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Clinical Pharmacist - Irvine, CA
UnitedHealth Group • Irvine, CA
Posted 28 days ago
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We’re Monarch HealthCare, Orange County’s largest association of independent physicians, and a part of Optum and the growing family of UnitedHealth Group companies. We are changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. With the talent, resources and can-do culture of a Fortune 6 company behind us, there’s no telling how far we can go. Join us in creating a better future
Schedule: Monday - Friday, 8a.m. to 5p.m., Business Hours
The Clinical Pharmacist is responsible for assisting and supporting the Director of Pharmacy strategic planning, development of pharmacy initiatives related to pharmacoeconomics, utilization management, and Pay for Performance, with a focus on improved health outcomes.
The Clinical Pharmacist is responsible for both direct and indirect patient care, drug therapy monitoring, formulary management, staff education, patient consultant, cost containment and serves as Pharmacy’s liaison with physicians and other health practitioners. Interfaces with physicians and other members of the health care team in the design of treatment regimens, and serves as an authoritative information source on drugs and their utilization in therapy.
The chosen candidate will work in collaboration with the Clinical Pharmacy Team, Disease Management, Case Management, and High Risk Touch Team to ensure the successful achievement of Monarch HealthCare's vision.
Work in close collaboration with the Disease Management department to provide telephonic disease state management for patients with the following chronic disease state(s): congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), Asthma, Diabetes
Assist the Director of Pharmacy in planning, and implementing physician education programs related to new treatment modalities for various disease states, HEDIS/P4P, CMS Star Ratings, Medicare Part B and & D drugs, and pharmacy utilization management best practices
Available and acts as a clinical/pharmacy resource for Clinical Service’s case managers including identifying high volume/high cost pharmacy utilizing members and assisting with the development of case management planning
Collaborates with High Risk Touch Teams to ensure effective medication reconciliation and patient education for high risk patient in order to decrease readmissions and avoidable emergency room visits
Participates in the inpatient readmission rounds and interdisciplinary (IDT) case management meetings
Maintains a working knowledge of changes in pharmacy practice, including pharmacy laws and drugs, and applies this knowledge in the performance of daily activities
Identifies opportunities for improvement and provides additional orientation, training and skill development to internal staff and external customers on an ongoing basis
Participates in the Clinical Services Medical Management Team and collaborates with the Pharmacy Dept. in all strategic planning
Counsels patients and their care givers on safe and appropriate use of drugs
- PharmD - current and unrestricted Pharmacist License for the State of CA
- Must have one of the following: Completion of a one (1) year Ambulatory / Clinical pharmacy residency program; OR Minimum 2 years of Clinical Experience with IPAs, medical groups or direct patient contact
- Experience with Medicare Part B and Part D
- Strong computer skills: MS Office- Word/Excel/Outlook
- Must be able to travel in the field 25% of the time, within Orange County (Dana Point to Long Beach would be the territory)
- MTM (Medication Therapy Management) Certification
- Current Geriatric Licensure or in process of obtaining: CGP (Certified Geriatric Pharmacist)
- BCPS - Board Certified Pharmacotherapy Specialist
- HEDIS and CMS star rating experience
- Bilingual in Spanish
- Previous experience with heart failure or diabetes
What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining OptumCare and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. With a vibrant network of hospitals and urgent care centers, we're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting opportunity to do your life's best work.(sm)
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: Clinical, Pharmacist, Pharmacy, Disease Management, Collaborative Care, Medical Group, IPA, PharmD, Monarch, UnitedHealth Group, OptumHealth, CA, California, Irvine