Summary
Overview
Work History
Education
Certification
Timeline
Generic

Kristen LeGunn, PharmD, BCACP, BCGP, CPRW

West Palm Beach,FL

Summary

QUALIFICATIONS PROFILE:
• Board certified in ambulatory care (BCACP) & geriatrics (BCGP)
• Strong affinity for clinically orientated projects involving inappropriate use of HRMs, medication reconciliation, therapeutic interchange and duplication, cost effective analysis, medication therapy management, generic optimization, and identifying therapeutic gaps in care.
• Responsible for various quality assurance (QA) ventures including ensuring consistency across all clinical programs, accuracy of content, and appropriate claim submission when billing for services.
• Conducted data analysis and protocol evaluation regarding hypoglycemic events and their correlation to sliding scale insulin regimens in the institutional setting.

Overview

16
16
years of professional experience
1
1
Certification

Work History

Oncology Clinical Pharmacist

Aetna/CVS Health
02.2018 - Current
  • Supported clinical requests for information related to institutional guidelines or pathways.
  • Responsible for managing the selection and utilization of pharmaceuticals and support core clinical programs such as DPAS, ATV, ASD, & MEDHOC.
  • Researches synthesizes detailed clinical data related to prior authorization of Part B injectable products.
  • Approve or deny coverage for pharmaceuticals as permitted by state/federal law or state/federal program contracts based on medical necessity criteria and coordinates with health plan medical directors as needed.
  • Serves as clinical resources for other pharmacists and pharmacy technicians in areas such as prospective, inpatient, and retrospective DURs, company policies, PACE guidance, phone QA, dosage conversion, and therapeutic/biosimilar substitutions.

Long-Term Care Pharmacist - Per Diem

Pharmscript
04.2022 - 03.2023
  • Reviewed prescription to confirm appropriate selection of drug, dose and check for interactions with other medications.
  • Interpreted prescription orders, dispensed medications, and counseled patients on drugs.
  • Maintained appropriate drug records and completed reports as necessary.
  • Analyze order appropriateness using clinical judgment. Process or route to relevant departments for patient outreach, ensuring timely resolution.
  • Handle phone, and email escalations for clinical/IV questions, delivery issues, urgent requests, and doctor paging.
  • Process admission alerts, monitor overnight dashboards, and triage orders from ERX and Docutrack across all remote pharmacy locations.


Long-Term Care Pharmacist - Per Diem

Partner's Care Pharmacy
03.2020 - 03.2022
  • Reviewed prescription to confirm appropriate selection of drug, dose and check for interactions with other medications.
  • Maintained appropriate drug records and completed reports as necessary.
  • Complied with pharmacy regulations to increase quality of health care and inhibit criminal abuse of drugs.
  • Prepared medications in blister packs to provide safe and convenient way to take prescribed medication.
  • Evaluated drug therapy to drive appropriate medicine use.
  • Reported adverse drug events to comply with regulatory policies and procedures.

Pharmacy Manager (interim)

Xpresso Pharmacy
07.2017 - 05.2018
  • Trained pharmacy interns and newly hired pharmacy technicians.
  • Ordered all pharmacy supplies and kept check on inventory levels.
  • Enforced compliance with pharmacy regulations and maintained up-to-date records of all medications dispensed.
  • Recommended OTC devices or medication options to help mitigate individual symptoms.
  • Developed policies and procedures for effective pharmacy management.
  • Protected drug inventories from damage or theft by establishing and enforcing clear pharmacy security policies.

Pharmacist - Per Diem

ICare Pharmacy
01.2017 - 04.2018
  • Reviewed prescription to confirm appropriate selection of drug, dose and check for interactions with other medications.
  • Interpreted prescription orders, dispensed medications, and counseled patients on drugs.
  • Remained knowledgeable about health insurance and other third-party payment programs to facilitate purchases.

Transitions of Care Clinical Pharmacist

Dovetail Health (now Acquired By UHC)
01.2017 - 02.2018

• Optimize patient outcomes and reduce risk of re-hospitalization by performing post-discharge medication reconciliation and counseling.
• Coordinates with nurse practitioners, dieticians, care managers, social workers and physicians to provide solutions for patient barriers to medication adherence.

Clinical Pharmacist

United Health Care
11.2013 - 01.2017

• Developed exemplary clinical skills through hundreds of chart reviews and patient consultations.
• Ability to prioritize pertinent drug related problems from complex and robust medication lists.
• Utilized shared decision making and patient centered interviewing skills during patient consultations to improve adherence to drug therapy.
• Tailored provider recommendations based on patient needs with an emphasis on medication affordability, safety issues, and patient abilities and preferences.

