Pharmacist

• Create and Maintain Clinical Criteria for applicable Utilization Management (UM) programs: Develop and maintain clinical criteria (access to Prime standard and BCBSNE specific versions); Develop and maintain criteria process flows; Develop and maintain physician fax forms and other modes of communication; Utilize predictive modeling tool to intervene with high-risk members for identified disease states; Provide clinical updates as necessary to internal staff and physician reviewers; Performs highly complex research, analysis and develops recommendations for UM programs & plan design changes.
• Responsible for Operational workflows and Completion of UM reviews: Clinical oversight of first level review process; Clinical review of utilization management reviews; Perform clinical support for Pharmacy Technician and other staff; Utilize reporting tools to create efficiencies by reviewing medical and pharmacy claims data; Support physician reviewers with information required to efficiently review non-approvable claims; Develop Decision Tree review process when applicable.
• Maintain URAC accreditation: Work with internal staff to ensure that URAC accreditation is maintained; The pharmacist will work within their scope of licensure and unless expressly allowed by state or federal law or regulation, are located in a state or territory of the United States when conducting drug utilization review. The clinical pharmacists may not conduct peer clinical review non-certifications for drug utilization management, if prohibited by state utilization management laws. The clinical pharmacists may not conduct peer clinical review non-certifications for drug utilization management if the requesting party specifically requests a clinical peer.
• Measure quality assurance reporting, turnaround time for urgent and non-urgent reviews and quantitative assessment of UM reviews by program.
• Support Medicare Advantage processes, outreach, presentations, and tasks that require clinical direction and support. This includes, but not limited to, clinical presentations to internal and external stakeholders, providers, provider offices, and other customers.

Clinical Pharmacist

• Responsible for ensuring safe, effective, and economical use of medications for patients of all ages.
• Preparing and dispensing prescriptions.
• Advising healthcare professionals on drug therapies.
• Monitoring patient medication regimens.
• Conducting patient education on drug use.
• Collaborating with medical staff to manage patient treatments.
• Overseeing the activities of pharmacy technical staff and interns.
• Engaging in committee involvement, teaching, and participating in clinical research and continuing education.

Pharmacist – Inpatient

• Analyze and optimize clinical workflows by ensuring that Epic EHR features align with the healthcare organization’s clinical processes.
• Work closely with clinicians to improve efficiency and reduce any pain points.
• Collaborate with physicians, nurses, IT staff, and other stakeholders to gather requirements and feedback on Epic’s functionality.
• Configure and customize the Epic system to meet the needs of clinical workflows.
• Monitor system performance, manage upgrades, and ensure that the Epic system is regularly maintained and updated with the latest versions.
• Provide technical support and troubleshoot issues that arise in the Epic EHR system.
• Ensure the Epic system complies with healthcare regulations, such as HIPAA, by enforcing security protocols and monitoring data privacy.
• Participate in continuous improvement initiatives, staying up to date with the latest Epic features and healthcare technology trends.
• Test new features, updates, and system changes to ensure they function as expected.
• Provide training to clinical staff and users on how to effectively use Epic.
• Ensure that Epic data is accurate and accessible for clinical decision-making and regulatory reporting.
• Develop and maintain reports to track clinical outcomes, performance metrics, and patient care quality.

Pharmacist – Informatics

• Serve as the bridge between clinical pharmacy practice and advanced health IT solutions.
• Influence how medications are ordered, managed, and optimized across the ambulatory enterprise.
• Partner with clinicians, IT, and operational leaders to design, build, and continuously improve Epic and related pharmacy systems.
• Provide analysis to translate pharmacy workflow and content requirements into software application solutions through collaboration with owners, teams, and various stakeholders.
• Acts in role as pharmacy informatics expert leveraging knowledge of build as opportunity to apply expertise to solve organization medication related problems.
• Maintain expertise and experience in multiple system applications to ensure visibility and understanding of broad workflows.
• Responsible for clinical and business transformation related to development, implementation, and evaluation of the electronic health record (EHR), as well as other clinical pharmacy information systems.
• Participate throughout design, build, and monitoring phases of comprehensive medication system software with collaboration from owners, teams, and various stakeholders.

Pharmacist Clinical Informatics Lead

• Remote order entry and CPOE order evaluation and verification
• Assure acquisition or renewal of all pharmacy staff licenses
• Performs as staff pharmacist as needed
• Physician and nursing consultations
• Clinical medication dosing services
• Review and monitoring of profiles and lab values for therapeutic outcomes
• Coordinates access to medications according to facility policy and procedures, and in compliance with state and federal laws and regulations.

Pharmacist jobs in Iowa

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Clinical Pharmacist

Pharmacist – Inpatient

Pharmacist – Informatics

Pharmacist Clinical Informatics Lead

PRN Pharmacist