Medication History Specialist - General Pharmacy

Description CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 253-bed hospital serving the fastest- growing area of San Antonio. Specialized care includes orthopedic and surgical care with advanced spine surgery, Intensive Care, complex neurology for treating stroke and other neurovascular issues, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, women’s services, a newborn nursery, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, emergency services, and more. The campus also boasts an Outpatient Imaging Center, an Ambulatory Surgery Center, and four medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary: Under the supervision of the pharmacy compiles the best possible list of all medications a patient is taking prior to admission to the inpatient units through interviews of the patient or patient’s family coming through the Emergency Department. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Interview patients and family members for the purpose of compiling an accurate and complete list of current medications the patient was taking prior to admission to the hospital, including all prescription, non-prescription, and investigational medications including: Name of each medication and formulation (i.e., Extended release) Dosage Route of administration Include any PRN reason(s) for taking Indication and/or any special circumstances under which the medication is taken (i.e., taken with food). Last taken date and time (if known). Provide information source(s) such as patient, family member, pharmacy, nursing home, etc. Verify patient allergy information and ensure complete documentation (i.e., substance, allergy category, reaction description). Utilizes available resources for medication history collection including but not limited to: patient and/or family interviews, medication lists, outside facility medication administration records, outpatient pharmacy records, and physician office records. Verifies preferred pharmacy and primary care physician information. Confirm patient is taking the medication(s) as directed on the medication bottle(s) and/or vial(s). Document any discrepancies. Document the reason for any PRN “as needed” medication. Communicate to the pharmacist any complex and/or high‐risk medications (i.e., insulin sliding scale, warfarin, methadone clinic, etc.) not comfortable with or does not have appropriate knowledge about. In addition to the above specialized responsibilities, the medication history pharmacy tech will also be able to function as a standard pharmacy tech: Assisting pharmacists in preparing and distributing drugs, maintaining the drug inventory, and maintenance of records Discusses any questions or unresolved medication history issues that arise during the medication history process with the pharmacist. SECONDARY JOB FUNCTIONS Use good clinical judgment skills to determine the accuracy of medication history list as obtained. Solicit other sources of information to verify accuracy. Collaborate with charge nurse and patient nurse to determine when patient can be interviewed. Has excellent knowledge of brand and generic medication names, common dosages and dosage forms and frequency of administration of each medication Ability to communicate with patients of all education levels in an Emergency Department setting Ability to log on to an electronic clinical data base to determine if a medication list exists for patient Assess incompleteness of the current list of medications by looking at drug, dose, frequency, and indication for use. Establish rapport with patient to obtain medication history or determine if patient or family member can provide medication history or call patient's pharmacy or physician's office for medication history Attends pharmacy staff meetings and reads departmental email/communications daily. Complete all competence/skills assessment requirements. Answer telephone and direct calls to appropriate personnel. Maintain security and confidentiality. Always maintains safety-integrity-professionalism. Organizes and prioritizes work assignments. Performs other duties as assigned. Job Requirements: Education/Skills High school diploma, or equivalent required. Experience 2 years’ work experience in a retail pharmacy. Hospital pharmacy technician experience preferred. Licenses, Registrations, or Certifications Registered pharmacy technician in the state of practice required. Certified pharmacy technician preferred. ACPE accredited IV certification program, including hazardous (minimum 40 hours); or meet the minimum State requirement. Optional BLS, ACLS, PALS for Pediatric practice. ASHP Medication History certification preferred. Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Full Time

