to DPC network providers and Population Health Management Office (PHMO) staff to assist in addressing medication access and medication adherence challenges
- Serves as a resource to DPC providers and staff for timely general drug information and payer pharmacy policy
- Provides educational in-services on medication-related topics to patients, DPC providers, DPC staff, and other healthcare professionals
- Ensures continuity of care and may support transitions of care for select DPC patients, either face-to-face or virtually
- Provides both direct patient care and virtual services to DPC patients as determined based on oversight from DPC practice medical director and/or other DPC leadership, as well pharmacy leadership
- Interprets data related to medication safety and effectiveness and provides support to improve safety and reduce risk to patients. Reports events and/or concerns via the Duke Health Safety Reporting System (SRS)
- Provides oversight of cost-effective use of medications and treatments. This includes risk reduction and correct utilization of resources to optimize care
- Participates in developing guidelines, algorithms, and care pathways to improve the care and safety of patients
- Participates in efforts to maintain TJC accreditation standards within the realm of medication use at clinical practice sites
- Facilitates prescription fulfillment through coordination with retail pharmacies
- Develops and participates in pharmacy or medication-related research projects and quality improvement initiatives
- Educates medical, nursing, and pharmacy staff about the management, prescribing, and monitoring of drug therapies
- Publishes and/or presents scholarly materials at educational conferences for pharmacy or other professional meetings and organizations (Duke, State/Local, National)
- Participates in DPC and other Duke Health committees and initiatives related to primary care and pharmacy practice
- Coordinates with others to maintain up-to-date knowledge of pharmacy benefit design and access in support of pharmacy practice
- Maintains familiarity with pharmacy programs across Duke Health and functions as an integral member of the pharmacy team
- Models behaviors that exemplify Duke Health values, including teamwork, integrity, diversity, excellence and safety
- Maintains outstanding skills as a clinical pharmacy practitioner and consistently demonstrates the value of pharmacy services
- Doctor of Pharmacy Degree
- With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required.
- With Doctor of Pharmacy degree, no experience is required.
- PGY2 Ambulatory Care Residency and BCPS or BCACP preferred
- 1-3 years of clinical practice experience preferred
Degrees, Licensures, Certifications
- Licensed Pharmacist or eligible to practice pharmacy in North Carolina
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
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