Amanda Oldfield

• Enter, process, fill, review, verify, and dispense medication orders issued in variety of settings to include: Outpatient, Transitions of Care, and Ancillary clinics
• Counsel on new medication orders, collaborate with providers to develop drug therapy and and review changes in therapy with patients including: therapy duplication, monitoring parameters, and expected outcomes.
• Established, developed, and manage our Outpatient Pharmacy Communications Center where I supervise telephonic-pharmacy technicians, facilitate prescription clarifications, prescription transfers, Prior Authorization guidance, provide continuity of care for patients across multiple clinics throughout San Diego county, and streamline COVID-19 prescription processing and retrieval.
• Precept Fourth year professional pharmacy students and NMCSD residents during their Outpatient pharmacy rotation; providing instruction and insight to collaborative practice, communication with pharmacy team and other healthcare providers, and patient counseling.
• Consistently complete multiple collateral assignments: drug-utilization reviews, provider-medication-dispensing-program, and assist in internal Prior Authorization Appeals.
• Revise and maintain REMS program for NMCSD Outpatient pharmacy which includes reestablishment of monitoring parameters and provider inter-departmental training regarding REMS medications.
• Full time (40 hrs/wk)

Accomplishments

• The Innovator Award Recipient, US Navy Wide, Jul 2020
• Star Performer Certificate of Appreciation, Command Wide, Dec 2019
• Individual Monetary Award / Leave Hours Award - Aug 2019, 2020, 2021
• Command-Wide Process Improvement Poster Fair - Presenter July 2019

• High volume independent pharmacy chain with mail order and delivery service
• Administered immunizations and met with patients for medication consultations, effectively improving awareness of pharmacy's health services
• Evaluated and processed prescriptions by localized hospitals, physicians, and clinics through DUR procedure, insurance submissions, and prior authorizations (including Medi-Cal, Medicare-D, Medicare-B)
• Maintained a secure control substance inventory and helped prevent narcotic misuse, abuse, and diversion
• Counseled on prescription medications, pharmacological devices, over the counter medications, and supplements
• Monitored ordering of pharmacy medication stock to maintain streamline inventory
• Managed and coached team of 10 pharmacy technicians and 1 pharmacist
• Per-diem (8-16 hrs/wk)

• Responsible for providing clinical support services to client plan(s) contracting for clinical services
• Provided clinical review, analysis, recommendation, decision, and documentation of denied prior authorization request appeals, medical exception requests, and appeal requests as required by client contracts and utilization management delegation agreements
• Reviewed medical request guidelines for clinical appropriateness and operational efficiency
• Provided drug information support
• Managed a team of six pharmacy technicians in coordinating and assisting in preparation of utilization and compliance reporting for client plans
• Ensured timely preparation and review of plan data and client presentations
• Coordinated and assisted with projects associated with prior authorization program development, implementation, and internal/external communications
• Evaluated and completed appealed prior authorization from Medicare D and commercial plans
• Completed timely decisions meeting current Medicare D guidelines
• Collaborated with multiple pharmacists and pharmacy technicians to meet appeal submission deadlines
• Full time ( 40 hrs/wk)

• Reviewed, checked, processed, filled, dispensed, and counseled orders issued by Emergency department, and multiple internal clinics: Internal Medicine, Family Medicine, Endocrinology, Cardiology, Oncology, Pediatrics, Orthopedics, and Surgical staff
• Educated patients, collaborated with providers, and interdisciplinary healthcare team members to provide positive patient centric outcomes
• Communicated with other pharmacy care team members with regards to supply shortages, protocol changes, and handle pharmacy call center concerns
• Key lead for drug information and counseling patient, providers, and other pharmacy staff members
• Manage 3 telephonic pharmacy technicians, 24 pharmacy technicians, and observed 9 staff pharmacists
• Full time (40 hrs/wk)

Accomplishments

• Received ACE Award in Excellence for Patient Care

• Military orders to support Active Duty husband stationed in Halifax, Canada - not permitted to work in country
• Volunteer hours (8 - 12 hrs/wk)
• Stay at home provider for the family

