Provides comprehensive patient care by processing and accurately dispensing prescription orders; administering immunizations; counseling patients regarding health care and prescription medication needs; and maintaining confidential information, controlled medications, and required documentation.
Drug Therapy Management Pharmacist
PerformRx
05.2019 - Current
Deliver Comprehensive Medication Reviews, Disease Specific Medication Reviews, and Targeted Interventions to assess appropriateness of all medications, identify barriers to adherence, optimize medication therapy and to improve clinical outcomes
Develop Personal Medication List (PML) through comprehensive medication reconciliation, patient-specific Medication Action Plan (MAP) and written/verbal communication to healthcare providers
Provide cost-effective interventions, formulary and therapeutic interchanges, and assess for duplicate medication therapies
Assess prescribed medication therapy for unnecessary medications, need for additional therapy, patient educational gaps, ineffective medications, inappropriate doses, adverse drug reactions, and adherence concerns
Communicate professionally and discuss/document clinical recommendations/interventions to prescribers and interdisciplinary care teams
Follow-up with patients and/or caregivers with additional telephonic outreach and appropriately document outcomes in timely manner
Clinical Pharmacist
Community Health Group
09.2018 - 04.2019
Reviewed prior authorization cases and rendered coverage determinations based on clinical, utilization management criteria and plan design
Utilized clinical experience and skills in collaborative process to apply appropriate clinical guideline criteria, policy, procedure and clinical judgment to render appropriate coverage determination
Participated in multidisciplinary care team rounds for high-risk patient population, evaluating appropriateness of drug therapy and providing drug therapy recommendations to Medical Director, Behavioral Health Clinical Advisor and high-risk case management clinicians
Assisted in oversight activities related to pharmacy benefit operations including use of pharmaceuticals, medication prior authorization, pharmacies, and plan's Pharmacy Benefit Manager (PBM)
Assisted in all operational aspects of formulary system including PBM oversight, providing clinical insight as needed
Recommended additions, deletions, preferred drug determinations, therapeutic substitutions and other as needed modifications to plan's formulary with approval of Director of Pharmacy and presented recommendations to Pharmacy and Therapeutics Committee
Participated in provider education initiatives regarding pharmacy benefit, attended medical education meetings and disease management initiatives including quality endeavors that pertain to pharmacy benefit
Pharmacist - Home Delivery Pharmacy
UnitedHealth Group, OptumRx
07.2018 - 09.2018
Verified accuracy of prescriptions processed and evaluated patient histories for appropriateness
Interpreted physicians' prescriptions, created orders and retrieved prescription information, and consulted with physicians regarding use of medications and potential drug interactions
Clinical Pharmacist
UnitedHealth Group, OptumRx via TotalMed Staffing, Inc.
12.2017 - 06.2018
Reviewed prior authorization cases and rendered coverage determinations based on clinical, utilization management criteria and plan design
Consulted physicians, nursing staff, and providers with questions and interpreted clinical administrative guideline criteria to render coverage determinations for prior authorization requests
Provided clinically-sound recommendations to physicians and prescribers to improve medication therapies as appropriate
Gathered complex clinical information, considered approved compendia, medical literature, coverage policy and criteria information and worked within Medicare Part D - Centers for Medicare & Medicaid Services (CMS) regulatory guidelines to make coverage determinations
Utilized clinical experience and skills to apply clinical guideline criteria, policy, procedure and clinical judgment and render appropriate coverage determination
Medication Therapy Management Pharmacist
MedWatchers, Inc.
06.2017 - 12.2017
Provided Medication Therapy Management services to eligible patients via Outcomes and MirixaPro platforms to eligible Medicare and Medicaid members
Conducted patient-centered and comprehensive clinical pharmacy services such as Comprehensive Medication Review (CMR) and Targeted Medication Review (TMR)
Counseled patients on appropriate medication use in order to improve adherence and understanding of drug therapies including prescription medications, over-the-counter products, and herbal supplements
Provided specialized education and empower patients to self-manage chronic conditions such as diabetes, asthma, chronic obstructive pulmonary disease (COPD), smoking cessation, hypertension, osteoporosis, heart failure, ischemic heart disease, osteoarthritis, etc
Assessed medication therapies for appropriateness and identify medication-related problems
Developed prioritized list of medication-related problems and provided clinically appropriate recommendations/interventions to prescribers
Created plan to resolve therapeutic gaps/issues with patients, caregivers and prescribers via fax
Communicated regularly with physicians, nurses, medical staff, and managed care organizations
Graduate Pharmacy Intern
Aureus Health Services Specialty Pharmacy
07.2014 - 12.2016
Provided Medication Therapy Management services using MirixaPro platform to eligible Medicare and Medicaid members
Conducted patient-centered and comprehensive clinical pharmacy services including Comprehensive Medication Review (CMR) and Targeted Medication Review (TMR)
Assessed medication therapies for appropriateness and identified medication-related problems
Developed prioritized list of medication-related problems and provided clinically appropriate recommendations and interventions to prescribers
Created plan to resolve therapeutic gaps/issues with patients, caregivers and prescribers via fax and mail communications
Communicated regularly with physicians, nurses, insurance companies and managed care organizations
Counseled patients on appropriate medication use in order to improve adherence and understanding of drug therapies including prescription medications, over-the-counter products, and herbal supplements
Provided specialized education and empower patients to self-manage chronic conditions such as diabetes, asthma, chronic obstructive pulmonary disease (COPD), smoking cessation and high blood pressure
Pharmacy Intern
Duquesne University Pharmacy
02.2015 - 01.2016
Conducted successful healthcare education/screening programs and wellness clinics in high-risk Hill District community to identify and manage chronic disease states including hypertension, dyslipidemia, diabetes, and hepatitis C
Properly filled average of 200 prescriptions per day in university-operated community pharmacy
Managed drug and supply inventories
Assisted other pharmacy staff with drug inventory, purchasing, and receiving
Regularly stocked shelves, rotated stock and checked for expired medications
Performed technical processes required to dispense medications to patients
Completed new and updated patient profiles, including lists of patient medications
Receptively answered customer questions and helped locate desired items in pharmacy
Efficiently operated cash register and handled cash, checks, and charge transactions
Hand counted control medications, measured liquids and reconstituted antibiotics
Education
Doctor of Pharmacy (Pharm.D) - Pharmacy
Duquesne University Mylan School of Pharmacy
Pittsburgh, PA
2016
Skills
Clinical evaluation, intervention and patient education
Interprofessional collaboration
In-depth knowledge of CMS regulations
Commitment to quality-driven performance
Excellent verbal and written communication skills
Detail-attentive
Certification
Registered Pharmacist (R.Ph) with active New Jersey and California pharmacist licenses
Certified in APhA Delivering Medication Therapy Management Services
Certified Tobacco Treatment Specialist (TTS)
Cardiopulmonary Resuscitation (CPR) and Basic Cardiac Life Support (BCLS)
Certified in APhA Pharmacy‐Based Immunization Delivery
Timeline
Staff Pharmacist
ACME Markets
09.2022 - Current
Drug Therapy Management Pharmacist
PerformRx
05.2019 - Current
Clinical Pharmacist
Community Health Group
09.2018 - 04.2019
Pharmacist - Home Delivery Pharmacy
UnitedHealth Group, OptumRx
07.2018 - 09.2018
Clinical Pharmacist
UnitedHealth Group, OptumRx via TotalMed Staffing, Inc.