Pharmacist

CVS Retail Pharmacy Customer Care Center
08.2012 - 11.2013

· Completed various inbound and outbound projects involving therapeutic interchange, gaps in care, generic utilization, HIPPA compliance, inventory management, specialty pharmacy, third party adjudication & administrative projects assisting pharmacy operations.

Clinical Program Pharmacist (part Time)

Chronic Disease Management (acquired By Magellan)
08.2012 - 11.2013

• Performed CMRs and MTM outreach on behalf of various Medicare Part D plans.
• Worked on initiatives focusing on gaps in pharmacotherapy in multiple disease states including rheumatoid arthritis, diabetes, and hypertension.

Pharmacy Intern

Walmart Pharmacy
09.2010 - 05.2012
  • Prepared packaging and labels for prescriptions, verifying accuracy of dosage, side effects, interactions, and refill instructions.
  • Provided friendly customer service at drop-off and pick-up counters.
  • Used pharmacy software to enter prescription and insurance information.
  • Followed department policies, procedures and best practices for pharmacy operations.

Pharmacy Intern

Pharmerica
08.2010 - 05.2012
  • Prepared packaging and labels for prescriptions, verifying accuracy of dosage, side effects, interactions, and refill instructions.
  • Used pharmacy software to enter prescription and insurance information.
  • Followed department policies, procedures and best practices for pharmacy operations.

Clinical Pharmacy Intern

Kent County Hospital
05.2010 - 05.2011

• Produced and presented formulary reviews to the P&T committee.
• Collected, analyzed, and presented data regarding the number of hypoglycemic events related to sliding scale insulin regimens.
• Evaluated the effectiveness of tight glucose control in comparison to current institutional protocols in preventing hypoglycemia.

Pharmacy Intern

Memorial Hospital Of Rhode Island
05.2008 - 05.2010

• Acquired knowledge and experience related to managing hospital pharmacy. Learned and held responsibility for compounding intravenous solutions, filling medication orders, and delivering medications to patient floors. Provided drug information to nurses and physicians. Performed basic Pyxis MedStation® repair and managed machine inventory.

Summer Intern

Primarily Care
05.2009 - 08.2009

• Contributed to the development of HealtheDividends, a comprehensive wellness and disease management program designed to set personalized goals based on health biomarkers and providing tools and resources for employees to meet health-related and disease management goals as determined by primary care physicians.

Education

Doctor of Pharmacy - Pharmacy

University of Rhode Island
Kingston, RI
05.2012

Certification

• Florida Pharmacist License, Florida Board of Pharmacy License PS51283, October 2013 to September 2025
• Massachusetts Pharmacist License, Massachusetts Board of Pharmacy License PH234390, October 2012 to December 2024

• Certified Geriatric Pharmacist, Commission for Certification in Geriatric Pharmacy, August 2016

• Board Certified Ambulatory Care Pharmacist Board of Pharmacy Specialties, November 2016
• First Aid CPR AED/BLS
• American Heart Association License 148354875030243, September 2012
• Physical Assessment Certification, URI College of Pharmacy April 2011
• HIPPA Compliance Certification, September 2009

Timeline

Long-Term Care Pharmacist - Per Diem

Pharmscript
04.2022 - 03.2023

Long-Term Care Pharmacist - Per Diem

Partner's Care Pharmacy
03.2020 - 03.2022

Oncology Clinical Pharmacist

Aetna/CVS Health
02.2018 - Current

Pharmacy Manager (interim)

Xpresso Pharmacy
07.2017 - 05.2018

Pharmacist - Per Diem

ICare Pharmacy
01.2017 - 04.2018

Transitions of Care Clinical Pharmacist

Dovetail Health (now Acquired By UHC)
01.2017 - 02.2018

Clinical Pharmacist

United Health Care
11.2013 - 01.2017

Pharmacist

CVS Retail Pharmacy Customer Care Center
08.2012 - 11.2013

Clinical Program Pharmacist (part Time)

Chronic Disease Management (acquired By Magellan)
08.2012 - 11.2013

Pharmacy Intern

Walmart Pharmacy
09.2010 - 05.2012

Pharmacy Intern

Pharmerica
08.2010 - 05.2012

Clinical Pharmacy Intern

Kent County Hospital
05.2010 - 05.2011

Summer Intern

Primarily Care
05.2009 - 08.2009

Pharmacy Intern

Memorial Hospital Of Rhode Island
05.2008 - 05.2010

Doctor of Pharmacy - Pharmacy

University of Rhode Island
Kristen LeGunn, PharmD, BCACP, BCGP, CPRW