• Initiated immunizations, and point-of-care clinical services within collaborative practice agreements
• Communicated medication management therapy to collaborative care providers through appropriate protocol measures
• Processed prescriptions through DUR procedure, insurance submissions, and prior authorizations (include Medi-Cal, Medicare-D, Medicare-B)
• Maintained a secured control substance inventory and helped prevent narcotic misuse, abuse, and diversion
• Provided consultations and inquires from patients, healthcare professionals, and physicians regarding drugs, potential side effects and specified use
• Managed and motivated pharmacy staff of 1 to 2 pharmacists and 2 to 3 technicians during 8 hour shift
• Per-diem (8-16 hrs/wk)

• Clinically reviewed patient labs, allergy, medication administration records, and corresponding provider documentation prior to processing pharmacy orders and changes
• Reviewed, entered, processed electronic orders and computer physician orders entry requests for multiple facilities
• Managed emergency room first doses and and arrange subsequent dosing through online communication to local pharmacy staff
• Documented and conveyed relevant clinical data for further clinical pharmacist support
• Coordinated and provided consistent pharmacy support throughout varying shift schedules
• Lead entry pharmacist for three local sites and secondary lead on three secondary sites
• Demonstrated respect, friendliness, and willingness to help whenever needed
• Part time/full time (28-34 hrs/wk)

• Input, processed, filled, reviewed, and dispensed prescription orders
• Collaboratively worked with healthcare providers to provide optimal patient care outcomes through medication therapy management
• Counseled patients on over the counter, legend, pharmacological devices, and supplements
• Maintained narcotic inventory within state, federal, and internal guidelines
• Coordinated special pharmacy stock orders in order to facilitate continuity of care for patients
• Ensured adequate levels of pharmaceutical stock within budgetary guidelines
• Assist in verification and replenishment of pharmacy robotics structures
• Managed and observed 2 pharmacists and 4 pharmacy technicians during a 8 hour shift
• Part time/Per-diem (26 hrs/wk)

• Provided clinical support for all patients and ages for 250 plus bed hospital: Advanced Primary Stroke Center, Accredited Chest Pain Center, Cancer Care Center
• Processed emergency room first doses and additional pharmacokinetics calculations
• Duties include: managing parenteral nutrition and support, renal dosing, oncology pharmacotherapy review (drug, dose, pre/post), IV/PO conversion, SCIP protocol enforcement, antibiotic stewardship, and pharmacokinetics calculations
• Participate in daily floor rounds and monthly patient case care reviews
• Educated patients on possible drug interactions, potential side effects and optimal methods of administration during weekly Pre-Operation anticoagulation inservice
• Full time (40 hrs/wk)

Accomplishments

• Requested personally by hospital staff for Pre-Op Anticoagulation lecture and bedside discharge prescription counseling

• Provided immunizations, travel immunization services, and point of care laboratory testing according to collaborative practice agreements
• Counseled patients on over the counter medications, legend, and pharmacological devices
• Managed inventory, QCI, pharmacy staffing demands, and clinical counseling checkpoints
• Input, processed, filled, reviewed, and dispensed prescription orders
• Kept prescription medication and controlled substances safe and secured in pharmacy within state, federal and internal parameters
• Supervised and motivated 2 pharmacists and 3 pharmacy technicians in delivering quality patient care
• Managed and set pharmacy staff schedule to maximize staff moral and job satisfaction
• Precepted and trained graduated pharmacy interns
• Full time (40 hrs/wk)

Accomplishments

• Reduce inventory costs within 3% of requested limits while maintaining patient satisfaction

• Provided unit specific clinical support to include: TPN calculation, monitoring, and adjustment; chemotherapy protocol review and monitor, renal dosing, pharmacokinetics, anticoagulation, IV-PO conversions, antibiotic stewardship, point of care counseling, and inservice as requested by healthcare staff
• Emergency Department medication reconciliation and medication discharge counseling
• Partnered with physicians and other members of healthcare team to optimize patient care through effective use of medication therapy
• Efficient and accurate order entry during clinical shifts to properly dispense medications
• Performed as IV room pharmacist to include compounding: LVP, intrathecal, SVP, syringe, TPN and chemotherapy
• Trained pharmacy residents and Fourth year professional pharmacy students on clinical care and medication dispensing
• Full time (40 hrs/wk)

Accomplishments

• Solidified Automatic Renal Dosing and IV-PO conversion program initiated during previous residency year