Clinical Pharmacist I - General Pharmacy

Description Summary: All pharmacists fill orders for drugs, monitor patient drug therapies and provide drug information. Pharmacists provide pharmacy services with compassion, excellence, and efficiency. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Operational Duties and Responsibilities Prepares and dispenses drug orders per physician request according to established policies, procedures, and protocols. Interprets drug orders (verbal and written) and transcribes/verifies into computerized patient medication record accurately. Maintains, accurate, complete patient drug record. Compounds and dispenses pharmaceuticals including non-sterile and sterile products, chemotherapy and parenteral nutrition products accurately. Issues controlled substances to patient care areas and maintains records as required by law and institutional policies. Provides services efficiently and in a timely fashion. Maintains current pharmacist license. Ensures applicable CE records and licensure are maintained in department files. Attends staff meetings. Completes all competency/skills assessment requirements. Supervises and directs pharmacy support personnel. Verifies the daily activities of pharmacy technicians Ambulatory care Pharmacist: Provides ambulatory pharmaceutical care services utilizing approved protocols and/or collaborative agreement with other providers, including managing patient drug therapy, anticoagulation management, providing patient education, and preparing and/or overseeing the preparation and dispensing of medications. Performs duties in the clinical areas assigned such as but not limited to anticoagulation clinics, intensive medical home, transition of care, Discharge Medication reconciliation, etc. Clinical Duties and Responsibilities Ensures safe, appropriate, cost-effective drug therapies for patients according to established policies, procedures, and protocols. Monitors drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose. Assists with pharmacokinetics consult service and renal drug dosing per hospital protocol. Reads, extracts, and interprets information in patient medical records accurately. Detects and reports suspected adverse drug reactions accurately and in a timely manner. Sustains the hospital drug formulary, minimizing non-formulary procurements, utilizing therapeutic substitution protocols, and promoting rational drug therapy selection. Provides clinical consultation and clarification to practitioners as appropriate. Provides accurate, adequate, and timely drug information to the hospital’s professional staff. Provides drug education to patients and their families per institutional protocol. Participates in the quality improvement and medication use review activities of the department. Collects data, conducts monitors and inspections, and maintains logs, records and other documentation as assigned. Conducts designated interventions as defined in department Clinical Intervention activities (IV to PO, Renal Dosing, Pharmacokinetic dosing support, Anticoagulation). Baseline departmental standards for reporting interventions for clinical productivity as defined by departmental goals. Participates in antibiotic stewardship, opioid stewardship, and shortage management activities as assigned. Attends interdisciplinary rounds when assigned. Provides services efficiently and in a timely fashion. Occupational Hazards Potential for exposure to hazardous and toxic substances (including chemotherapeutic, cytotoxic drugs and cleaning solutions), sticks or cuts by needles and other sharp items. Risk 0 exposure category. Potential for musculoskeletal injuries if proper lifting and carrying techniques are not used. Potential exposure to biologic material when participating in direct patient care activities (e.g., patient education, code attendance). Job Requirements: Education/Skills Doctor of Pharmacy or BS Pharmacy degree required Experience Hospital experience preferred Licenses, Registrations, or Certifications Pharmacy state licensure required within 60 days of start date BLS or ACLS is required PALS (for pediatric practice) is required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule: 5 Days - 8 Hours Work Type: Full Time

Manager Practice II - Shreveport Multi-Specialty Clinic

Description Summary: This position is responsible for the operation of provider practices usually consisting of 2-4 providers with 6-10 FTEs or at two different sites. The position is responsible for, but not limited to, managing subordinate personnel, preparing clinic(s) budget, ensuring data accuracy, preparing financial analyses, handling complex customer service issues and maintaining provider/staff communications. Responsibilities: Establishes/implements goals, objectives, policies, procedures and systems for the assigned administrative areas. Assists with developing and implementing annual operational plan and budget. Selects, trains, orients and supervises clinic personnel in accordance with established policies and procedures. Responsible for work assignments and daily operations. Manages personnel for multiple practices, including training relief employees. Evaluates performances and recommends merit increases, promotions and disciplinary actions in a timely manner. Interviews and recommends hiring and termination of staff in accordance with approved policies. Resolves problems in administrative areas and ensures compliance with regulations and standards. Helps fiscal management and other administrative staff in implementing cost effective policies and procedures for all operational areas including bookkeeping, billing, insurance, fee schedules, credit/collections, purchasing, data processing and space planning. Works in conjunction with Regional Director and corporate Marketing Department in practice development. Ensures the effective implementation of job descriptions, personnel policies and payroll practices. Monitors and controls clinic expenditures within budget. Identifies and implements cost reduction opportunities. Serves as liaison between clinic and external agencies. Works with staff and providers to ensure quality patient care and services are provided. Maintain effective communication with providers and staff; conducts monthly meetings with providers and staff. Create a positive work place. Gathers and reports monthly and annual data for fiscal, statistical and planning purposes. Develops and implements revenue enhancement strategies for existing practice(s). Participates in professional development activities to keep current with health care trends and practices. May be responsible for assuring all appropriate licensure, certifications and/or accreditations are secured according to policy. Follows the CHRISTUS Physician Group guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Maintains strict confidentiality. Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission. Maintains established CHRISTUS Physician Group policies, procedures, objectives, quality assurance, safety, environmental and infection control. Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Physician Group’s cultural diversity objectives. Supports and adheres to CPG Service Guarantee. Collaborates effectively with physicians, administrators, patients, families, other departments, and the community to provide quality patient care and enhance patient outcomes. Ensures assessment of competency of all associates is completed as a part of the orientation program and on an ongoing basis. Identifies plans, develops and/or arranges for programs to meet the educational/skills needs of the associates upon hiring and on an ongoing basis. On an annual basis, contributes to the development of operating and capital budgets to meet the needs of the clinics. Reviews financial and productivity management reports and takes appropriate actions. Evaluate clinic production and revises procedures or devises new forms to improve efficiency of workflow. Supervises the clinical and non-clinical areas to ensure timely and efficient management. Coordinates with Providers as needed to ensure projects and assignments are coordinated as necessary by the Administrative staff. Demonstrates adherence to the Mission and CORE values of the CHRISTUS Health System. Performs other related work as required. Requirements: High School Diploma Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time